Outpatient Preoperative Education Needs Identified by Nurses and Patients

摘要

The benefit of preoperative teaching is consistently supported in nursing andmedical literature however, few studies have been done to examine and compare the content of preoperative teaching patients and nurses believe is important. Yount and Schoessler (1991) conducted a study to examine patient and nurse perceptions of preoperative teaching in an inpatient setting. Brumfield, Kee, Johnson (1996) replicated their study methods and extended it to ambulatory surgery patients scheduled for laparoscopic procedures. This thesis study also replicates Yount and Schoessler's study methods and extends it to patients having a variety of ambulatory surgery procedures. This descriptive, survey design thesis study examined the similarities and differences between ambulatory surgery patient and nurse perceptions of the importance of specific types of preoperative teaching categorized by five dimensions of preoperative teaching. Recognizing the preoperative teaching that patients believe is important is the key to providing meaningful learning experiences for patients undergoing ambulatory surgery. A convenience sample of 45 patients and 54 nurses was selected from a military medical center in the southwestern part of the United States. Each of the subjects completed a slightly modified version of the Perceptions of Preoperative Teaching Questionnaire developed by the nursing research committee at Providence Medical Center, Portland, Oregon. The patient questionnaire asked patients to rate the importance of each item and also asked if they received that type of information before they had surgery. Results indicate no significant difference between nurse and patient perceptions of preoperative teaching except for the skills training dimension (p=.027).