Effectiveness of nurse-led preoperative assessment services for elective surgery : a systematic review

Hines, Sonia, Chang, Anne M., Ramis, Mary-Anne, & Pike, Shannon (2010) Effectiveness of nurse-led preoperative assessment services for elective surgery : a systematic review. JBI Library of Systematic Reviews, 8(15), pp. 621-660.

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Background--The admission and assessment of patients for elective procedures is a task faced by all healthcare organisations that provide elective surgical services. Several different strategies have been used to facilitate the management of these tasks. Nurse-led preadmission clinics or services have been implemented in many health services as one of these management strategies; however their effectiveness has not been established. Objectives--The objective of this review was to examine the available research on the effectiveness of nurse-led elective surgery preoperative assessment clinics or services on patient outcomes.--Results--Of the 19 included articles, there were 10 audits of patient and hospital data, 3 surveys or questionnaires, 3 descriptive studies, 1 action research design, 1 prospective observational study and 1 RCT. Five of ten studies reporting data on cancellations rates found that nurse-led preadmission services reduced the number of day-of-surgery cancellations. Non-attendance for surgery was also reduced, with nine studies reporting decreases in the number of patients failing to attend. Eight studies reporting data on patient or parent satisfaction found high levels of satisfaction with nurse-led preadmission services. Three of four studies investigating the effect of the nurse-led preadmission service on patient anxiety found a reduction in reported anxiety levels. Three studies found that preoperative preparation was enhanced by the use of a nurse-led preadmission service.--Conclusions--While all included studies reported evidence of effectiveness for nurse-led preadmission services on a wide range of outcomes for elective surgery patients, the lack of experimental trials means that the level of evidence is low, and further research is needed.--Implications for practice--Nurse-led preadmission services may be an effective strategy for reducing procedural cancellations, failure to attend for procedures, and patient anxiety, however currently the evidence level is low.

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ID Code: 39382
Item Type: Journal Article
Refereed: Yes
Additional Information: We would like to acknowledge the support of the Nursing Research Centre, Mater Health Services, Brisbane, during the writing of this review. The authors thank Ms Ruth Hollin for her comments and input during the protocol development process.
Additional URLs:
Keywords: Nursing Assessment, Preoperative Care, Healthcare Management, Resource Use, Elective Surgery
ISSN: 1838-2142
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health and Community Services (111708)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: © The Authors 2010
Deposited On: 04 Jan 2011 03:52
Last Modified: 19 Jan 2015 01:11

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