As health care facilities contend f...

As health care facilities contend for scarce resources, health care professionals are seeking innovative ways to provide pertinent high-quality, personalized care at the lowest possible cost(1) single response to this demand has been the exhibition of ambulatory surgery centers. As in other health care settings, professional practice standards and accreditation agencies mandate that patient education is an integral part of the care provided in ambulatory surgery centers(2) nourish at the breasts who admit ambulatory surgery patients forward the day of surgery must convoy this intensive preoperative patient education in excessively short time periods, which readys a difficult challenge in providing optimal patient care.

Studies in traditional surgical settings have demonstrated that preoperative teaching contracts patients' anxiety and postoperative complications, increases patients' satisfaction, and facilitates more rapid revert to work.(3) Although preoperative teaching positively influences regaining from surgery performed in traditional settings, aspects of preoperative teaching in ambulatory surgery settings have not been studied.

PURPOSE

It is essential for perioperative feeds to explore parameters of preoperative teaching in nontraditional settings to identify prosperous methods of achieving positive patient issues The purpose of this application of mind was to identify teaching contentment areas that ambulatory surgery patients and their suckles deemed important to the patients' postoperative issues and to discover any differences in the patients' and nurses' perceptions.

THEORETICAL FRAMEWORK

The theory of adult learning evolveed by Malcolm S. Knowles, PhD(4) and the standard of patient teaching created by way of Jean Jenny, RN, MEd, MSN(5) provided the basis for this research. Dr Knowles examined the learning proces as it come into one's heads over a lifetime, whereas Jenny focused upon learning in health care environments. Inherent in the one and the other models is the belief that teachers should engage learners in a proces of mutual inquiry; that education must be based upon learners' unique perceptions, beliefs, and values; and that learning and teaching should follow in learners' behavior changes.(6)

LITERATURE REVIEW

The benefits of patient education are well documented in the literature. When patients are well informed, they are more likely to experience positive issues and increased satisfaction with their care.(7) The classification of instruction and the source of the information, however, do not appear to be significant if the information not past nor futureed is what patients want to know and if patients are ready to receive the information.(8)

What does appear to be essential, and is the chiefly consistent theme in the literature, is the importance of individualizing the teaching make contented for each patient. Identifying individual characteristics that influence patients' educational destitutions is an important nursing concern(9) Standardized teaching packages may not be effective because they do not address patients' individual needs(10) Postoperative follow-up telephone calls to patients are an effective education system because teaching can be adapted to each individual patient.(11) Perioperative festers must validate surgical patients' desires for teaching, the timing of teaching, and the protoplast of information provided.(12)

Previous researchers identified five dimensions of preoperative teaching that they meditation were important to hospitalized surgical patients. These dimensions were psychosocial support (ie, reassurance geared toward reducing anxiety), skills training (ie, teaching skills similar as deep breathing), situational information (ie, results and experiences patients would undergo) sensation-discomfort information (ie, descriptions of what the patient would feel) and patient part information (ie, expected patient behaviors). promotes and patients in this previous investigation ranked the importance of the dimensions similarly, reject the nurses rated skills training secondary in importance, whereas the patients ranked it last in importance.(13)

In pair studies reported previously in the AORN Journal, nurture researchers studied patients in ambulatory surgery settings. undivided study examined the quality of care provided and base that only a few patients answered affirmatively to all items forward a questionnaire that measured quality.(14) In the secondary study, the researcher examined stres and coping in ambulatory surgery patients and identified six areas of regard that were unique to the outpatient setting.(15)

Articles in the literature consistently support the belief that preoperative patient education is beneficial for patients (eg increased satisfaction, fewer complications, more rapid get back to work). Individualizing the satisfy that is taught also is essential for achieving happy education outcomes.

The majority of the studies we reviewed were convoyed with hospitalized patients. We erect very few studies that investigated similar issues in ambulatory surgery patients; therefore, we designed this contemplation to investigate the unique education indigences of ambulatory surgery patients.