Quality Improvement of Preoperative Nursing Visit for Patients Receiving Total Knee Replacement, Phrae Hospital
Keywords:
Quality improvement, Preoperative nursing visit, Total knee replacement, Operating room nursesAbstract
A preoperative nursing visit by an operating room nurse is the process of assessing the patients, providing information, giving advice on surgery and postoperative practices, and answering patients’ questions. This developmental study aimed to examine the quality of preoperative nursing visits for patients receiving total knee replacement at Phrae Hospital after improvement using the concept of continuous quality improvement, FOCUS PDCA. The population in this study included the head and assistant head of the operating room, and 15 registered nurses working in the orthopedic department of the operating room. The subjects included 34 orthopedic patients receiving total knee replacement between November to December 2021. The research instruments included the nurses' satisfaction scale toward the perioperative visit guidelines for patients receiving total knee replacement, the patient’s anxiety assessment form, and the record form of canceled or postponed operation incidence. The three instruments were validated by three experts. The content validity indices were 1.00, .97, and 1.00, respectively. The Cronbach’s alpha coefficient of the nurses' satisfaction scale and the patient’s anxiety assessment form were .90 and .88. Data were analyzed by descriptive statistics.
The quality of preoperative nursing visits after improvement includes:
1. The overall mean score of nurses' satisfaction with the preoperative visit guidelines for patients receiving total knee replacement was at a high level (M = 4.49, SD = 0.41).
2. The overall mean score of the anxiety of patients receiving the perioperative visit of the total knee replacement was at a low level (M = 30.71, SD = 5.36).
3. The incidence of cancellation or postponement of total knee replacement at Phrae Hospital was 0.
The results of this research increase the awareness of operating room nurses towards visiting patients before surgery, and they can use the preoperative visit guidelines for total knee replacement to develop preoperative visit guidelines for other groups of patients receiving surgery. Nursing administrators can establish policies and strategies to encourage operating room nurses to adhere to the preoperative visit guidelines and continuously monitor the outcomes of perioperative visits.
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