Abstract
Purpose
This study aimed to evaluate, in low-complexity surgical patients, the effectiveness
of preoperative assessment carried out by nurses with formal postgraduate anaesthetic
training compared to that carried out by anesthesiologists in terms of cancellations
and inadequate surgical preparation.
Design
This experimental research was conducted using a prospective cohort study.
Methods
One hundred and eighty-three patients were recruited who had undergone low-complexity
surgery between May and September 2020. Sixty-nine patients were preoperatively assessed
by a nurse with specific 1-year postgraduate university training in anesthesia and
114 by an anesthesiologist. Data collection included a questionnaire to assess patient
satisfaction and knowledge acquired from the preoperative assessment.
Findings
Cancellations of surgery were the same in both cohorts (3.8%, 2.6%). The incidence
of poor preparation attributable to the patient was also similar in both cohorts (17.0%
vs 18.4%). Patients seen by nurses valued the satisfaction with the preoperative assessment
more highly than patients seen by anesthesiologists (median 91.67 vs 84.62). In terms
of Knowledge obtained from the preoperative assessment, both professionals did not
show statistically significant differences in knowledge levels.
Conclusions
Preoperative patient assessment performed by a nurse, with formal anesthesia training,
in low-complexity surgical patients can be as effective as that performed by an anesthesiologist,
without having an impact on surgical cancellations or patient preparation. On the
day of surgery, patients who had been assessed by a nurse were more satisfied with
their care during the visit and acquired similar knowledge about preoperative preparation
as patients assessed by anesthesiologists.
Keywords
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Article info
Publication history
Published online: January 10, 2023
Publication stage
In Press Corrected ProofFootnotes
Conflict of Interest: None to report.
Identification
Copyright
© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
