Abstract

Ambulatory surgical patients face unique challenges with discharge instruction comprehension and retention. The volume of information provided to patients, frequently combined with sedatives and narcotics, leads to failure to retain this crucial information needed for home care. At one healthcare facility, this failure to retain was reflected in the Outpatient Ambulatory Surgery- Consumer Assessment of Healthcare Providers and Systems (OAS-CAHPS) survey scores which were below the facility goal of 75th percentile nationally. This project implemented a preoperative teaching intervention to provide written and verbal discharge instructions in the preoperative area prior to the administration of anesthetic agents to improve patient retention of information and improve percentile ranking on the OAS-CAHPS survey. The Model for Improvement provided conceptual framework and was supplemented by PDSA cycles. Nursing staff were educated on the intervention prior to implementation. The intervention period of three months was monitored for productivity impacts and patient satisfaction ranking. Data obtained during the period was analyzed for effect with the assistance of a statistician. While statistical analysis revealed significance only in some areas, patient and staff feedback demonstrated value to the intervention. Additionally, the stated goals of achieving the 75th percentile or better were met.

Author Details

Donald L. Tanner, MSN, RN, NE-BC, CPAN, CEN, EMT-P

Sigma Membership

Lambda Rho at-Large

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Preoperative, Timing, Education, Postoperative, Discharge, Patient Teaching, Surgery

Advisors

Morgan, Hilary||Kunkel, Dorcas

Advisor

Hilary Morgan

Second Advisor

Dorcas Kunkel

Degree

DNP

Degree Grantor

Jacksonville University

Degree Year

2021

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2021-05-19

Full Text of Presentation

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