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The changing face of surgery: using systematic reviews
Marilyn Richardson-Tench1, Alan Pearson, Michelle Birks
1School of Nursing and Midwifery, Victoria University, St Albans, Australia.
British Journal of Perioperative Nursing : the Journal of the National Association of Theatre Nurses
|June 25, 2005
Summary
Pre-admission interventions can enhance day surgery outcomes, but further research is needed on optimal methods. Distraction may reduce patient anxiety, while evidence on staffing
Area of Science:
- Healthcare Management
- Surgical Nursing
- Patient Outcomes
Background:
- Establishing evidence-based best practice guidelines for day surgery units is crucial for optimizing patient care and operational efficiency.
- Existing literature on pre-admission procedures, admission processes, and staffing policies requires synthesis to inform guideline development.
Purpose of the Study:
- To conduct systematic reviews on pre-admission procedures, admission procedures, and staffing policies within day surgery units.
- To establish evidence to develop best practice guidelines for day surgery units.
Main Methods:
- Conducted three systematic reviews focusing on pre-admission procedures, admission procedures, and staffing policies.
- Synthesized evidence from existing literature to identify key findings and research gaps.
Main Results:
- A pre-admission intervention demonstrated potential to improve patient and surgical outcomes, though the most effective intervention type requires further investigation.
- Distraction techniques were found to reduce preoperative patient anxiety.
- High-quality evidence linking skill mix, staffing levels, and desired health outcomes in day surgery units is currently lacking.
Conclusions:
- Pre-admission interventions offer a promising avenue for improving day surgery care.
- Further research is recommended to determine the most effective pre-admission strategies and to investigate the impact of staffing models on health outcomes.
- Addressing the evidence gap in staffing policies is essential for comprehensive guideline development.