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Operation Room Pre-Experience Service Willingness of Surgical Patients: A Mixed Method Research
Yuling Zhou1,2, Qingqing Chen1, Ting Wang1
1School of Nursing, Anhui Medical University, Hefei, Anhui, China.
Aim:
To investigate surgical patients' willingness to engage in these services, their specific needs and the factors that influence their willingness.
Design:
An exploratory, sequential, mixed-method study employing semi-structured interviews and cross-sectional surveys.
Methods:
Qualitative data were collected from 15 patients via semi-structured interviews from August to November 2021. Colaizzi's phenomenological analysis was used to analyse interview data. The study collected quantitative data using the general information questionnaire, the questionnaire on willingness to participate in pre-experience service in the operating room, the General Self-Efficacy Scale and the All Aspects of Health Literacy Scale, recruiting 600 patients from March to July 2022. Univariate and binary logistic regression analyses identified factors.
Results:
Fifteen patients were interviewed, and 10 agreed to participate in this service, citing reasons including stress relief, knowledge enhancement, cognitive shifts, identifying needs and enriching experiences. Five patients declined the pre-experience service due to restricted mobility, increased anxiety, fear of complications and lack of motivation. A total of 562 valid questionnaires were collected, with a response rate of 93.7%. Of which, 393 expressed willingness to participate in the service. Binary logistic regression analysis identified that the willingness of patients to participate in the service was associated with several factors, including age, American Society of Anesthesiologists grades, social support, professional support, health literacy and self-efficacy.
Implications For The Profession And/Or Patient Care:
This study delineates the willingness characteristics and influencing factors of surgical patients regarding the operating room pre-experience service within the Chinese sociocultural context (e.g., unfamiliarity-induced anxiety and passive information acceptance). The findings suggest that operating room nurses should integrate pre-experience services into routine preoperative care, particularly by offering personalized options based on patients' preferences. Given the strong influence of social support, nurses are encouraged to involve family members and peer patients in promoting these services.
Impact:
The study addressed the gap in understanding surgical patients' willingness to participate in a novel 'operating room pre-experience service' and the influencing factors that willingness. The main findings showed that nearly 70% of surgical patients were willing to participate, with key influencing factors including age (< 60 years), lower ASA grades, higher health literacy and self-efficacy and stronger social and professional support. This research offers a China-oriented perspective on surgical patients' preoperative experience needs globally, contributing a valuable addition to the international literature on preoperative nursing and patient-centred service design.
Reporting Method:
This study is reported using Good Reporting of a Mixed Methods Study (GRAMMS).
Patient Or Public Contribution:
No patient or public contribution.
