The Role of Pre-operative Patient Education in Post-Operative Outcomes Essay

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Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Advanced Practice Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current research. In this way, APRNs can connect the results of relevant research studies to their nursing practice. The Role of Pre-operative Patient Education in Post-Operative Outcomes Essay

For the EBP Project, you identify and apply relevant research to a specific patient problem or topic. You begin by formulating an answerable question that is relevant to nursing and evidence-based practice. In later weeks of this course, you continue the Course Project by conducting a literature review and then determining how the evidence from the literature can be applied to nursing practice.

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Submit the following sections of your project:

Methods

1. Presentation of Search Strategy
2. Presentation of Evidence to Answer your PICO Question
1. Discuss Critical Appraisal of varying Evidence (RCTs, CDSS, Economic, Clinical Prediction)
2. Quality of Evidence and Strength of Recommendations The Role of Pre-operative Patient Education in Post-Operative Outcomes Essay

Literature reviews in published studies provide what is known, what is not known, and what the possible contribution is of a study. APRN’s review the literature to synthesize the available evidence to find a solution to a problem in practice or to remain current in their practice. During the interpretation of the findings, the researcher may review the literature again to determine if additional relevant studies have been published. Reviews of the literature in published studies can be critically appraised for current, quality sources; relevant content; and synthesis of relevant content. A checklist for reviewing the literature includes preparing, conducting the search, processing the information, and writing the review. A written review of literature should be grammatically correct with a logical flow and a reference list that is accurate and complete. The Role of Pre-operative Patient Education in Post-Operative Outcomes Essay

Background Knowledge and Significance

            Surgical procedures of any kind can be an emotionally heavy experience for patients. The anxiety and fear surrounding the procedures are attributable to adverse postoperative outcomes such as complications that may include mortality, chronic post-operative pain, restlessness, infections, and vomiting from the anesthesia, among other outcomes. As such, providing pre-operative patient education for these outcomes is crucial. Darville-Beneby et al. (2023) did a narrative review on the impact of preoperative patient education on postoperative pain, psychological outcomes, and opioid use. Based on their findings, the researchers argue that preoperative education led to reduced pain in patients in the preoperative period, as well as significantly reduced opioid use during this period. The researchers also established that the most common outcomes reported were improved psychological outcomes, such as reduced anxiety. This is because the patients were well-informed before the surgery, anticipated certain outcomes such as pain, and received reassurance about the safety of the procedures (Darville-Beneby et al., 2023).

Brodersen et al. (2023) investigated the impact of preoperative education on the recovery process of patients undergoing abdominal surgery. Their findings showed that this type of education was crucial in improving the patient’s psychological status. This finding augurs with Darville-Beneby et al. (2023) on improved psychological outcomes after preoperative education. The Role of Pre-operative Patient Education in Post-Operative Outcomes Essay Additionally, the patients experienced less postoperative pain because the education provided before surgery helped them enhance their medication adherence and overall adherence to postoperative interventions since they understood their benefits (Brodersen et al., 2023). Klaiber et al. (2018) did a similar study that had similar results where they established that patient education before major visceral surgeries was instrumental in reduced pain experience for the patients because they understood the purpose of the postoperative interventions and adhered to them, which enhanced their recovery process and reduced their length of stay in the hospital. The Role of Pre-operative Patient Education in Post-Operative Outcomes Essay

In their preoperative education and patient preparedness study, Khorfan et al. (2020) established that those who received education before surgery used fewer pain pills than those who did not experience preoperative education. This outcome is attributable to the fact that with preoperative education, the patient becomes more prepared to handle the postoperative pain, increasing their adherence to interventions proposed in the postoperative period (Khorfan et al., 2020). This dynamic leads to less reliance on pain pills and ultimately leads to reduced length of stay in the healthcare facility.

Ng et al. (2021) introduce a fresh perspective in their study on the impact of preoperative education on cardiac surgery patients. According to their review, the researchers found that patients who underwent preoperative cardiac surgery education had reduced preoperative and postoperative anxiety and depression, which are expected outcomes. The researchers explain that the anxiety and depression emanate from the fear of the unknown, such as mortality during or after the surgical procedure, making a full recovery, or the adverse impacts that the surgery would have on their lives. As such, Ng et al. (2021) found that with patient education before the surgical procedure, patients experienced less anxiety because it evoked a sense of control and safety as they learned more about the dynamics of the procedure and the self-care process during recovery. The Role of Pre-operative Patient Education in Post-Operative Outcomes Essay

Overall, the research studies examined above indicate a positive impact of preoperative education on the postoperative periods for patients. The expected impacts include reduced anxiety and depression, reduced pain, reduced LOS, and reduced reliance on pain because the patients develop a sense of control and safety, as well as increased intervention adherence.

References

Brodersen, F., Wagner, J., Uzunoglu, F. G., & Petersen-Ewert, C. (2023). Impact of Preoperative Patient Education on Postoperative Recovery in Abdominal Surgery: A Systematic Review. World journal of surgery, 47(4), 937–947. https://doi.org/10.1007/s00268-022-06884-4

Darville-Beneby, R., Lomanowska, A. M., Yu, H., Jobin, P., Rosenbloom, B. N., Gabriel, G., Daudt, H., Negraeff, M., Di Renna, T., Hudspith, M., & Clarke, H. (2023). The impact of preoperative patient education on postoperative pain, opioid use, and psychological outcomes: A narrative review. Canadian Journal of Pain, 7(2). https://doi.org/10.1080/24740527.2023.2266751

Khorfan, R., Shallcross, M. L., Yu, B., Sanchez, N., Parilla, S., Coughlin, J. M., Johnson, J. K., Bilimoria, K. Y., & Stulberg, J. J. (2020). Preoperative patient education and patient preparedness are associated with less postoperative use of opioids. Surgery, 167(5), 852–858. https://doi.org/10.1016/j.surg.2020.01.002

Klaiber, U., Stephan-Paulsen, L. M., Brückner, T., Müller, G., Auer, S., Farrenkopf, I., Fink, C., Dörr-Harim, C., Diener, M. K., Büchler, M. W., & Knebel, P. (2018). Impact of preoperative patient education on preventing postoperative complications after major visceral surgery: the cluster randomized controlled PEDUCAT trial. Trials, 19(1). https://doi.org/10.1186/s13063-018-2676-6

Ng, S. X., Wang, W., Shen, Q., Toh, Z. A., & He, H. (2021). Preoperative education interventions’ effectiveness in improving perioperative outcomes of adult patients undergoing cardiac surgery: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 21(6), 521–536. https://doi.org/10.1093/eurjcn/zvab123 The Role of Pre-operative Patient Education in Post-Operative Outcomes Essay