Preoperative care of ophthalmic patients undergoing day surgery :a best evidence implementation program
10.3761/j.issn.0254-1769.2018.03.002
- VernacularTitle:眼科日间手术术前管理的循证实践
- Author:
Jifang WANG
1
;
Yili HONG
;
Xingtao ZHOU
;
Shuxin XI
;
Xiangyu GE
;
Guoxiu HUANG
;
Yihong SHI
Author Information
1. 200031,上海市 复旦大学附属眼耳鼻喉科医院眼门诊
- Keywords:
Day Surgery;
Ophthalmic;
Preoperative Care;
Evidence-Based Practice
- From:
Chinese Journal of Nursing
2018;53(3):267-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective To integrate the best available evidence of preoperative care for ophthalmic patients undergoing day surgery into clinical practice,so as to improve the quality of nursing.Methods This project was performed in an ophthalmic day surgery ward,guided by the Joanna Briggs Institute(JBI)Practice Application of Clinical Evidence System (PACES) program which includes 3 procedures:baseline audit,evidence implementation,and re-audit.Eight audit criteria were made based on evidences from JBI.Twelve nurses and 267 patients were enrolled in baseline audit,and 12 nurses and 234 patients were recruited for re-audit after evidence implementation.Results Six of the audit criteria that nurses showed poor compliance in the baseline audit(0％～28.5％),such as providing preoperative telephone screening and reducing preoperative waiting time through better preparation and planning,were significantly improved in the re-audit(71.43％～100％).The preoperative waiting time was shortened from 109.70±18.34 minutes to 88.22±9.91 minutes;the correct rates of operation-related knowledge in patients increased from 63.0％ to 85.09％;the patients' satisfaction scored 84.23±17.01 in baseline audit and 95.02±7.32 in the re-audit(P＜0.001).Conclusion Application of evidence-based preoperative care of ophthalmic patients undergoing day surgery can improve nurse's behavior and compliance with the implementation of evidence into clinical practice,and increase patient satisfaction.Continuous audits are needed to continuously improve clinical nursing quality.
