Developing a program to train nurses in exploration and management of pre-operative anxiety and information needs of patients (PEMPAINP)
DOI:
https://doi.org/10.26550/2209-1092.1377Keywords:
assessment, information needs, management, patients, pre-operative anxiety, training programAbstract
Objective: The objective of the study was to develop a program to train nurses to explore and manage pre-operative anxiety and information needs of patients.
Methods: A panel comprising 15 experts was purposively selected and engaged through the Delphi technique to formulate the training program. Data collection was executed over three rounds, employing both focus group discussions and self-administered questionnaires, to achieve consensus among the experts regarding the draft training program.
Results: Among the 15 participants, a majority identified three critical components for training nurses in assessing pre-operative anxiety and patient information needs – ‘standard pre-operative interventions’ (12 participants, 80.0%), ‘communicative skills’ (13 participants, 86.7%) and ‘establish rapport’ (13 participants, 86.7%). In terms of managing information needs, all 15 participants (100.0%) agreed on the importance of ‘evaluating information on patient and family’, while 12 participants (80.0%) endorsed the significance of ‘being innovative’ and adopting a ‘multidisciplinary approach’.
Conclusions: The training program has been meticulously crafted to encompass content crucial for enhancing the knowledge and competencies of surgical ward nurses in assessing and managing pre-operative anxiety and addressing the informational needs of patients.
References
1. Aloweidi A, Alghanem S, Bsisu I, Ababneh O, Alrabayah M, Al-Zaben K et al. Perioperative cardiac arrest: A 3-year prospective study from a tertiary care university hospital [Internet]. Drug, Healthc Patient Saf. 2022[cited 2024 Oct 12];14:1–8. DOI: 10.2147/DHPS.S332162 DOI: https://doi.org/10.2147/DHPS.S332162
2. Bedaso A, Ayalew M. Preoperative anxiety among adult patients undergoing elective surgery: A prospective survey at a general hospital in Ethiopia [Internet]. Patient Saf Surg. 2019[cited 2024 Oct 12];13:18. DOI: 10.1186/s13037-019-0198-0 DOI: https://doi.org/10.1186/s13037-019-0198-0
3. Oteri V, Martinelli A, Crivellaro E, Gigli F. The impact of preoperative anxiety on patients undergoing brain surgery: A systematic review [Internet]. Neurosurg Rev. 2021[cited 2024 Oct 12];44(6):3047–57. DOI: 10.1007/s10143-021-01498-1 DOI: https://doi.org/10.1007/s10143-021-01498-1
4. Berhe YW, Melkie TB, Lema GF, Getnet M, Chekol WB. The overlooked problem among surgical patients: Preoperative anxiety at Ethiopian University Hospital [Internet]. Front Med (Lausanne). 2022[cited 2024 Oct 12];9:912743. DOI: 10.3389/fmed.2022.912743 DOI: https://doi.org/10.3389/fmed.2022.912743
5. Gröndahl W, Muurinen H, Katajisto J, Suhonen R, Leino-Kilpi H. Perceived quality of nursing care and patient education: A cross-sectional study of hospitalised surgical patients in Finland [Internet]. BMJ Open. 2019[cited 2024 Oct 12];9(4):e023108. DOI: 10.1136/bmjopen-2018-023108 DOI: https://doi.org/10.1136/bmjopen-2018-023108
6. Al ESA-A, Awad HMAA. Effect of preoperative preparation on patients outcome among patients undergoing surgical operations at Almik Nimir Hospital–Sudan [Internet]. Int J Res Granthaalayah. 2020[cited 2024 Oct 12];8(8):346–55. DOI: 10.29121/granthaalayah.v8.i8.2020.441 DOI: https://doi.org/10.29121/granthaalayah.v8.i8.2020.441
7. Ali NN. Assessment of preoperative anxiety, its contributing factors, and impact on immediate postoperative outcomes among cardiac surgery patients: A cross-sectional study [Internet]. Master’s dissertation. Karachi: Aga Khan University; 2023[cited 2024 Oct 12]. Available from: https://ecommons.aku.edu/theses_dissertations/2169/
8. Al Ghunimat A, Hind J, Abouelela A, Sidhu GA, Lacon A, Ashwood N. Communication with patients before an operation: Their preferences on method of communication [Internet]. Cureus. 2020[cited 2024 Oct 12];12(11):e11431. DOI: 10.7759/cureus.11431 DOI: https://doi.org/10.7759/cureus.11431
9. Roche D, Jones A. A qualitative study of nurse‐patient communication and information provision during surgical pre‐admission clinics [Internet]. Health Expect. 2021[cited 2024 Oct 12];24(4):1357–66. DOI: 10.1111/hex.13270 DOI: https://doi.org/10.1111/hex.13270
10. Abate SM, Chekol YA, Basu B. Global prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and meta-analysis [Internet]. Int J Surg Open. 2020[cited 2024 Oct 12];25:6–16. DOI: 10.1016/j.ijso.2020.05.010 DOI: https://doi.org/10.1016/j.ijso.2020.05.010
11. Dankyi S, Adejumo O. Nurses practice on exploration and management of preoperative information needs of patients in Ashanti region of Ghana. Library of the University of the Western Cape. University of the Western Cape. 2014.
12. Dankyi S, Bimerew M, Chipps J. A training programme for nurses on the management of preoperative anxiety and information needs of patients in Ashanti region, Ghana [Internet]. PhD thesis. Cape Town: University of the Western Cape;2022 [cited 2024 October 12]. Available from: https://uwcscholar.uwc.ac.za/items/218e56a2-9994-425d-810b-47a9fb9f7c3a
13. Rowe G, Wright G. The Delphi technique as a forecasting tool: Issues and analysis [Internet]. Int J Forecast. 1999[cited 2024 October 12];15(4):353–75. DOI: 10.1016/S0169-2070(99)00018-7 DOI: https://doi.org/10.1016/S0169-2070(99)00018-7
14. Grime MM, Wright G. Delphi method [Internet]. Wiley statsref: Statistics reference online. 2016[cited 2024 October 12];Aug 5:1–6. DOI: 10.1002/9781118445112.stat07879 DOI: https://doi.org/10.1002/9781118445112.stat07879
15. Niederberger M, Spranger J. Delphi technique in health sciences: A map [Internet]. Front Public Health. 2020[cited 2024 October 12];8:457. DOI: 10.3389/fpubh.2020.00457 DOI: https://doi.org/10.3389/fpubh.2020.00457
16. Barrett D, Heale R. What are Delphi studies? [Internet]. Evid Based Nurs. 2020[cited 2024 October 12];23(3):68–9. DOI: 10.1136/ebnurs-2020-103303 DOI: https://doi.org/10.1136/ebnurs-2020-103303
17. Vogel C, Zwolinsky S, Griffiths C, Hobbs M, Henderson E, Wilkins E. A Delphi study to build consensus on the definition and use of big data in obesity research [Internet]. Int J Obes (Lond). 2019[cited 2024 October 12];43(12):2573–86. DOI: 10.1038/s41366-018-0313-9 DOI: https://doi.org/10.1038/s41366-018-0313-9
18. Shang Z. Use of Delphi in health sciences research: A narrative review [Internet]. Medicine (Baltimore). 2023[cited 2024 October 12];102(7):e32829. DOI: 10.1097/MD.0000000000032829 DOI: https://doi.org/10.1097/MD.0000000000032829
19. Ataro BA, Geta T, Endirias EE, Gadabo CK, Bolado GN. Patient satisfaction with preoperative nursing care and its associated factors in surgical procedures, 2023: A cross-sectional study [Internet]. BMC Nurs. 2024[cited 2024 October 12];23(1):235. DOI: 10.1186/s12912-024-01881-5 DOI: https://doi.org/10.1186/s12912-024-01881-5
20. Lee SH, Yoo HJ. Therapeutic communication using mirroring interventions in nursing education: A mixed methods study [Internet]. Asian Nurs Res (Korean Soc Nurs Sci). 2024[cited 2024 October 12];18(5):435–42. DOI: 10.1016/j.anr.2024.09.012 DOI: https://doi.org/10.1016/j.anr.2024.09.012
21. Beltran-Aroca CM, Girela-Lopez E, Collazo-Chao E, Montero-Pérez-Barquero M, Muñoz-Villanueva MC. Confidentiality breaches in clinical practice: What happens in hospitals? [Internet]. BMC Med Ethics. 2016[cited 2024 October 12];17(1): 52. DOI: 10.1186/s12910-016-0136-y DOI: https://doi.org/10.1186/s12910-016-0136-y
22. Ochonma OG, Nwodoh CO, Ingwu JA, Igwe SE, Ani GJ, Dyages EO. Nurses’ confidentiality of medical information and trusting relationship with patients: A survey of patients’ perceptions of nurses in a south-south hospital, Nigeria [Internet]. Int J Health Pharm Res. 2017[cited 2024 October 12];3(3):35–46. Available from: https://www.iiardjournals.org/get/IJHPR/VOL.%203%20NO.%203%202017/Nurses%E2%80%99%20confidentiality.pdf
23. Asamani L, Agyemang BC, Afful J, Asumeng M. Work attitude of Ghanaian nurses for quality health care service delivery: Application of individual and organizational centered (IOC) interventions [Internet]. International Journal of Research Studies in Management. 2018[cited 2024 October 12];7(1). DOI: 10.5861/ijrsm.2018.3003 DOI: https://doi.org/10.5861/ijrsm.2018.3003
24. Cornell T. Leadership skills essential in the value-based care era [Internet]. Leadersh Health Serv. 2020[cited 2024 October 12];33(3):307–23. DOI: 10.1108/LHS-12-2019-0079 DOI: https://doi.org/10.1108/LHS-12-2019-0079
25. Haddad LM, Geiger RA. Nursing ethical considerations [Internet]. In: StatPearls. Treasure Island : StatPearls Publishing; 2023 [cited 2024 October 12]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526054/
26. Birkholz L, Kutschar P, Kundt FS, Beil-Hildebrand M. Ethical decision-making confidence scale for nurse leaders: Psychometric evaluation [Internet]. Nurs Ethics. 2022[cited 2024 October 12];29(4):988–1002. DOI: 10.1177/09697330211065847 DOI: https://doi.org/10.1177/09697330211065847
27. Curtis K, Fry M, Shaban RZ, Considine J. Translating research findings to clinical nursing practice [Internet]. J Clin Nurs. 2017[cited 2024 October 12];26(5–6):862–72. DOI: 10.1111/jocn.13586 DOI: https://doi.org/10.1111/jocn.13586
28. Desai S, Bishnoi RK, Devi S, Rukadikar A. A review for development of concise nursing care plan (CNCP) [Internet]. Int J Adv Nurs Manag. 2019[cited 2024 October 12];7(4):371–7. DOI: 10.5958/2454-2652.2019.00087.8 DOI: https://doi.org/10.5958/2454-2652.2019.00087.8
29. Abu-Baker NN, AbuAlrub S, Obeidat RF, Assmairan K. Evidence-based practice beliefs and implementations: A cross-sectional study among undergraduate nursing students [Internet]. BMC Nurs. 2021[cited 2024 October 12];20(1):13. DOI: 10.1186/s12912-020-00522-x DOI: https://doi.org/10.1186/s12912-020-00522-x
30. Khasoha IR, Omondi LA, Muthuka JK, Wambura FM, Chimbevo LM, Nyamai EM. Factors influencing provision of holistic nursing care to patients admitted in medical wards at Kenyatta National Hospital, Kenya [Internet]. Asian J Res Nurs Health. 2020[cited 2024 October 12];3(1):71–86. Available from: https://journalajrnh.com/index.php/AJRNH/article/view/19
31. Musa S, Ali A. Adequacy of pre-operative teaching provided for surgical patients in selected hospitals of Kano state: Patients' perspectives [Internet]. IOSR Journal of Nursing and Health Science. 2018[cited 2024 October 12];7(4):01–9. Available from: https://www.iosrjournals.org/iosr-jnhs/papers/vol7-issue4/Version-7/A0704070109.pdf
32. Atlas A, Milanese S, Grimmer K, Barras S, Stephens JH. Sources of information used by patients prior to elective surgery: A scoping review [Internet]. BMJ Open. 2019[cited 2024 October 12];9(8):e023080. DOI: 10.1136/bmjopen-2018-023080 DOI: https://doi.org/10.1136/bmjopen-2018-023080
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Copyright (c) 2025 Sawan Dankyi, Professor Million Bimerew , Professor Jennifer-Anne Chipps

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