A Qualitative Study of Patient and Provider Experiences during Preoperative Care Transitions
| Autor: | Ann M. Malley, Gary J. Young |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Scope of practice Time Factors media_common.quotation_subject Affect (psychology) Preoperative care Article Perioperative Care law.invention 03 medical and health sciences 0302 clinical medicine Nursing law Preoperative Care Medicine Humans Transitional care 030212 general & internal medicine General Nursing Qualitative Research media_common Quality of Health Care Patient Care Team Teamwork Academic Medical Centers business.industry 030503 health policy & services General Medicine Transitional Care Family medicine Perioperative care CLARITY Female 0305 other medical science business Qualitative research |
| Popis: | Aims and objectives To explore the issues and challenges of care transitions in the preoperative environment. Background Ineffective transitions play a role in a majority of serious medical errors. There is a paucity of research related to the preoperative arena and the multiple inherent transitions in care that occur there. Design Qualitative descriptive design was used. Methods Semistructured interviews were conducted in a 975-bed academic medical centre. Results A total of 30 providers and 10 preoperative patients participated. Themes that arose were as follows: (1) need for clarity of purpose of preoperative care, (2) care coordination, (3) interprofessional boundaries of care and (4) inadequate time and resources. Conclusion Effective transitions in the preoperative environment require that providers bridge scope of practice barriers to promote good teamwork. Preoperative care that is a product of well-informed providers and patients can improve the entire perioperative care process and potentially influence postoperative patient outcomes. Relevance to clinical practice Nurses are well positioned to bridge the gaps within transitions of care and accordingly affect health outcomes. |
| Databáze: | OpenAIRE |
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