Day Surgery (eBook)

Fiona Timmins is an Associate Professor at the School of Nursing and Midwifery, Trinity College Dublin, Ireland. Her research interests include professional nursing issues, nurse education, spirituality and reflection. Catherine McCabe is the author of Day Surgery: Contemporary Approaches to Nursing Care published by Wiley.

Day Surgery: Contemporary Approaches to Nursing Care 1
Contents 7
Contributors 11
1: Introduction to Day Surgery 13
Historical background 13
Overview of services 18
Common presenting conditions 21
Recent innovations in day surgery 25
Conclusion 26
References 27
2: Models of Care 31
Introduction 31
Outline of conceptual models of nursing care 32
The Roper, Logan and Tierney model 35
Orem’s self-care deficit theory of nursing 37
Peplau’s conceptual frame of reference for psychodynamic nursing 39
Evaluation of the contribution of conceptual models of nursing to day surgery practice 40
Background and development of care pathways 43
What is a care pathway? 43
Developing care pathways 45
Examples of care pathways in current use 48
Conclusion 55
References 56
3: Nurse-led Pre-admission Clinics 59
Introduction 59
The emergence of nurse-led interventions 59
Nurse-led services 63
The pre-assessment process 66
Educational intervention 71
Setting up a nurse-led pre-admission clinic 74
Evaluating services 80
Conclusion 83
References 83
4: Practice Development 89
Introduction 89
Background 89
What do we mean by practice development? 91
Applying practice development initiatives in day surgery units 93
Evaluation methodologies 104
Patient satisfaction 106
Conclusion 107
References 107
5: Day Surgery Management 111
Introduction 111
Management structure 111
Systems thinking 112
Management and leadership 113
Teamwork 114
Planning day surgery services 115
Planning day surgery facilities 118
Human resource management 121
Managing the provision of services 124
Outcomes management 125
Financial management 130
Conclusion 131
References 132
6: Communication Issues in Day Surgery 135
Introduction 135
Communication 135
Importance of communication in day surgery 138
Collaborative communication 142
Conclusion 146
References 147
7: Providing Information and Support 149
Introduction 149
Day surgery and patient education 150
Patient education and management of anxiety 157
Patient education process 160
Principles of patient education 169
Conclusion 178
References 178
Index 183