Day Surgery

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.

Contributors ix

1 Introduction to Day Surgery 1
Phillipa Ryan Withero

Historical background 1

Overview of services 6

Common presenting conditions 9

Recent innovations in day surgery 13

Conclusion 14

References 15

2 Models of Care 19
Fiona Timmins

Introduction 19

Outline of conceptual models of nursing care 20

The Roper, Logan and Tierney Model 23

Orem’s self-care deficit theory of nursing 25

Peplau’s conceptual frame of reference for

psychodynamic Nursing 27

Evaluation of the contribution of conceptual models of nursing to day surgery practice 28

Background and development of care pathways 31

What is a care pathway? 31

Developing care pathways 33

Examples of care pathways in current use 36

Conclusion 43

References 44

3 Nurse-led Pre-admission Clinics 47
Jo Gilmartin

Introduction 47

The emergence of nurse-led interventions 47

Nurse-led services 51

The pre-assessment process 54

Educational intervention 59

Setting up a nurse-led pre-admission clinic 62

Evaluating services 68

Conclusion 71

References 71

4 Practice Development 77
Robert McSherry, Kay Scott and Sharon Farlow

Introduction 77

Background 77

What do we mean by practice development? 79

Applying practice development initiatives in day surgery units 81

Evaluation methodologies 92

Patient satisfaction 94

Conclusion 95

References 95

5 Day Surgery Management 99
Anne-Marie Brady

Introduction 99

Management structure 99

Systems thinking 100

Management and leadership 101

Teamwork 102

Planning day surgery services 103

Planning day surgery facilities 106

Human resource management 109

Managing the provision of services 112

Outcomes management 113

Financial management 118

Conclusion 119

References 120

6 Communication Issues in Day Surgery 123
Catherine McCabe

Introduction 123

Communication 123

Importance of communication in day surgery 126

Collaborative communication 130

Conclusion 134

References 135

7 Providing Information and Support 137
Margaret McCann

Introduction 137

Day surgery and patient education 138

Patient education and management of anxiety 145

Patient education process 148

Principles of patient education 157

Conclusion 166

References 166

Index 171