MANAGING PREOPERATIVE ANXIETY

Identifying and managing preoperative anxiety in the outpatient surgical setting

Abstract

Advancement of surgical knowledge and instruments has increased the outpatient surgical setting. The increase in the outpatient setting was aimed to reduce the anxiety level among individuals, but it did not witness a significant decline. This paper discusses the preoperative issues and anxieties faced by patients and ways how it the issue could be resolved. It was concluded that preoperative information provided to the patients could solve the problem, and it could be achieved by proper training and education of Nurses.

Table of Contents

Introduction4

Review of Literature4

Discussion5

Nursing Management6

Leadership6

Kurt Lewin's Classic Change Theory7

Budgetary Process of Classic Change Theory8

Appendix10

Budgetary Process10

Identifying and managing preoperative anxiety in the outpatient surgical setting.

Introduction

The health care delivery and requirement system has dramatically changed with time. Nursing has become a very professional job and now Nurses are required to provide considerable care and support to the patients because of complex diseases and problems. Recently, the focus of all health care system has moved to build a safer health care system. The increasing incidence of pediatric outpatient surgery has increased the need for preoperative education programs in pediatric surgical settings.

In addition, there has been a shortage of professional nursing in United States. The country may witness a shortage of registered 500,000 nurses by 2025. The enrollment in nursing programs must increase by 40% annually to cater to the need of Nursing. Nurses must be educated in order to improve the quality of services provided to patients.

Review of Literature

An extensive research has been done on the reasons that cause preoperative anxiety among individuals with outpatient surgical setting. These researches have been done on both adults and children as to why it creates anxiety and how it can be dealt with effectively. Frisch and Johnson (2010) found out that, lack of knowledge about surgical treatment and children's first surgery were among the main reasons that led to stress and anxiety among parents.

Some other studies show that hospitals that have a proper preoperative education program for their patients achieve a higher quality rating than other hospitals. These ratings are given in terms of satisfaction, surveys and views of parents who have experienced surgeries or their children have been operated. Studies also stress the importance of educating Nurses in order to provide an improved service with extra care to their patients. Advanced knowledge in Nurse Practitioners (NP) in pediatric assessments, is an appropriate way to provide quality patient care in the preoperative setting. Experience of clinical treatment allows NPs to perform different aspects of pediatric care in the preoperative time efficiently. They can give proper guidance and education to the patients that help them reduce their anxiety. In 2005, Smith & Callery did an extensive research on children in between the range of 7 to 11 with no previous surgical history. Children were encouraged to tell and write the concerns they had before the surgery. Different variables were developed in order to analyze the data including receiving information, procedure, and timing of surgery, hospital ...