Abstract

Review Objective The objective is to review the available research on the effectiveness of nurse-led preoperative assessment clinics or services on patient outcomes. More specifically, the objectives are to identify: the effectiveness of nurse-led preoperative assessment services on reducing adverse surgical events, improving patient satisfaction, decreasing anxiety, reducing inpatient days and reducing the number of overnight stays for day or ambulatory surgery patients. Inclusion Criteria Types of Participants The review will consider studies that include adult or paediatric patients who are having any type of surgical procedure, either as a day-only case or as an inpatient. Types of Intervention The review will consider studies that evaluate the effect of attending or receiving the services of a nurse-led outpatient preadmission or preoperative assessment clinic. Types of Outcome This review will consider studies that include the following outcome measures: length of stay, cancellation of surgery, incidence of non-attendance for scheduled surgery, mortality, morbidity, adverse surgical events, recognition and fulfilment of postoperative care needs, patient anxiety.

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