Nurses’ perceptions of preoperative teaching for ambulatory surgical patients

Abstract

This paper is a report of a study to examine nurses' perceptions of the importance of providing preoperative information to ambulatory surgical patients, and factors that might influence their provision of such teaching. Ambulatory surgery is now widespread and creates a challenge for nurses to provide preoperative teaching in the limited contact time they have with patients. Although nurses act as key educators in patient teaching, little is known about their perceptions of the importance of preoperative teaching, or about current practice in the provision of such teaching for ambulatory surgical patients. A self-administered questionnaire including demographics and the Preoperative Teaching Questionnaire was completed by 91 of the 169 eligible nurses (response rate 53.8%) working in day-surgery units, operating theatres or outpatient clinics providing ambulatory surgery services in two public hospitals in Hong Kong in 2005. A discrepancy between nurses' perceptions and practice in relation to the provision of preoperative information was found. Limited teaching aids, tight operation schedules and language barriers affected the delivery of preoperative information to ambulatory surgical patients. The results highlight the importance of reviewing current preoperative teaching methods and improving the effectiveness of such teaching to enhance the quality of care for ambulatory surgical patients.