Special Topics:Ophthalmic Day Surgery
Development of perioperative nursing plan for ophthalmological patients receiving daytime surgery based on the best evidence
Wang Jifang, Hong Yili, Xi Shuxin, Gan Haiqin, Ge Xiangyu
Published 2019-07-06
Cite as Chin J Mod Nurs, 2019, 25(19): 2386-2390. DOI: 10.3760/cma.j.issn.1674-2907.2019.19.003
Abstract
ObjectiveTo apply the evidence related to daytime surgery management and care into clinical practice, enhance the evidence-based compliance in perioperative management for daytime surgery in ophthalmology, and improve the quality of clinical nursing.
MethodsQuality control indicators were developed based on the best existing evidence using the clinical evidence practice application of Joanna Briggs Institutions (JBI) from September 2017 to July 2018. Totally 39 nurses and 322 patients were included before the patients were transferred into the daytime ward, and 39 nurses and 345 patients enrolled after the patients were transferred into the daytime ward. The baseline was reviewed, the evidence was applied, and the effects were evaluated after the application of evidence.
ResultsThe implementation rate of 10 quality control indicators after evidence application was improved by 35%-100%, including informational control of waiting time for surgery, intraoperative continuous support, and standardized discharge evaluation. Patients' waiting time for surgery was shortened from (178.70±18.34) min to (89.22±12.89) min; their surgical compatibility and discharge readiness were improved from (1.74±0.96) to (2.56±0.66) and from (89.88±11.15) to (94.02±12.96) respectively; their length of hospital stay was shortened from (336.11±29.65) min to (180.08±19.80) min, there were statistically significant differences between the two groups (P<0.01) .
ConclusionsThe use of the best evidence can improve perioperative management behavior for ophthalmological daytime surgery as well as the quality of clinical care in ophthalmology.
Key words:
Perioperative period; Daytime surgery; Ophthalmology; Nursing; Evidence application
Contributor Information
Wang Jifang
Optical Center, Eye &
ENT Hospital of Fudan University, Shanghai 200031, China
Hong Yili
Department of Nursing, Eye &
ENT Hospital of Fudan University, Shanghai 200031, China
Xi Shuxin
Department of Nursing, Eye &
ENT Hospital of Fudan University, Shanghai 200031, China
Gan Haiqin
Daytime Ward, Eye Hospital, WMU, Wenzhou 325027, China
Ge Xiangyu
Surgical Nursing Teaching and Research Office, School of Nursing, Fudan University, Shanghai 200032, China