Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Margaret Harvey

Abstract

AbstractReducing Same-Day Procedure Cancellations at an Interventional Spine and Pain Management Center by Adriene Smith

Walden UniversityOctober 2023   Abstract The practice problem at a local interventional spine and pain management center was that the nurses lacked sufficient knowledge of the facility’s preoperative screening tool. The problem resulted in inadequate patient preparation for surgical procedures that led to a 33% same-day surgery cancellation rate. A staff education project was conducted to educate the nurses on how to properly use the facility’s preoperative screening tool and assess their knowledge of common blood thinner medications included in the preoperative screening process. Failure to discontinue blood thinner medications for a specific amount of time before surgery is a common reason for same-day cancellations. Surgical procedure cancellations prolong chronic pain, delay patient care, and impose emotional harm with adverse effects. The staff education project was developed using Knowles’s adult learning theory. The practice-focused questions addressed whether a nursing staff education project would increase the nursing staff’s perception of knowledge in using the facility’s preoperative screening tool and nursing staff’s knowledge of common blood thinner medications to educate and prepare patients on preoperative instructions for surgical procedures, comparing pre- and post-staff-education questionnaires. Twelve nurses’ perceptions of knowledge of the preoperative screening tool and knowledge of blood thinners were assessed. The nurses’ perceptions of knowledge increased by 13% on the preoperative screening tool and by 75% on the blood thinner medication test. The implications for positive social change include more knowledgeable nurses and positive outcomes for the back pain population.

Download

Included in

Nursing Commons

Share

 
COinS