Project Title

Effects of Nursing-Led Education on Preoperative Patient Outcomes

Academic department under which the project should be listed

WCHHS - Nursing

Faculty Sponsor Name

Kristi Brannen

Abstract (300 words maximum)

Of emergency department (ED) visits for those aged 65 or older in the United States, many are related to an injury caused by a fall; unintentional falls made up over 90% of a selected 2.4 million ED visits in 2018 and over 700,000 of those led to hospitalizations. Surgical intervention can be required for the correction of fall-related injuries, particularly focusing on joint fractures in elderly patients. In addition to the pain of the initial fracture, a significant number of the patients can also suffer from preoperative anxiety which can lead to emotional distress and negative health outcomes, such as poor postoperative pain management. Preoperative education can have a role in the reduction of patient anxiety and has also been shown to have an effect on pain management utilizing opioids. While there is an existing educational program within the discussed unit for elective joint surgeries, there is a need for an educational program for patients that are admitted from the ED. The purpose of this research is to determine whether increased nursing-led education leads to better patient outcomes and decreased patient anxiety for preoperative patients. Data will be collected from two groups of preoperative patients admitted from an ED to the orthopedic unit of a facility, with one group receiving a new program consisting of an educational video about the procedure and one acting as the control group. The Beck Anxiety inventory will be used to determine anxiety levels prior to and post video viewing and a patient feedback survey after discharge will gain patient perspective. The analysis of this data will be utilized in determining the effectiveness of the introduced educational program in the improvement of patient outcomes post-discharge and overall reduction of preoperative anxiety.

Keywords: patient education, preoperative anxiety, orthopedics, joint replacement, surgery, emergency department, patient outcomes, nursing

Disciplines

Nursing | Perioperative, Operating Room and Surgical Nursing

Project Type

Poster

How will this be presented?

Yes, in person

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Effects of Nursing-Led Education on Preoperative Patient Outcomes

Of emergency department (ED) visits for those aged 65 or older in the United States, many are related to an injury caused by a fall; unintentional falls made up over 90% of a selected 2.4 million ED visits in 2018 and over 700,000 of those led to hospitalizations. Surgical intervention can be required for the correction of fall-related injuries, particularly focusing on joint fractures in elderly patients. In addition to the pain of the initial fracture, a significant number of the patients can also suffer from preoperative anxiety which can lead to emotional distress and negative health outcomes, such as poor postoperative pain management. Preoperative education can have a role in the reduction of patient anxiety and has also been shown to have an effect on pain management utilizing opioids. While there is an existing educational program within the discussed unit for elective joint surgeries, there is a need for an educational program for patients that are admitted from the ED. The purpose of this research is to determine whether increased nursing-led education leads to better patient outcomes and decreased patient anxiety for preoperative patients. Data will be collected from two groups of preoperative patients admitted from an ED to the orthopedic unit of a facility, with one group receiving a new program consisting of an educational video about the procedure and one acting as the control group. The Beck Anxiety inventory will be used to determine anxiety levels prior to and post video viewing and a patient feedback survey after discharge will gain patient perspective. The analysis of this data will be utilized in determining the effectiveness of the introduced educational program in the improvement of patient outcomes post-discharge and overall reduction of preoperative anxiety.

Keywords: patient education, preoperative anxiety, orthopedics, joint replacement, surgery, emergency department, patient outcomes, nursing

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