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Improving adherence with preoperative instructions: a quality improvement project
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Patel, Rima. Improving adherence with preoperative instructions: a quality improvement project. Retrieved from https://doi.org/doi:10.7282/t3-qqjp-t457

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TitleImproving adherence with preoperative instructions: a quality improvement project
NamePatel, Rima (author); Kwong, Jeffrey (chair); Rutgers University; RBHS School of Nursing
Date Created2022
Other Date2022-05 (degree)
SubjectNursing, Enhanced Recovery After Surgery (ERAS), Illustrated patient education booklet, Patient education, Preoperative adherence
Extent61 pages : illustrations
DescriptionPurpose: Poor health literacy has been linked to increased costs, delays in care, and other adverse events, including increased rates of hospitalization. In the surgical setting, poor health literacy among patients can lead to inadequate understanding of preoperative instructions.

Methodology: This quality improvement project used an illustrated patient education booklet (PEB) to improve comprehension of preoperative instructions for patients undergoing colorectal surgery. Demographic information and preoperative instruction adherence rates were measured. Chart review data was collected 8 weeks prior to implementation of the illustrated PEB and for 8 weeks after implementation.

Results: Adherence to bowel preparation increased 66.7% and adherence to preoperative antibiotic instructions increased by 13%. Adherence to NPO status decreased by 13.3%. Adherence to pre-admission counseling and consumption of the pre-surgery drink remained 100% before and after implementation of the PEB. There was not a statistically significant difference in the score for adherence pre-implementation (M=60, SD=14.14) and adherence post-implementation (M=73.33, SD=23.09); t(6)=2.45, p=0.34. These results suggest that the implementation of the illustrated PEB did not influence the pre-operative adherence rates. The correlation between illustrated PEBs and preoperative instruction adherence is multifaceted, therefore, additional research is needed.

Implications for Practice: Although the results between the pre- and post-implementation periods were not statistically significant, there was still an upward trend in adherence to preoperative instructions. The use of illustrations can increase patients' understanding of health information and increase adherence to preoperative instructions. The illustrated PEB can be implemented as a standard of care. This will improve quality of care and patient safety. It has the potential to decrease healthcare costs for patients, hospitals, and the healthcare system.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-qqjp-t457
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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