2.50
Hdl Handle:
http://hdl.handle.net/10755/163121
Category:
Abstract
Type:
Presentation
Title:
Efficacy of Nurse Coaching and Same Day Surgery
Author(s):
Jones, Dorothy A.; Flanagan, Jane; O'Neil, Jean; Fairchild, Nancy; Duffy, Mary E.; Olivieri, Rita; Roy, Sister Callista
Author Details:
Dorothy A. Jones, EdD, RNC, FAAN, Boston College, Chestnut Hill, Massachusetts, USA, email: Dorothy.jones@bc.edu; Jane Flanagan, PhD, APRN - BC; Jean O'Neil, EdD, RN; Nancy Fairchild, CAGS; Mary E. Duffy, PhD, RN; Rita Olivieri, PhD, RN; Sister Callista Roy, PhD, RN, FAAN
Abstract:
Purpose: Objective: Up to 80% of elective surgeries are performed on an outpatient basis. Previous research suggests poorly managed symptoms challenge recovery at home. The objective of this research, guided by Roy's Adaptation framework, tested the efficacy of a telephone-delivered nurse coached intervention (NCI) the first surgical evening, at 24, 48 and 72 hours post-arthroscopy in relieving symptom distress during recovery. Theoretical Framework: Callista Roy's Adaptation Framework. Methods (Design, Sample, Setting, Measures, Analysis): Specific questions were: 1. Will patients who undergo an athroscopy and exposed to the NCI intervention have significantly less symptom distress post surgery than a comparable group of patients receiving usual care (UC). 2. What is the individuals' perception of arthroscopic surgery at different points in the recovery at home? Methods: Utilizing a randomized clinical control design, 102 participants undergoing arthroscopy were recruited from an ambulatory surgical setting and stratified into two groups: NCI and UC. The NCI group received telephone calls at 5 different times post surgery. The Nurse Coach evaluated patients' health status, symptoms, treatment & clarified instructions. The UP group received usual follow-up care. The Symptom Distress Scale and open-ended questionnaires were elicited patient responses. Results: Results. Analysis of covariance indicated significant differences in one-week symptom distress scores between the two groups. Descriptive data suggested the NCI telephone calls enhanced patient comfort and satisfaction. Conclusions and Implications: Conclusion. Study results confirm the research hypothesis. Participants in the NCI group had significantly lower symptom distress scores one-week post surgery than participants in the UC group. Patients valued the connection with the nurse and phone calls aided recovery. Future studies are needed to validate study results in different populations.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEfficacy of Nurse Coaching and Same Day Surgeryen_GB
dc.contributor.authorJones, Dorothy A.en_US
dc.contributor.authorFlanagan, Janeen_US
dc.contributor.authorO'Neil, Jeanen_US
dc.contributor.authorFairchild, Nancyen_US
dc.contributor.authorDuffy, Mary E.en_US
dc.contributor.authorOlivieri, Ritaen_US
dc.contributor.authorRoy, Sister Callistaen_US
dc.author.detailsDorothy A. Jones, EdD, RNC, FAAN, Boston College, Chestnut Hill, Massachusetts, USA, email: Dorothy.jones@bc.edu; Jane Flanagan, PhD, APRN - BC; Jean O'Neil, EdD, RN; Nancy Fairchild, CAGS; Mary E. Duffy, PhD, RN; Rita Olivieri, PhD, RN; Sister Callista Roy, PhD, RN, FAANen_US
dc.identifier.urihttp://hdl.handle.net/10755/163121-
dc.description.abstractPurpose: Objective: Up to 80% of elective surgeries are performed on an outpatient basis. Previous research suggests poorly managed symptoms challenge recovery at home. The objective of this research, guided by Roy's Adaptation framework, tested the efficacy of a telephone-delivered nurse coached intervention (NCI) the first surgical evening, at 24, 48 and 72 hours post-arthroscopy in relieving symptom distress during recovery. Theoretical Framework: Callista Roy's Adaptation Framework. Methods (Design, Sample, Setting, Measures, Analysis): Specific questions were: 1. Will patients who undergo an athroscopy and exposed to the NCI intervention have significantly less symptom distress post surgery than a comparable group of patients receiving usual care (UC). 2. What is the individuals' perception of arthroscopic surgery at different points in the recovery at home? Methods: Utilizing a randomized clinical control design, 102 participants undergoing arthroscopy were recruited from an ambulatory surgical setting and stratified into two groups: NCI and UC. The NCI group received telephone calls at 5 different times post surgery. The Nurse Coach evaluated patients' health status, symptoms, treatment & clarified instructions. The UP group received usual follow-up care. The Symptom Distress Scale and open-ended questionnaires were elicited patient responses. Results: Results. Analysis of covariance indicated significant differences in one-week symptom distress scores between the two groups. Descriptive data suggested the NCI telephone calls enhanced patient comfort and satisfaction. Conclusions and Implications: Conclusion. Study results confirm the research hypothesis. Participants in the NCI group had significantly lower symptom distress scores one-week post surgery than participants in the UC group. Patients valued the connection with the nurse and phone calls aided recovery. Future studies are needed to validate study results in different populations.en_GB
dc.date.available2011-10-27T11:01:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:01:40Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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