Enhancing Patient Outcomes Through Comprehensive Preoperative Assessments: The Collaborative Role of Dentists, Nurses, and Operating Room Technicians
DOI:
https://doi.org/10.22399/ijcesen.4803Keywords:
Preoperative Assessment, Interprofessional Collaboration, Patient Outcomes, Oral-Systemic Health, Nursing Evaluation, Surgical SafetyAbstract
Comprehensive preoperative assessments are fundamental to optimizing surgical outcomes, and their efficacy is significantly enhanced through the collaborative integration of dentists, nurses, and operating room technicians. This interprofessional approach moves beyond traditional models by systematically addressing multifaceted risk factors that often elude singular clinical perspectives. Dentists contribute critical expertise in mitigating oral-systemic health risks, such as preventing postoperative infections originating from periodontal pathogens. Nurses provide holistic evaluations encompassing psychosocial, physiological, and educational needs, ensuring patient-centered care coordination and advocacy. Operating room technicians translate patient-specific assessments into practical technical preparedness, ensuring equipment and procedural safety. Together, this collaborative framework fosters a synergistic safety net, leading to more accurate risk stratification, reduced complications like surgical site infections and cancellations, improved resource utilization, and enhanced patient safety and satisfaction. Ultimately, formalizing and supporting this interdisciplinary model is essential for advancing perioperative medicine, driving value-based care, and achieving superior patient outcomes across the surgical continuum.
References
1. Sillero Sillero A. and A.J.S.o.m. Zabalegui, satisfaction of surgical patients with perioperative nursing care in a Spanish tertiary care hospital. 2018. 6: p. 2050312118818304.
2. Tadesse B et al. Preoperative Patient Education Practices and Predictors Among Nurses Working in East Amhara Comprehensive Specialized Hospitals, Ethiopia, 2022. 2023: p. 237–247.
3. Van Bogaert P, et al. Nurse work engagement impacts job outcome and nurse-assessed quality of care: model testing with nurse practice environment and nurse work characteristics as predictors. 2014;5(1261).
4. Oner B et al. Nursing-sensitive indicators for nursing care: a systematic review (1997–2017). 2021. 8(3): p. 1005–22.
5. Deressa D et al. Satisfaction with preoperative education and surgical services among adults elective surgical patients at selected public hospitals in Addis Ababa, Ethiopia. 2022. 10: p. 20503121221143219.
6. Endale Simegn A et al. Patient Satisfaction Survey on Perioperative Anesthesia Service in University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021. 2021.
7. Liddle CJNS. An overview of the principles of preoperative care. 2018. 33(6).
8. Bianchi M, Bagnasco A, Ghirotto L, Aleo G, Catania G, Zanini M, Carnevale F, Sasso L. The Point of View of Undergraduate Health Students on Interprofessional Collaboration: A Thematic Analysis. SAGE Open Nurs. 2019;5:1–10.
9. Storesund A, Haugen A.S., Flaatten H, Nortvedt M.W., Eide G.E., Boermeester M.A., Sevdalis N, Tveiten Ø., Mahesparan R, Hjallen B.M., et al. Clinical Efficacy of Combined Surgical Patient Safety System and the World Health Organization’s Checklists in Surgery: A Nonrandomized Clinical Trial. JAMA Surg. 2020;155:562–570.
10. Körner M, Bütof S, Müller C, Zimmermann L, Becker S, Bengel J. Interprofessional teamwork and team interventions in chronic care: A systematic review. J. Interprofessional Care. 2016;30:15–28.
11. Dos Santos MMB, Martins JCA, L.M.N.J.R.d.E R, Oliveira. Anxiety, depression and stress in the preoperative period of surgical patients. 2014. 4(3): p. 7–15.
12. Zegers M, de Bruijne M, de Keizer B, Merten H, Groenewegen P, van der Wal G., Wagner C. The incidence, root-causes, and outcomes of adverse events in surgical units:mplication for potential prevention strategies. Patient Saf. Surg. 2011;5:13.
13. Ball JE et al. Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. 2018. 78: p. 10–5.
14. House S, Havens D. Nurses and physicians’ perceptions of nurse-physician collaboration a systematic review. J. Nurs. Adm. 2017;47:165–171.
15. Adugbire BA, Aziato L, F.J.I.J.o.A NS, Dedey. Patients’ experiences of pre and intra operative nursing care in Ghana: A qualitative study. 2017. 6: p. 45–51.
16. Teng K, Norazliah SJJEH. Surgical patients’ satisfaction of nursing care at the orthopedic wards in hospital universiti sains Malaysia (HUSM). 2012. 3(1): p. 36–43.
17. Sadia H et al. Assessment of nurses’ knowledge and practices regarding prevention of surgical site infection. 2017. 3(6): p. 585–95.
18. Soydaş Yeşilyurt D, Yildiz Findik Ü. Effect of preoperative video information on anxiety and satisfaction in patients undergoing abdominal surgery. 2019. 37(8): p. 430–6.
19. Osborne-Smith L., Kyle Hodgen R. Communication in the Operating Room Setting. Annu. Rev. Nurs. Res. 2017;35:55–69.
20. Topcu I., Turkmen A.S., Sahiner N.C., Savaser S., Sen H. Physicians’ and nurses’ medical errors associated with communication failures. JPMA. J. Pak. Med Assoc. 2017;67:600–604.
21. Hu Y.Y., Arriaga A.F., Peyre S.E., Corso K.A., Roth E.M., Greenberg C.C. Deconstructing intraoperative communication failures. J. Surg. Res. 2012;177:37–42.
22. Tong A., Sainsbury P., Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int. J. Qual. Health Care. 2007;19:349–357.
23. Gonçalves MAR, Cerejo MdNR, J.C.A.J.R.d.E R, Martins. The influence of the information provided by nurses on preoperative anxiety. 2017. 4(14): p. 17–25.
24. Hepp S.L., Suter E., Jackson K., Deutschlander S., Makwarimba E., Jennings J., Birmingham L., Hepp S.L., Suter E., Jackson K., et al. Using an interprofessional competency framework to examine collaborative practice Using an interprofessional competency framework to examine collaborative practice. J. Interprofessional Care. 2015;29:131–137.
25. Ahmed T et al. Levels of adult patients’ satisfaction with nursing care in selected public hospitals in Ethiopia. 2014. 8(4): p. 371.
26. Schot E., Tummers L., Noordegraaf M. Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. J. Interprofessional Care. 2020;34:332–342.
27. Makau PM, Mbithi BW, J.J.A.J.o.H S, Odero. Factors affecting compliance to preoperative patient care guidelines among nurses working in surgical wards of a tertiary referral hospital in Nairobi, Kenya. 2023. 36(2): p. 124–30.
28. Almalki ATA et al. Effectiveness of preoperative nursing assessments in reducing Preoperative complications across Saudi Arabia; a Sysetmatic Review based study. 2023. 30(17): p. 973–83.
29. Gausvik C., Lautar A., Miller L. Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. J. Multidiscip. Healthc. 2015;8:33–37.
30. Pope C., Ziebland S., May N. Qualitative research in health care: Analysing qualitative data. Br. Med. J. 2000;320:114–116.
31. Trinh LN, Fortier MA, Kain ZNJPM. Primer on adult patient satisfaction in perioperative settings. 2019. 8: p. 1–13.
32. Heslop L, Lu S. and X.J.J.o.a.n. Xu, nursing-sensitive indicators: a concept analysis. 2014. 70(11): p. 2469–82.
33. Sevdalis N., Suliman A., Hull L., Arora S., Wharton R., Wheelock A., Babu E.D., Vincent C. The Impact of Operating Room Distractions on Stress, Workload, and Teamwork. Ann. Surg. 2015;261:1079–1084.
34. Findik UY et al. Patient satisfaction with nursing care and its relationship with patient characteristics. 2019. 12(2): p. 162–9.
35. Hill B. J.B.J.o.N., do nurse staffing levels affect patient mortality in acute secondary care? 2017. 26(12): p. 698–704.
36. Van der Voorden M, Ahaus K. and A.J.B.o. Franx, explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. 2023. 13(1): p. e063175.
37. Pape B., Thiessen P.S., Jakobsen F., Bæk T. Interprofessional collaboration may pay off: Introducing a collaborative approach in an orthopaedic ward. J. Interprofessional Care. 2013;27:496–500.
38. Perrier L., Adhihetty C., Soobiah C. Examining semantics in interprofessional research: A bibliometric study. J. Interprofessional Care. 2016;30:269–277.
39. Gómara AOJEc. The occurrence of adverse events potentially attributable to nursing care in hospital units. 2014. 24(6): p. 356–7.
40. Etherington N., Cheng-boivin M.W.O., Larrigan S. Interprofessional communication in the operating room: A narrative review to advance research and practice ration: Un Communication interprofessionnelle en salle d’ope compte rendu narratif pour faire avancer la recherche et la pratique. Can. J. Anesth. 2019;66:1251–1260.
41. Wune G et al. Nurses to patients communication and barriers perceived by nurses at Tikur Anbessa Specilized Hospital, Addis Ababa, Ethiopia., 2018. 2020. 12: p. 100197.
42. Criscitelli TJAj. Improving efficiency and patient experiences: the perioperative surgical home model. 2017. 106(3): p. 249–53.
43. Stimpfel AW et al. Common predictors of nurse-reported quality of care and patient safety. 2019. 44(1): p. 57–66.
44. Tadesse F, Yohannes Z, J.R.R.J.H L. Knowledge and practice of pain assessment and management and factors associated with nurses’ working at Hawassa University Referral Hospital, Hawassa city, South Ethiopia. 2016. 6(3): p. 24–8.
45. Gillespie B.M., Chaboyer W., Longbottom P., Wallis M. The impact of organisational and individual factors on team communication in surgery: A qualitative study. Int. J. Nurs. Stud. 2011;47:732–741.
46. Dibabu AM et al. Preoperative anxiety and associated factors among women admitted for elective obstetric and gynecologic surgery in public hospitals, Southern Ethiopia: a cross-sectional study. 2023. 23(1): p. 728.
47. Braithwaite J., Herkes J., Ludlow K., Testa L., Lamprell G. Association between organisational and workplace cultures, and patient outcomes: Systematic review. BMJ Open. 2017;7:e017708.
48. Nagpal K., Vats A., Lamb B., Ashrafian H., Sevdalis N., Vincent C., Moorthy K. Information Transfer and Communication in Surgery. Ann. Surg. 2010;252:225–239.
49. Alemu ME, Worku WZ, Berhie AYJH. Patient satisfaction and associated factors towards surgical service among patients undergoing surgery at referral hospitals in western Amhara Regional State, Ethiopia. 2023. 9(3).
50. Sillero-Sillero A., Zabalegui A. Safety and satisfaction of patients with nurse’s care in the perioperative. Rev. Lat.-Am. Enferm. 2019;27:e3142.
51. Della Rocca G., Vetrugno L., Coccia C., Pierconti F., Badagliacca R., Vizza C.D., Papale M., Melis E., Facciolo F. Preoperative Evaluation of Patients Undergoing Lung Resection Surgery: Defining the Role of the Anesthesiologist on a Multidisciplinary Team. J. Cardiothorac. Vasc. Anesth. 2016;30:530–538.
52. Malley A et al. The role of the nurse and the preoperative assessment in patient transitions. 2015. 102(2): p. 181. e1-181. e9.
53. Arakelian E et al. The meaning of person-centred care in the perioperative nursing context from the patient’s perspective–an integrative review. 2017. 26(17–18): p. 2527–44.
54. Gebremedhn EG, G.F.J.P.A.M.J., Lemma. Patient satisfaction with the perioperative surgical services and associated factors at a University Referral and Teaching Hospital, 2014: a cross-sectional study. 2017. 27(1).
55. National Institute for Health and Care Excellence. Transition between Inpatient Hospital Settings and Community or Care Home Settings for Adults with Social Care Needs. NICE; London, UK: 2015.
56. Hoeper K., Kriependorf M., Felix C., Nyhuis P., Tecklenburg A. Role-specific targets and teamwork in the operating room. Anaesthesist. 2017;66:953–960.
57. Turunen E et al. An integrative review of a preoperative nursing care structure. 2017. 26(7–8): p. 915–930.
58. Institute of Medicine (IOM) Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes. National Academies Press; Washington, DC, USA: 2015.
59. Dawood KSJM-LU. Preoperative anxiety and fears among adult Surgical patients in Baghdad Teaching Hospital, Iraq. 2020. 20(1).
60. Mulugeta H et al. Patient satisfaction with nursing care in Ethiopia: a systematic review and meta-analysis. 2019. 18: p. 1–12.
61. Alvarado LE, Bretones FD, J.A.J.F.i P, Rodríguez. The effort-reward model and its effect on burnout among nurses in Ecuador. 2021. 12: p. 760570.
62. Reeves S., Pelone F., Harrison R., Goldman J., Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst. Rev. 2017;6:CD0000072.
63. Fetene MB et al. Perioperative patient satisfaction and its predictors following surgery and anesthesia services in North Shewa, Ethiopia. A multicenter prospective cross-sectional study. 2022. 76: p. 103478.
64. Rosen M.A., DiazGranados D., Dietz A.S., Benishek L.E., Thompson D., Pronovost P.J., Weaver S.J. Teamwork in Healthcare: Key Discoveries Enabling Safer, High-Quality Care. Am. Psychol. 2018;73:433.
65. Astier A et al. What is the role of technology in improving patient safety? A French, German and UK healthcare professional perspective. 2020. 25(6): p. 219–24.
66. Alito GA, Madebo WE, Eromo NC, Quality of Perioperative Informations Provided and it’s Associated Factors Among Adult Patients Who Undergone Surgery in Public Hospitals of Gamo &Gofa Zones: A Mixed Design Study, Ethiopia S. 2019. 2019.
67. Kibru EA et al. Patient satisfaction with post-operative surgical services and associated factors at Addis Ababa City government tertiary hospitals’ surgical ward, cross-sectional study, 2022. 2023. 45.
68. Health F. Continuous Health Care Quality Improvement through Knowledge Management. Federal Democratic Republic of Ethiopia Ministry of Health, 2019: p. 5.
69. Birt L., Scott S., Cavers D., Campbell C., Walter F. Member Checking: A Tool to Enhance Trustworthiness or Merely a Nod to Validation? Qual. Health Res. 2016;26:1802–1811.
70. Bakhtiari S., Sharif F., Shahriari M., Rakhshan M. Perspective and Experience of Hospital Operating Room Nurses with the Concept of Excellence: A Qualitative Study. Risk Manag. Healthc. Policy. 2020;13:125–134.
71. Shosha G.A. Employment of Colaizzi’s strategy in descriptive phenomenology: A reflection of a researcher. Eur. Sci. J. 2012;8:31–43.
72. Segall N., Bonifacio A.S., Schroeder R.A., Barbeito A., Rogers D., Thornlow D.K., Emery J., Kellum S., Wright M.C., Mark J.B. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth. Analg. 2012;115:102–115.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 International Journal of Computational and Experimental Science and Engineering
This work is licensed under a Creative Commons Attribution 4.0 International License.
