Does an evidenced-based supplemental education brochure enhance patient understanding for those undergoing bariatric surgery?
Review TypeFaculty Approved: Degree-based Submission
Repository Posting Date2020-04-13T20:11:51Z
Author(s)Dolsenhe, Sona P.
Author DetailsPrinciple investigator: Sona Dolsenhe, RN, BSN - Keigwin School of Nursing, Jacksonville University, FL (DNP Student) ; Chairperson: Dr. Michelle Edmonds; Statistician: Professor Youseff Toubouti
Lead Author Sigma AffliationNon-member
Level of EvidenceQuality Improvement
Research ApproachQuantitative Research
KeywordsEnhanced Recovery After Surgery; ERAS; Fast-track; Patient Education; Gastric Sleeve Surgery; Refutational Text
The Enhanced Recovery After Surgery (ERAS) Society has developed evidenced-based principles that “aim to maintain physiological function, enhance mobilization, reduce pain and facilitate early oral nutrition postoperatively by reducing perioperative surgical stress” (Thorell et al., 2016, p. 2066). ERAS principles vary across a multitude of surgical modalities, but they encompass a standard protocol for all surgical phases. Enhanced surgical recovery (ESR) is a separate program named for the setting of this quality improvement (QI) project. ESR is referred to as a multimodal, interdisciplinary, research-driven, patient-centered, standard of care protocol designed to improve patient outcomes, minimize postoperative complications, and increase patient knowledge and understanding. Implementation of the ESR program has been successful in other developed countries, but it is an emerging strategy in North America, requiring the formal education of both the patient and staff members in order to improve quality of care and positively effect patient outcomes. The purpose of this QI project is to evaluate the effects of a supplemental evidenced-based brochure compared to a standard brochure on knowledge gains in patients undergoing laparoscopic sleeve gastrectomy (LSG) surgery in a bariatric accredited surgical center of excellence (COE) in a Northeast Florida acute care medical facility. This QI project will assess data obtained from a non-educated group (group 1), about patient levels of understanding, and compare those to data obtained from an educated group (group 2). The results of this QI project showed a significant improvement in knowledge gain among group 2 participants compared to group 1. It is unclear, however, if the intervention is able to positively influence longer term metrics, such as patient satisfaction or hospital length of stay.
Degree GrantorJacksonville University
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