Perceived Quality of Preoperative Information,its Barriers and Preferences of Mode of Delivery Among Adult Patients and Nurses in Public Hospitals, Addis Ababa, Ethiopia, 2023

No Thumbnail Available

Date

2023

Journal Title

Journal ISSN

Volume Title

Publisher

Addis Ababa University

Abstract

Background: One of the major health-related decisions a person makes in their lifetime is having surgery, with results that can be both positive and negative. It actually has three phases, these are: preoperative, intraoperative, and postoperative. Preoperative information provision is providing reassurance and therapeutic listening to patients before surgery. Objectives: To assess the perceived quality of preoperative information, its barriers, and preferences of the mode of delivery among adult patients and nurses in public hospitals, Addis Ababa, Ethiopia, March to April 30, 2023. Methods and Materials: An institutional-based cross-sectional study with a qualitative phenomenological approach was conducted from March to April 30, 2023. A systematic sampling technique was employed to select 305 study participants among admitted adult surgical patients. The data were collected using a pretested and structured interviewer- administered questionnaire and in-depth interviews. To maintain data reliability pre-test was conducted and validity was maintained by using surgical expert’s opinion. Result: According to this study the patients who got good quality preoperative information was 75.7% with 95% CI: (71.1, 80.7) and significantly associated with frequency of hospital visits, [AOR (CI 95%): 2.866 (1.112 -7.390): p= .029*], higher educational level of the participant [AOR (CI 95%: (9.581:(2.824 -32.501, p= .001**)] and presence of previous surgery [AOR (CI 95%):5.232 (2.67–10.249):p = .000**], patients have a good quality of preoperative information than the counterparts. The most frequent preoperative information delivery barriers from the patients, health professionals, and facility viewpoint were as follows: differences in languages (55.7%), low level of health literacy (77.4%), and lack of training, space, and time constraints (62.0%). lack of continuing education, Reluctance to communicate with patients and Religion from qualitative findings. Conclusion: Quality of preoperative information given to surgical adult patient was less than 85%, and Barriers included language problems, time restraints, poor communication skills, and inappropriate approaches. A training program and preparation of necessary materials should be fulfilled to improve the quality of preoperative information delivery.

Description

Keywords

Quality, preoperative information, Adult Surgical Patient.

Citation