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
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Date
2023
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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.
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Keywords
Quality, preoperative information, Adult Surgical Patient.