Day Surgery

Fiona Timmins is an Associate Professor at the School of Nursing and Midwifery, Trinity College Dublin, Ireland. Her research interests include professional nursing issues, nurse education, spirituality and reflection. Catherine McCabe is the author of Day Surgery: Contemporary Approaches to Nursing Care published by Wiley.

• Contributors ix1 Introduction to Day Surgery 1Phillipa Ryan WitheroHistorical background 1Overview of services 6Common presenting conditions 9Recent innovations in day surgery 13Conclusion 14References 152 Models of Care 19Fiona TimminsIntroduction 19Outline of conceptual models of nursing care 20The Roper, Logan and Tierney Model 23Orem’s self-care deficit theory of nursing 25Peplau’s conceptual frame of reference forpsychodynamic Nursing 27Evaluation of the contribution of conceptual models of nursing to day surgery practice 28Background and development of care pathways 31What is a care pathway? 31Developing care pathways 33Examples of care pathways in current use 36Conclusion 43References 443 Nurse-led Pre-admission Clinics 47Jo GilmartinIntroduction 47The emergence of nurse-led interventions 47Nurse-led services 51The pre-assessment process 54Educational intervention 59Setting up a nurse-led pre-admission clinic 62Evaluating services 68Conclusion 71References 714 Practice Development 77Robert McSherry, Kay Scott and Sharon FarlowIntroduction 77Background 77What do we mean by practice development? 79Applying practice development initiatives in day surgery units 81Evaluation methodologies 92Patient satisfaction 94Conclusion 95References 955 Day Surgery Management 99Anne-Marie BradyIntroduction 99Management structure 99Systems thinking 100Management and leadership 101Teamwork 102Planning day surgery services 103Planning day surgery facilities 106Human resource management 109Managing the provision of services 112Outcomes management 113Financial management 118Conclusion 119References 1206 Communication Issues in Day Surgery 123Catherine McCabeIntroduction 123Communication 123Importance of communication in day surgery 126Collaborative communication 130Conclusion 134References 1357 Providing Information and Support 137Margaret McCannIntroduction 137Day surgery and patient education 138Patient education and management of anxiety 145Patient education process 148Principles of patient education 157Conclusion 166References 166Index 171