Author:
Jane Spalding Nicola,McCulloch Jane,Mary Poland Fiona,Gregory Sheila,Sargen Kevin,Vicary Penny
Abstract
Purpose
– The purpose of this paper is to understand and develop ways to enhance patients’ experiences of preoperative education received prior to surgery for colorectal cancer.
Design/methodology/approach
– Based in the UK, three-action research cycles were undertaken to evaluate preoperative education, identify changes seen by patients and staff as likely to improve the service and to re-evaluate such changes following implementation. Data in each cycle were collected from: observations of clinic interactions; patient questionnaires; individual semi-structured interviews with multidisciplinary colorectal unit staff; longitudinal semi-structured interviews with patients and carers pre-surgery, two weeks post-surgery and 12 weeks post-surgery; patient and carer focus groups post-surgery; and existing educational material.
Findings
– In total, 138 participants shared their experiences of either giving or receiving preoperative education. Findings were themed into why patients want preoperative education, and patients’ views of the educational processes.
Practical implications
– Patients emphasised the need for educational provision to be fully understandable, comprehensive and client-centred using a range of communication processes. Patients emphasised the need for educational provision to be more fully understandable, comprehensive and client-centred and that important messages should be reinforced using a range of media. At a time of many uncertainties for patients’ lives, such education needed to encompass the experiences patients could expect, delivered by confident healthcare professionals.
Originality/value
– Contextualising understanding and facilitating their own actions, enabled patients to regain control in circumstances particularly disruptive of bodily and other life routines. Establishing a sense of control is confirmed as important for patient's wellbeing in preparing for surgery and postoperative rehabilitation.
Subject
Public Health, Environmental and Occupational Health,Education
Reference35 articles.
1. Beech, N.
,
Arber, A.
and
Faithfull, S.
(2011), “Restoring a sense of wellness following colorectal cancer: a grounded theory”, Journal of Advanced Nursing, Vol. 68 No. 5, pp. 1134-1144.
2. Calman, K.C.
and
Hine, D.C.
(1995), Policy Framework for Commissioning Cancer Services: A Report by the Advisory Group on Cancer to the Chief Medical Officers of England and Wales, Department of Health and the Welsh Office, London.
3. Carney, L.
,
Jones, L.
,
Braddon, F.
,
Pullyblank, A.M.
and
Dixon, A.
(2006), “A colorectal cancer patient focus group develops an information package”, Surgical Oncology, Vol. 88 No. 5, pp. 447-449.
4. Carr, W.
and
Kemmis, S.
(1986), Becoming Critical: Education, Knowledge and Action Research, The Falmer Press, East Sussex.
5. DeSnoo, L.
and
Faithfull, S.
(2006), “A qualitative study of anterior resection syndrome: the experiences of cancer survivors who have undergone resection surgery”, European Journal of Cancer Care, Vol. 15 No. 3, pp. 244-251.
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