Surgery school—who, what, when, and how: results of a national survey of multidisciplinary teams delivering group preoperative education
Surgery school—who, what, when, and how: results of a national survey of multidisciplinary teams delivering group preoperative education
Background: group education is increasing in popularity as a means of preparing patients for surgery. In recent years, these ‘surgery schools’ have evolved from primarily informing patients of what to expect before and after surgery, to providing support and encouragement for patients to ‘prehabilitate’ prior to surgery, through improving physical fitness, nutrition and emotional wellbeing.
Method: a survey aimed at clinicians delivering surgery schools was employed to capture a national overview of activity to establish research and practice priorities in this area. The survey was circulated online via the Enhanced Recovery after Surgery UK Society and the Centre for Perioperative Care mailing lists as well as social media.
Results: there were 80 responses describing 28 active and 4 planned surgery schools across the UK and Ireland. Schools were designed and delivered by multidisciplinary teams, contained broadly similar content and were well attended. Most were funded by the National Health Service. The majority included aspects of prehabilitation most commonly the importance of physical fitness. Seventy five percent of teams collected patient outcome data, but less than half collected data to establish the clinical effectiveness of the school. Few describe explicit inclusion of evidence-based behavior change techniques, but collaboration and partnerships with community teams, gyms and local charities were considered important in supporting patients to make changes in health behaviors prior to surgery.
Conclusion: it is recommended that teams work with patients when designing surgery schools and use evidence-based behavior change frameworks and techniques to inform their content. There is a need for high-quality research studies to determine the clinical effectiveness of this type of education intervention.
Perioperative medicine, Prehabilitation, Preoperative education, Surgery school
20
Fecher-Jones, Imogen
ab8373c5-3e2b-43cc-a3a1-3caa7240fbcb
Grimmett, Chloe
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Carter, F J
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Conway, D H
67637f8c-f402-4186-9931-51473e874a09
Levett, D Z H
85468d44-5b8e-465e-9f0b-feda735f1faa
Moore, J A
51ec3419-5553-49b2-904e-ef7ba462e0e9
15 June 2021
Fecher-Jones, Imogen
ab8373c5-3e2b-43cc-a3a1-3caa7240fbcb
Grimmett, Chloe
7f27e85b-2850-481d-a7dd-2835e1a925cd
Carter, F J
01d23d8b-3c27-4d92-b37c-75712895e8f4
Conway, D H
67637f8c-f402-4186-9931-51473e874a09
Levett, D Z H
85468d44-5b8e-465e-9f0b-feda735f1faa
Moore, J A
51ec3419-5553-49b2-904e-ef7ba462e0e9
Fecher-Jones, Imogen, Grimmett, Chloe, Carter, F J, Conway, D H, Levett, D Z H and Moore, J A
(2021)
Surgery school—who, what, when, and how: results of a national survey of multidisciplinary teams delivering group preoperative education.
Perioperative Medicine, 10, .
(doi:10.1186/s13741-021-00188-2).
Abstract
Background: group education is increasing in popularity as a means of preparing patients for surgery. In recent years, these ‘surgery schools’ have evolved from primarily informing patients of what to expect before and after surgery, to providing support and encouragement for patients to ‘prehabilitate’ prior to surgery, through improving physical fitness, nutrition and emotional wellbeing.
Method: a survey aimed at clinicians delivering surgery schools was employed to capture a national overview of activity to establish research and practice priorities in this area. The survey was circulated online via the Enhanced Recovery after Surgery UK Society and the Centre for Perioperative Care mailing lists as well as social media.
Results: there were 80 responses describing 28 active and 4 planned surgery schools across the UK and Ireland. Schools were designed and delivered by multidisciplinary teams, contained broadly similar content and were well attended. Most were funded by the National Health Service. The majority included aspects of prehabilitation most commonly the importance of physical fitness. Seventy five percent of teams collected patient outcome data, but less than half collected data to establish the clinical effectiveness of the school. Few describe explicit inclusion of evidence-based behavior change techniques, but collaboration and partnerships with community teams, gyms and local charities were considered important in supporting patients to make changes in health behaviors prior to surgery.
Conclusion: it is recommended that teams work with patients when designing surgery schools and use evidence-based behavior change frameworks and techniques to inform their content. There is a need for high-quality research studies to determine the clinical effectiveness of this type of education intervention.
Text
s13741-021-00188-2
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More information
Accepted/In Press date: 13 April 2021
e-pub ahead of print date: 15 June 2021
Published date: 15 June 2021
Keywords:
Perioperative medicine, Prehabilitation, Preoperative education, Surgery school
Identifiers
Local EPrints ID: 449901
URI: http://eprints.soton.ac.uk/id/eprint/449901
ISSN: 2047-0525
PURE UUID: 96b5ca6b-db64-4d5d-9b81-2c40294b4896
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Date deposited: 24 Jun 2021 16:31
Last modified: 17 Mar 2024 03:28
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Author:
Imogen Fecher-Jones
Author:
F J Carter
Author:
D H Conway
Author:
D Z H Levett
Author:
J A Moore
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