King Hussein Cancer Center and we are always redefining standards of care based on well-validated protocols. We believe that the success that we were able to achieve with implementation of perioperative pulmonary care bundle should be sustained through continuous education sessions for staff and patients, along with frequent assessment of adequate execution. Standardization of perioperative pulmonary care bundle including smoking cessation, perioperative pulmonary interventions, prevention of aspiration and early mobilization significantly reduce the incidence of postoperative pulmonary complications and based on our results, King Hussein Cancer Center implemented a mandatory perioperative pulmonary care bundle as a standard of care to all patients undergoing major surgery.
This technique implementation was feasible easily even with limited resources in a developing country like Jordan. The Excel sheet for data used to support the findings of this study is available and a copy was attached to the submitted file. J Am Coll Surg. Article Google Scholar. Miskovic A, Lumb AB. Postoperative pulmonary complications. Impact of a peri-operative quality improvement programme on postoperative pulmonary complications.
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Disabil Rehabil. Strategies to reduce postoperative pulmonary complications after noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Inter Med. Download references. The surgery department at King Hussein Cancer Center would like to thank all the residents who participated in obtaining consent forms for the study.
You can also search for this author in PubMed Google Scholar. RAJ conceived and designed the study and wrote the manuscript. MKAC wrote parts of the manuscript, participated in obtaining consent forms, and performed the final revision of the manuscript.
All authors read and approved the final version of the manuscript. Correspondence to Riad Abdel Jalil. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The respiratory therapist educated patients on aspiration prevention, incentive spirometry, chest physiotherapy by adhering to the following:. Ambulate at least once on the day of the operation unless patient arrives from post-anaesthesia care unit late in evening.
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Reprints and Permissions. Abdel Jalil, R. The impact of a perioperative pulmonary care bundle implementation on postoperative outcomes in 1, surgical cancer patients: experience from a tertiary referral cancer center in Jordan. Patient Saf Surg 15, 5 Download citation. During the course, it was expected to identify issues within the practice setting and select priority issue for practice based project.
Major problem identified was related to the provision of Perioperative nursing care. The first and initial phase pre-operative of Perioperative nursing involves the rendering of nursing care to the patients who are planned to undergo surgery Spry, [1].
It was evident through literature that during this phase assessment and education of the patient is the prime responsibility of health care providers to minimize the risk during the surgery and to have better outcomes of the patients. The purpose of this project was to reinforce nurses of surgical areas for the accurate assessment and education of patients, undergoing surgery. According to Barnett , Lack of preoperative assessment results in delay of surgery or perioperative complications that increases the stay of patient at hospital [3].
Finally, this problem was selected for the practice based project. For in-depth assessment of the problem, a pre-operative assessment and teaching evaluation tool was developed.
For the collection of data, patients were interviewed and their files were reviewed. After data collection, data was analyzed using Microsoft Excel and was presented in the form of graphs. It revealed that The above data exhibits that patients who were undergoing surgery are at risk of developing complications as they have not been assessed accurately before surgery.
According to Bray , the aim of preoperative assessment is to reduce morbidity and mortality associated with surgery, prevent unnecessary cancellations and reduce hospital stay in surgical patients [4].
Whereas, the major aim of preoperative education is to decrease pa-. Table 1. Data analysis of assessment of pre-operative patients. Table 2. Data analysis of education of pre-operative patients. Moreover, good preoperative assessment and screening improves the overall patient care and efficiency of the operating list The Royal College of Anesthesia, [5].
The above literature specifies the significance of assessment and teaching in preoperative patients. Furthermore, analysis of each component revealed that nursing staff requires education and reinforcement in this regard.
In this project, model of professional perioperative nursing practice [6] was inculcated. It represents the interacting roles portrayed by the professional nurse during the phases of perioperative period Figure 1.
I integrated the first phase of this model in my project as my project was related to preoperative phase only. The model states that nurses play different roles in each phase of perioperative nursing. In the initial phase preoperative phase , nurse act as a leader change agent as well as teacher and is responsible for thorough assessment and education of the patients undergoing surgery. J Clin Anesth. Population health management and perioperative medicine: the expanding role of the anesthesiologist.
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