Developing a checklist of educational guidelines for preoperative preparation for elective oncological surgeries
DOI:
https://doi.org/10.5327/Z1414-4425202429954Keywords:
Surgical Oncology, Elective Surgical Procedures, Checklist, Patient Safety, Perioperative NursingAbstract
Objective: To identify how patients who underwent elective oncological surgeries were informed about preparation before surgery and, based on this information, develop an educational checklist of preoperative guidelines. Method: This is a retrospective and cross-sectional research developed at an oncology institution in a small city in the state of São Paulo, Brazil. Two questionnaires were used, one for sociodemographic and health profile data, and the other to retrospectively identify preoperative guidelines. Descriptive statistical analysis was performed. Results: Of the 38 patients, 65.8% were women, with 42% undergoing mastectomy. The guidance provided verbally and in person prevailed, especially regarding the examination requested by the surgeon and personal documentation, which presented the same percentage: 78.9%. There were gaps in information provided about the possibility of using a probe, drains, or tubes for 63.2%. Conclusion: Patients’ self-reports on preoperative guidelines showed flaws in the way this information was passed on and supported the development of the checklist of educational guidelines, highlighting the importance of structured written tools for the multidisciplinary team that can improve the quality and safety of preoperative care.
References
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49. https://doi.org/10.3322/caac.21660 DOI: https://doi.org/10.3322/caac.21660
Instituto Nacional de Câncer. Estimativa 2023: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2022.
Instituto Nacional de Câncer. Cirurgia [Internet]. 2023 [cited on Mar. 20, 2023]. Available at: https://www.gov.br/inca/pt-br/assuntos/cancer/tratamento/cirurgia
Organização Mundial da Saúde. Segundo desafio global para a segurança do paciente: cirurgias seguras salvam vidas [Internet]. Rio de Janeiro: Organização Pan-Americana da Saúde; Ministério da Saúde; Agência Nacional de Vigilância Sanitária; 2009 [cited on Mar. 20, 2023]. Available at: https://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_cirurgias_seguras_salvam_vidas.pdf
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-13. https://doi.org/10.1097/acm.0b013e31820824cd DOI: https://doi.org/10.1097/ACM.0b013e31820824cd
Pancieri AP, Santos BP, Avila MAG, Braga EM. Safe surgery checklist: analysis of the safety and communication of teams from a teaching hospital. Rev Gaucha Enferm. 2013;34(1):71-8. https://doi.org/10.1590/s1983-14472013000100009 DOI: https://doi.org/10.1590/S1983-14472013000100009
Freundlich RE, Maile MD, Sferra JJ, Jewell ES, Kheterpal S, Engoren M. Complications associated with mortality in the national surgical quality improvement program database. Anesth Analg. 2018;127(1):55-62. https://doi.org/10.1213/ane.0000000000002799 DOI: https://doi.org/10.1213/ANE.0000000000002799
Batista J, Cruz EDA, Alpendre FT, Rocha DJM, Brandão MB, Maziero ECS. Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil. Rev Lat Am Enfermagem. 2019;27:e2939. https://doi.org/10.1590/1518-8345.2939.3171 DOI: https://doi.org/10.1590/1518-8345.2939.3171
World Health Organization. Patienty safety: safe surgery saves lives [Internet]. Geneva: WHO; 2013 [cited on Jan. 23, 2024]. Available at: https://www.who.int/news-room/questions-and-answers/item/safe-surgery-saves-lives-frequently-asked-questions
Ribeiro KRA, Souza JCA, Duarte EM, Moraes CNE, Araújo MAS. A importância da enfermagem no uso da lista de verificação de cirurgia segura. Connection Line Revista Eletrônica UNIVAG. 2017;17:103-15. https://doi.org/10.18312/1980-7341.n17.2017.382 DOI: https://doi.org/10.18312/1980-7341.n17.2017.382
Alpendre FT, Cruz EDA, Dyniewicz AM, Mantovani MF, Silva AEBC, Santos GS dos. Safe surgery: validation of pre and postoperative checklists. Rev Lat Am Enfermagem. 2017;25:e2907. https://doi.org/10.1590/1518-8345.1854.2907 DOI: https://doi.org/10.1590/1518-8345.1854.2907
Singh GK, Jemal A. Socioeconomic and racial/ethnic disparities in cancer mortality, incidence, and survival in the United States, 1950-2014: over six decades of changing patterns and widening inequalities. J Environ Public Health. 2017;2017:2819372. https://doi.org/10.1155/2017/2819372 DOI: https://doi.org/10.1155/2017/2819372
Silva PF, Amorim MHC, Zandonade E, Viana KCG. Associação entre variáveis sociodemográficas e estadiamento clínico avançado das neoplasias da mama em Hospital de Referência no Estado do Espírito Santo. Rev Bras Cancerol. 2013;59(3):361-7. https://doi.org/10.32635/2176-9745.RBC.2013v59n3.501 DOI: https://doi.org/10.32635/2176-9745.RBC.2013v59n3.501
Santos EMC, Silva LML, Santos EMC, Souza LS. Associação entre o estado nutricional e a presença de toxicidade gastrointestinal em pacientes com câncer de mama. BRASPEN J. 2018;33(1):9-14
Fu MR, Axelrod D, Guth AA, Cleland CM, Ryan CE, Weaver KR, et al. Comorbidities and quality of life among breast cancer survivors: a prospective study. J Pers Med. 2015;5(3):229-42. https://doi.org/10.3390/jpm5030229 DOI: https://doi.org/10.3390/jpm5030229
Pereira APVM, Santos GRF, Furtado LFT, Molina MA, Luz TFN, Esteves APVS. Mastectomia e mamoplastia na vida das mulheres com câncer de mama. Revista Caderno de Medicina. 2019;2(1):38-52.
Instituto Nacional de Câncer. Atlas de mortalidade. Rio de Janeiro: INCA; 2021.
Silva CC, Beck AD, Silva ECM, Rodrigues TPP. Fatores que influenciam a adesão à lista de verificação de segurança cirúrgica. Rev SOBECC. 2023;26(4):212-9. https://doi.org/10.5327/Z1414-4425202100040004 DOI: https://doi.org/10.5327/Z1414-4425202100040004
Batista J, Cruz EDA, Silva DP, Nazário SS, Antunes BCS. Impact of surgical checklists on the time of surgical processes: a cross-sectional study. Rev Col Bras Cir. 2023;50:e20233425. https://doi.org/10.1590/0100-6991e-20233425-en DOI: https://doi.org/10.1590/0100-6991e-20233425
Gama CS, Backman C, Oliveira AC. Impact of surgical checklist and its completion on complications and mortality in urgent colorectal procedures. Rev Col Bras Cir. 2021;48:e20213031. https://doi.org/10.1590/0100-6991e-20213031 DOI: https://doi.org/10.1590/0100-6991e-20213031
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Jonathas Patrick William Gomes Sales, Sandra Soares Mendes
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.
