Pre-anaesthesia Reviews in Denmark - Status of a Person-centred Approach
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,400
- 试验地点
- 3
- 主要终点
- What matters to you when undergoing anaesthesia?
研究概览
简要总结
The goal of this observational study is to learn about current pre-anaesthesia practices in Denmark and patients' experiences of pre-anaesthesia consultations as well as what matters to patients before anaesthesia.
The questions the study aims to answer are:
What are the current pre-anaesthesia practices in Danish public hospitals. How do patients experience pre-anaesthesia consultations in Danish public hospitals.
What matters to patients before anaesthesia in Danish public hospitals.
On the day of surgery, patients answer an online survey about what matters to them when undergoing anaesthesia and whether they spoke with an anaesthesiologist or nurse anaesthetist about the anaesthesia.
Data from the medical chart are obtained to support patients responses. For patients receiving a pre-anaesthesia consultation, we will summarise the degree of person-centredness experienced by patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients, who can read/write Danish and can give informed consent.
排除标准
- 未提供
研究组 & 干预措施
Remote pre-anaesthesia assessment
No contact between patient and an anaesthesiologist or nurse anaesthetist about the anaesthesia (anaesthesiologist or nurse anaesthetist's review of medical charts only).
In person pre-anaesthesia assessment
Patients who speak with an anaesthesiologist or nurse anaesthetist about the anaesthesia either face-to-face, telephone based, video based
结局指标
主要结局
What matters to you when undergoing anaesthesia?
时间窗: Baseline
Open responses to the question about what matters to the patient before anaesthesia. Will be analysed using content analysis focusing on the manifest content rather than the latent content.
Pre anaesthesia consultation
时间窗: Baseline
Descriptive data on how many patients had a pre anaesthesia consultation. Response options: Yes, no, don't know.
Person-centred pre-anaesthesia practice
时间窗: Baseline
Patients who had a pre-anaesthesia consultation answer four questions from the subsection "Working with patients' beliefs and values" on the Person-centred Practice Inventory - Care (PCPI-C). Each item is rated on a 5-point Likert scale ranging from strongly disagree, disagree, bneutral, agree to strongly agree. The subscale score is calculated as an average of the four items. There are no reverse scoring items. A higher score indicates that patients perceive a higher quality of person-centred care, characterized by stronger alignment with their values, shared decision-making, and authentic relationships with staff. The "Working with patients' beliefs and values" subsection consists of the follwoing questions: "Staff make an effort to understand what is important to me" "I feel able to say to staff what is important to me" "I feel able to give staff feedback about my experience of being cared for" "In caring for me, staff use what they know about me as a person"
Patients' experiences of pre-anaesthesia consultations
时间窗: Baseline
Qualitative study with semi-structured individual telephone-interviews using a phenomenological-hermeneutic approach.
次要结局
- Educational level(Baseline)
- Employment status(Baseline)
- The American Society of Anesthesiologists (ASA) physical status classification(Baseline)
- Pre-anaesthesia assessment(Baseline)
- Planned type of anaesthesia(Baseline)
- Surgical intervention(Baseline)
- Duration of surgery(Baseline)
- Cardiac/non-cardiac conditions(Baseline)
- Cancer/non-cancer conditions(Baseline)
- Admission type: ambulatory/non-ambulatory(Baseline)