Contributors ix
1 Introduction to Day Surgery 1
Phillipa Ryan Withero
Historical background 1
Overview of services 6
Common presenting conditions 9
Recent innovations in day surgery 13
Conclusion 14
References 15
2 Models of Care 19
Fiona Timmins
Introduction 19
Outline of conceptual models of nursing care 20
The Roper, Logan and Tierney Model 23
Orem's self-care deficit theory of nursing 25
Peplau's conceptual frame of reference for
psychodynamic Nursing 27
Evaluation of the contribution of conceptual models of nursing to day surgery practice 28
Background and development of care pathways 31
What is a care pathway? 31
Developing care pathways 33
Examples of care pathways in current use 36
Conclusion 43
References 44
3 Nurse-led Pre-admission Clinics 47
Jo Gilmartin
Introduction 47
The emergence of nurse-led interventions 47
Nurse-led services 51
The pre-assessment process 54
Educational intervention 59
Setting up a nurse-led pre-admission clinic 62
Evaluating services 68
Conclusion 71
References 71
4 Practice Development 77
Robert McSherry, Kay Scott and Sharon Farlow
Introduction 77
Background 77
What do we mean by practice development? 79
Applying practice development initiatives in day surgery units 81
Evaluation methodologies 92
Patient satisfaction 94
Conclusion 95
References 95
5 Day Surgery Management 99
Anne-Marie Brady
Introduction 99
Management structure 99
Systems thinking 100
Management and leadership 101
Teamwork 102
Planning day surgery services 103
Planning day surgery facilities 106
Human resource management 109
Managing the provision of services 112
Outcomes management 113
Financial management 118
Conclusion 119
References 120
6 Communication Issues in Day Surgery 123
Catherine McCabe
Introduction 123
Communication 123
Importance of communication in day surgery 126
Collaborative communication 130
Conclusion 134
References 135
7 Providing Information and Support 137
Margaret McCann
Introduction 137
Day surgery and patient education 138
Patient education and management of anxiety 145
Patient education process 148
Principles of patient education 157
Conclusion 166
References 166
Index 171
