Anesthesia
Conditions
Keywords
Person-centredness
Brief summary
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.
Interventions
None listed
Sponsors
Gødstrup Hospital
Aarhus University Hospital
Aalborg University Hospital
Regionshospitalet Horsens
Odense University Hospital
Zealand University Hospital
Rigshospitalet, Denmark
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients, who can read/write Danish and can give informed consent.
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| What matters to you when undergoing anaesthesia? | 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 | Baseline | Descriptive data on how many patients had a pre anaesthesia consultation. Response options: Yes, no, don't know. |
| Person-centred pre-anaesthesia practice | 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 | Baseline | Qualitative study with semi-structured individual telephone-interviews using a phenomenological-hermeneutic approach. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Educational level | Baseline | Categorized data where patients mark their highest level of education. Data will be presented descriptively. |
| Employment status | Baseline | Categorical data. Patients mark their employment status. Data will be presented descriptively. |
| The American Society of Anesthesiologists (ASA) physical status classification | Baseline | Data on ASA classification will be obtained from medical journals and described as crude numbers and percentages and by group (pre-anaesthesia consultation versus no pre-anaesthesia consultation) |
| Pre-anaesthesia assessment | Baseline | Data on pre-anaesthesia assessment practices: face-to-face, telephone based, video based, administrative (review of medical charts only), other, as well as date of assessment and done by professional group (anaesthesiologist, nurse anaesthetist, or other). Data will be obtained from medical journals and described as crude numbers and percentages and by group (pre-anaesthesia consultation versus no pre-anaesthesia consultation) |
| Planned type of anaesthesia | Baseline | Type: general, regional, epidural/spinal, sedation, local analgesia. Data will be obtained from medical journals and described as crude numbers and percentages and by group (pre-anaesthesia consultation versus no pre-anaesthesia consultation |
| Surgical intervention | Baseline | Data will be obtained from medicial journals and described as crude numbers and percentages and by group (pre-anaesthesia consultation versus no pre-anaesthesia consultation) |
| Duration of surgery | Baseline | Data will be obtained from medical journals and described as crude numbers and percentages and by group (pre-anaesthesia consultation versus no pre-anaesthesia consultation) |
| Cardiac/non-cardiac conditions | Baseline | Data will be obtained from medical journals and described as crude numbers and percentages and by group (pre-anaesthesia consultation versus no pre-anaesthesia consultation) |
| Cancer/non-cancer conditions | Baseline | Data will be obtained from medical journals and described as crude numbers and percentages and by group (pre-anaesthesia consultation versus no pre-anaesthesia conditions) |
| Admission type: ambulatory/non-ambulatory | Baseline | Data will be obtained from medical journals and described as crude numbers and percentages and by group (pre-anaesthesia consultation versus no pre-anaesthesia consultation) |
Countries
Denmark
Outcome results
None listed