Factors influencing the fasting decisions of day-case surgery patients.
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All Authors
Burgess, R.
LTHT Author
Burgess, Ruth
LTHT Department
Cardio-Respiratory
Research & Innovation
Research & Innovation
Non Medic
Research Nurse
Publication Date
2024
Item Type
Journal Article
Language
Subject
Subject Headings
Abstract
BACKGROUND: Patients admitted on the day of surgery are asked to arrive fasted, and they often fast for longer than necessary. Although pre-assessment supports patients to prepare for surgery, little is known about how they make fasting decisions.
AIMS: To explore factors influencing the fasting decisions of day-case patients and how to provide information pre-operatively.
METHODS: A qualitative descriptive study design was used. Semi-structured telephone interviews were carried out with 10 patients recruited from a single day-case unit. Data were analysed using thematic analysis.
FINDINGS: Three themes provided context for fasting decisions: the operation as a serious event; the patient as an active partner; and the patient as a rule follower. Length of fast is determined by fasting decisions and practicalities.
CONCLUSION: Patients approach fasting decisions according to their knowledge and experience and their individual preferences for information. Pre-assessment nurses should tailor information to the patient and explain the rationale for fasting.
Journal
British Journal of Nursing