Abstract
Most patient education involves passive learning. To improve patient education regarding surgery, an active learning workshop-based teaching method is proposed. The objective of this study was to assess level of patient surgical knowledge, achievement of workshop learning objectives, patient apprehension about future surgery, and participant workshop satisfaction after completing a surgical training workshop. A four-station workshop (surgical scrub, surgical suture, laparoscopic surgery, and robotic surgery) was developed to teach four important components of the surgical process. Healthy, surgery-naive adolescents were enrolled to attend this 1-h workshop-based training program. Training received by participants was technically and procedurally identical to training received by actual surgeons. Pre- and post-workshop questionnaires were used to assess learning outcomes. There were 1312 participants, with a mean age 15.9 ± 1.1 years and a gender breakdown of 303 males and 1009 females. For surgical knowledge, mean pre-workshop and post-workshop scores were 6.1 ± 1.5 and 7.5 ± 1.5 (out of 10 points), respectively (p < 0.001). Out of 5 possible points, achievement of learning objectives, decreased apprehension about future surgery, and overall workshop satisfaction scores were all higher than 4.5. Active, hands-on patient education is an effective way to improve understanding of surgery-related processes. This teaching method may also decrease apprehension that patients or potential patients harbor regarding a future surgical procedure.
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References
Pritchard MJ (2009) Identifying and assessing anxiety in pre-operative patients. Nurs Stand 23(51):35–40. doi:10.7748/ns2009.08.23.51.35.c7222
Ayyadhah Alanazi A (2014) Reducing anxiety in preoperative patients: a systematic review. Br J Nurs 23(7):387–393. doi:10.12968/bjon.2014.23.7.387
Shafer A, Fish MP, Gregg KM, Seavello J, Kosek P (1996) Preoperative anxiety and fear: a comparison of assessments by patients and anesthesia and surgery residents. Anesth Analg 83(6):1285–1291
Priya P, Roach EJ (2013) Effect of pre-operative instruction on anxiety among women undergoing abdominal hysterectomy. Nurs J India 104(6):245–248
Kakinuma A, Nagatani H, Otake H, Mizuno J, Nakata Y (2011) The effects of short interactive animation video information on preanesthetic anxiety, knowledge, and interview time: a randomized controlled trial. Anesth Analg 112(6):1314–1318. doi:10.1213/ANE.0b013e31820f8c18
Doering S, Katzlberger F, Rumpold G, Roessler S, Hofstoetter B, Schatz DS, Behensky H et al (2000) Videotape preparation of patients before hip replacement surgery reduces stress. Psychosom Med 62(3):365–373
Guo P, East L, Arthur A (2012) A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. Int J Nurs Stud 49(2):129–137. doi:10.1016/j.ijnurstu.2011.08.008
Kol E, Alpar SE, Erdogan A (2014) Preoperative education and use of analgesic before onset of pain routinely for post-thoracotomy pain control can reduce pain effect and total amount of analgesics administered postoperatively. Pain Manag Nurs 15(1):331–339. doi:10.1016/j.pmn.2012.11.001
Cupples SA (1991) Effects of timing and reinforcement of preoperative education on knowledge and recovery of patients having coronary artery bypass graft surgery. Heart Lung 20(6):654–660
Friedman AJ, Cosby R, Boyko S, Hatton-Bauer J, Turnbull G (2011) Effective teaching strategies and methods of delivery for patient education: a systematic review and practice guideline recommendations. J Cancer Educ 26(1):12–21. doi:10.1007/s13187-010-0183-x
Ayral X, Gicquere C, Duhalde A, Boucheny D, Dougados M (2002) Effects of video information on preoperative anxiety level and tolerability of joint lavage in knee osteoarthritis. Arthritis Rheum 47(4):380–382. doi:10.1002/art.10559
Danino AM, Chahraoui K, Frachebois L, Jebrane A, Moutel G, Herve C, Malka G (2005) Effects of an informational CD-ROM on anxiety and knowledge before aesthetic surgery: a randomised trial. Br J Plast Surg 58(3):379–383. doi:10.1016/j.bjps.2004.10.020
Akbarzadeh F, Ranjbar F (2010) P01-299—effect of preoperative information and reassurance in decreasing anxiety in patients who are candidate for coronary artery bypass graft surgery. Eur Psychiatry 25(Supplement 1):512
Vakil Yaakov Hoffman David Myzliek Eli (1998) Active Versus Passive Procedural Learning in Older and Younger Adults. Neuropsychol Rehabil 8(1):31–41. doi:10.1080/713755550
Haidet P, Morgan RO, O’Malley K, Moran BJ, Richards BF (2004) A controlled trial of active versus passive learning strategies in a large group setting. Adv Health Sci Educ Theory Pract 9(1):15–27. doi:10.1023/b:ahse.0000012213.62043.45
Anzai Y, Simon HA (1979) The theory of learning by doing. Psychol Rev 86(2):124–140
Schwartz-Barcott D, Fortin JD, Kim HS (1994) Client-nurse interaction: testing for its impact in preoperative instruction. Int J Nurs Stud 31(1):23–35
Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB (2013) Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach 35(10):e1511–1530. doi:10.3109/0142159x.2013.818632
Blevins S (2014) The impact of simulation on patient care. Medsurg Nurs 23(2):120–121
Anderson EA (1987) Preoperative preparation for cardiac surgery facilitates recovery, reduces psychological distress, and reduces the incidence of acute postoperative hypertension. J Consult Clin Psychol 55(4):513–520
Sahin N, Ozturk A, Ozkan Y, Demirhan Erdemir A (2010) What do patients recall from informed consent given before orthopedic surgery? Acta Orthop Traumatol Turc 44(6):469–475. doi:10.3944/aott.2010.2396
Crepeau, A. E., B. I. McKinney, M. Fox-Ryvicker, J. Castelli, J. Penna, and E. D. Wang. 2011. Prospective evaluation of patient comprehension of informed consent. J Bone Joint Surg Am 93 (19):e114(111–117). doi:10.2106/jbjs.j.01325
Hoogendam YY, Hofman A, van der Geest JN, van der Lugt A, Ikram MA (2014) Patterns of cognitive function in aging: the Rotterdam Study. Eur J Epidemiol 29(2):133–140. doi:10.1007/s10654-014-9885-4
Bell A (2007) Designing and testing questionnaires for children. J Res Nurs 12(5):461–469
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The authors gratefully acknowledge Dr. Attaporn Lawanprasert, Dr. Jetbodin Prakoonsuksapan, Dr. Pakkathorn Sivapiromrat, and Dr. Thitiporn Chaiwongrungreung for their help in conducting this workshop.
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Wongkietkachorn, A., Boonyawong, P., Rhunsiri, P. et al. Hands-On Surgical Training Workshop: an Active Role-Playing Patient Education for Adolescents. J Canc Educ 32, 543–548 (2017). https://doi.org/10.1007/s13187-016-0988-3
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DOI: https://doi.org/10.1007/s13187-016-0988-3