Satisfaction and Healthcare Needs of Gynecologic Ambulatory Surgical Patients

Thursday, 15 July 2010

Shu-Kuei Chang, RN
Department of Nursing, Kaohsiung Medical University Chung-Ho Memorial Hospital(KMUH), Kaohsiung, Taiwan

Learning Objective 1: to satisfy the nursing needs of ambulatory surgical patients

Learning Objective 2: to improve the quality care of outpatient

Background: The current healthcare system in Taiwan is constrained by managed care due to cost containment of the national healthcare insurance company. The hospital administration has increased the utilization of ambulatory surgery as one of the strategies for such policy. The number of ambulatory surgical patients are therefore increasing. 
Purpose: The purpose of this study is to explore the health care needs of ambulatory surgical patients and to learn if they are satisfied with the services. 
Methods: This is a descriptive study. A convenience sample of 88 patients was surveyed, from March to September 2008, in the Gynecologic outpatient department of a medical center in the southern Taiwan
Results: (1) The majority (84.8%) of the participants reported that the current nursing services provided in the ambulatory surgical center were necessary. (2) The majority (83.5%) of the patients reported that they were satisfied with the services. (3) The participants under intravenous general anesthesia, as compared to laryngeal mask anesthesia, had higher satisfaction with the nursing services. The employed participants, as compared to the unemployed ones, perceived higher necessity on the selected nursing services. (4) The participants were more concerned on the information of post-operative care, yet were less concerned on the preoperative consolation such as music or magazine service in the waiting area. 
The nurses should actively provide information of post-operative care,  such as medication, daily activities, supporting resources, for the ambulatory surgical patient. The findings provided nursing managers with specific information for ambulatory surgery care for gynecological patients.