e-journal
Addressing patients’ colorectal cancer needs in preoperative education
Purpose – The purpose of this paper is to understand and develop ways to enhance patients’ experiences
of preoperative education received prior to surgery for colorectal cancer.
Design/methodology/approach – Based in the UK, three-action research cycles were undertaken to
evaluate preoperative education, identify changes seen by patients and staff as likely to improve the
service and to re-evaluate such changes following implementation. Data in each cycle were collected
from: observations of clinic interactions; patient questionnaires; individual semi-structured interviews
with multidisciplinary colorectal unit staff; longitudinal semi-structured interviews with patients and
carers pre-surgery, two weeks post-surgery and 12 weeks post-surgery; patient and carer focus groups
post-surgery; and existing educational material.
Findings – In total, 138 participants shared their experiences of either giving or receiving preoperative
education. Findings were themed into why patients want preoperative education, and patients’ views of
the educational processes.
Practical implications – Patients emphasised the need for educational provision to be fully
understandable, comprehensive and client-centred using a range of communication processes. Patients
emphasised the need for educational provision to be more fully understandable, comprehensive and
client-centred and that important messages should be reinforced using a range of media. At a time
of many uncertainties for patients’ lives, such education needed to encompass the experiences patients
could expect, delivered by confident healthcare professionals.
Originality/value – Contextualising understanding and facilitating their own actions, enabled
patients to regain control in circumstances particularly disruptive of bodily and other life routines.
Establishing a sense of control is confirmed as important for patient’s wellbeing in preparing for
surgery and postoperative rehabilitation.
Keywords Education, Action research, Cancer, Preoperative
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