Pre-anaesthesia Reviews in Denmark - Status of a Person-centred Approach

ConditionAnesthesia
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorGødstrup Hospital

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients, who can read/write Danish and can give informed consent.

Disqualifiers

None

Trial population

Patients undergoing surgery at public hospitals throughout Denmark regardless hospital type (regional versus university hospital), low-income or high-income areas, rural versus urban areas. Thus the study population is representative of the Danish speaking population.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

1,000 Participants
are grouped into 2 trial groups
Group A: In person pre-anaesthesia assessment
Group B: Remote pre-anaesthesia assessment

Trial outcomes

Primary outcomes

1

What matters to you when undergoing anaesthesia?

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.

Time frame
Baseline
2

Pre anaesthesia consultation

Descriptive data on how many patients had a pre anaesthesia consultation. Response options: Yes, no, don't know.

Time frame
Baseline
3

Person-centred pre-anaesthesia practice

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"

Time frame
Baseline
4

Patients' experiences of pre-anaesthesia consultations

Qualitative study with semi-structured individual telephone-interviews using a phenomenological-hermeneutic approach.

Time frame
Baseline

Secondary outcomes

1

Educational level

Categorized data where patients mark their highest level of education. Data will be presented descriptively.

Time frame
Baseline
2

Employment status

Categorical data. Patients mark their employment status. Data will be presented descriptively.

Time frame
Baseline
3

The American Society of Anesthesiologists (ASA) physical status classification

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)

Time frame
Baseline
4

Pre-anaesthesia assessment

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)

Time frame
Baseline

Other outcomes

1

Response rate

A response rate will be calculated based on the total number of eligible patients and the number of responses to the questionnaire.

Time frame
Baseline

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Gødstrup Hospital

Lead sponsor

Aarhus University Hospital

Collaborator

Aalborg University Hospital

Collaborator

Regionshospitalet Horsens

Collaborator

Odense University Hospital

Collaborator

Zealand University Hospital

Collaborator

Rigshospitalet, Denmark

Collaborator

This trial is not recruiting at the moment. You can still explore other options: