CoChat
Sign Up
Cited by 32Nursing Roles and PracticesEnhanced Recovery After SurgeryNursing education and management

Specialist nurse supported discharge in gynaecology: A randomised comparison and economic evaluation

Dawes, Heather A., Docherty, Teresa, Traynor, Isabel, Gilmore, David H., Jardine, Alan G., Knill-Jones, Robin·2007·European Journal of Obstetrics & Gynecology and Reproductive Biology
DOI 10.1016/j.ejogrb.2006.02.002
Open this paper in CoChat — free account

Abstract

Aim To determine the effect on quality of life and cost effectiveness of specialist nurse early supported discharge for women undergoing major abdominal and/or pelvic surgery for benign gynaecological disease compared with routine care.Study design Randomised controlled trial comparing specialist nurse supported discharge with routine hospital care in gynaecology. The SF-36, a generic health status questionnaire, was used to measure women's evaluation of their health state before surgery and at 6 weeks after surgery. A further questionnaire scoring patient symptoms, milestones of recovery, information given and satisfaction, was administered prior to discharge from hospital and at 6 weeks thereafter.Setting Gynaecology service at the Western Infirmary Glasgow, part of North Glasgow University, NHS Trust.Participants One hundred and eleven women scheduled for major abdominal or pelvic surgery for benign gynaecological disease.Main outcome measures SF-36 health survey questionnaire baseline scores were reported before surgery and at 6 weeks follow-up. Complications, length of hospital stay, readmission, information on discharge support and satisfaction of women were recorded at discharge from hospital and at 6 weeks follow-up. A cost consequence analysis was conducted based on the perspective of the NHS.Results The addition of a specialist nurse to routine hospital care in gynaecology significantly reduced the post-operative length of hospital stay p = 0.001, improved information delivery and satisfaction of women. The specialist nurse supported discharge group was associated with significantly lower total costs to the NHS than routine care resulting principally from the difference in the cost of the post-operative length of stay.Conclusions Women undergoing major abdominal and pelvic surgery were discharged home earlier with provision of support from a specialist gynaecology nurse. The results of this study suggest that duration of hospital stay can be shortened by the introduction of a specialist nurse without introducing any adverse physical and psychological effects. This process of care is associated with receipt of information on health and lifestyle issues and maintenance of high levels of patient satisfaction and demonstrates the effectiveness of the specialist nurse role in the provision of health information for women. Earlier hospital discharge at 48 h after major abdominal and pelvic surgery is an acceptable, cost effective alternative to current routine practice in the absence of further randomised evidence.

Integrity signals

Registry

Crossref · 10.1016/j.ejogrb.2006.02.002

Cites

48 of 48 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Dawes, H. A., Docherty, T., Traynor, I., Gilmore, D. H., Jardine, A. G., & Knill-Jones, R.
Affiliations
Princess Royal Maternity Hospital (GB)
Corresponding author
Dawes, Heather A.
ORCID
Jardine, Alan G.
Venue
European Journal of Obstetrics & Gynecology and Reproductive Biology
Publisher
Elsevier BV
Published
2007-02
Volume
130
Issue
2
Pages
262-270
ISSN
  • 0028-2243 (ISSN-L)
  • 0301-2115
DOI
10.1016/j.ejogrb.2006.02.002
OpenAlex
W2169516246
Cited by
32
References
48
Citations by year
2026: 1 · 2023: 1 · 2020: 8 · 2019: 3 · 2018: 2 · 2017: 2 · 2015: 4 · 2014: 1 · 2013: 1 · 2012: 3
FWCI
0.64
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • European Journal of Obstetrics & Gynecology and Reproductive Biology (publishedVersion)
  • PubMed (publishedVersion)
  • ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
Keywords
specialist nurses, early discharge, gynecologic surgery, benign gynecologic disease, abdominal surgery, pelvic surgery, length of hospital stay, cost-effectiveness, patient satisfaction, health information provision, postoperative recovery, SF-36 quality of life, NHS costs
MeSH terms
Adult, Cost-Benefit Analysis, Female, Humans, Length of Stay, Middle Aged, Nurse Clinicians, Patient Discharge, Scotland, Gynecologic Surgical Procedures, Patient Satisfaction, Recovery of Function

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review