ArticleBMJ open2017
Developing patient education to enhance recovery after colorectal surgery through action research: a qualitative study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Preventative strategies for low anterior resection syndrome.Techniques in coloproctology · 2023Pooled it
- Issues in patients' experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence.BMJ open · 2023Pooled it
- Trial
- Non-invasive vagus nerve stimulation to reduce ileus after colorectal surgery: randomized feasibility trial and efficacy assessment (IDEAL Stage 2B).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Trial
- The effect of video-assisted learning on pre-operative knowledge and satisfaction for total knee arthroplasty surgery: a randomised-controlled study.Journal of orthopaedic surgery and research · 2024Trial
- Effectiveness of preoperative group education for patients with colorectal cancer: managing expectations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Trial
- Challenges and solutions for colorectal surgery patients during hospital-to-home transitions: a scoping review.BMJ open · 2026Article
- Article
- A qualitative exploration of patient perspectives regarding patient education during their colorectal surgical experience.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Challenges of Care Transition From Hospital to Home for Older Colorectal Surgery Patients: Surgeons' Perspectives.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Requirements for mHealth and Augmented Reality Apps for Patient Education Regarding Colorectal Cancer Surgery: Focus Group Study.JMIR formative research · 2026Article
- Three-pedicle haemorrhoidectomy in the outpatient setting: the critical roles of information and organization.Frontiers in surgery · 2026Article
- Perioperative Quality Initiative consensus statement recommendations on the definition, development, implementation and outcomes of pre-operative surgery schools.Anaesthesia · 2025Article
- Assessing Patient-Reported Outcomes: A Mixed Methods Qualitative Comparison Between Obturator and Surgically Reconstructed Maxillectomy Patients.The Annals of otology, rhinology, and laryngology · 2025Article
- An Online Preoperative Screening Tool to Optimize Care for Patients Undergoing Cancer Surgery: A Mixed-Method Study Protocol.Cancers · 2025Article
- Nurse-led Enhanced Recovery after Surgery Programs: Potential Solution to Shorten Postoperative Recovery.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025Article
- Improving recovery after bowel cancer surgery: mixed methods feasibility study of a co-produced information intervention (Recover Together).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
- Enhanced recovery after surgery (ERAS) guided gynecologic/oncology surgery - The patient's perspective.Gynecologic oncology reports · 2024Article
- Post-intensive care syndrome follow-up system after hospital discharge: a narrative review.Journal of intensive care · 2024Review
- Preoperative patient teaching practices and associated factors among nurses working at hospitals in West Shoa Zone, Ethiopia, 2022: a cross-sectional study.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo understand the role of preoperative education for patients undergoing colorectal surgery by involving patients, carers and staff in: (1) identifying its perceived value and deficits for enhanced recovery; (2) modifying current education practices to address educational deficits; and (3) evaluating these changes for preparing patients to enhance their recovery.
designQualitative study of three cycles of action research using mixed methods within a 24-month naturalistic enquiry to identify, implement and evaluate changes through observations, questionnaires, semistructured longitudinal interviews, focus groups and documentation review.
settingA UK 1200-bed National Health Service (NHS) hospital providing colorectal surgery in a small city in a rural county.
participantsNinety-sevenpatients having colorectal surgery, 19 carers and 22 clinical staff.
resultsThemes identified were: (1) knowledge and engagement; (2) situated understanding and confidence building; and (3) partnership and proactive involvement in enhancing recovery. All patients articulated needs to prepare mentally and physically to plan for colorectal surgery and rehabilitation. Patients and carers wanted to counter uncertainty about medical procedures: likely bodily changes, recovery timescales and future. They therefore sought as much personalised, relevant information as possible about their disease, planned surgery and recovery. Staff implemented preoperative education to more specifically inform and respond multimodally to individual needs.
conclusionsPatients wanted to be proactively involved in managing their recovery to re-engage with their everyday lives. Preoperative education supported this through developing patients' situated understanding of hospital and bodily processes related to colorectal surgery. Situated understanding was achieved through educational product to give knowledge and processes promoting engagement. Multimodal, comprehensive and timely preoperative education on the whole patient pathway facilitates active engagement. Situated understanding increased patients' confidence to work in partnership with healthcare professionals and proactively self-manage recovery.
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