Clinicians consistently exceed a typical person's short-term memory during preoperative teaching

Anesthesia and Analgesia
Elisabeth H SandbergWarren S Sandberg

Abstract

Patient education is a critical part of preparation for surgery. Little research on provider-to-patient teaching has been conducted with systematic focus on the quantity of information provided to patients. This is important to assess because short-term memory capacity for information such as preoperative instruction is limited to roughly seven units of content. We studied the information-giving practices of anesthesiologists and nurse practitioners during preoperative teaching by examining transcripts from 26 tape recorded preoperative evaluation appointments. We developed a novel coding system to measure: 1) quantity of information, 2) frequency of medical terminology, 3) number of patient questions, and 4) number of memory reinforcements used during the consultation. Results are reported as mean +/- sd. Anesthesiologists and nurse practitioners vastly exceeded patients' short-term memory capacity. Nurse practitioners gave significantly more information to patients than did physicians (112 +/- 37 vs 49 +/- 25 items per interview, P < 0.01). This higher level of information-giving was not influenced by the question-asking behaviors of the patients. Nurse practitioners and physicians used similar numbers of medical terms (4.0 +...Continue Reading

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Citations

Jan 24, 2014·Singapore Medical Journal·Hsien Jer LimLian Kah Ti
Jun 17, 2015·Journal of the American Medical Informatics Association : JAMIA·Kevin J O'LearyDavid M Liebovitz
Sep 11, 2013·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Kevin J O'LearyMark V Williams
Feb 4, 2010·Current Opinion in Anaesthesiology·Christopher YenAlex Macario
Aug 21, 2012·Anesthesiology·Elisabeth H SandbergWarren S Sandberg
Jan 1, 2012·International Journal of Spine Surgery·Adriaan LouwEmilio J Puentedura
Nov 13, 2020·JAMA Network Open·Michael J TyleeNeill K J Adhikari
Nov 23, 2016·Journal of Clinical Anesthesia·Anthony P NotarasErez Ben-Menachem

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