Browsing by Author "Alonazi, Bandar"

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Utilizing an Assessment Tool to Measure and Manage Preoperative Anxiety Among TURP Elective Patients Through Video Education and Quran Recitation: A quality improvement project
(Saudi Digital Library, 2025) Alonazi, Bandar; Johnson, Stacy
Abstract Background: preoperative anxiety is increasingly recognised a significant challenge during the preoperative care journey with negative impacts on surgical outcomes. Literature has reported a high prevalence of his issues among Arab populations including Saudi Arabis, yet it remains under recognised and poorly managed. Aim: this QI project aims to reduce preoperative anxiety among patients undergoing transurethral resection of prostate (TURP) by 30 % within six months. Methods: This QI project proposes the use of a validated screening tool and evidence-based management guided by the Model for improvement and its iterative PDSA cycles. This QI project will begin with key preparatory steps such as staff training, stakeholders’ analysis, active stakeholders’ management, communication strategies and baseline data collection to initiate urgency for change and ensure shared ownership of change. Anticipated barriers include staff resistance to change which will be addressed by applying transformation leadership styles, Kotter's model and early stakeholders’ involvement. Measurement: evaluation will follow Davidge’s Seven Steps incorporating process, outcomes and balancing measures. The primary outcome will be the change in APAIS scores which will be displayed in run charts to view the trends over time with potential use of SPC chart in later stage to evaluate sustainability. Process measure such as training and screening compliance rates will be tracked by using Bar chart, cumulative graphs. Patient experience will be assessed through a structured questionnaire and analysed descriptive statistics, while unintended consequences will be monitored by evaluating staff satisfaction through interviews analysed thematically. Public and patient involvement (PPI): PPI is embedded in this QI project through an inclusion of a focused group of TURP patients as partners in semi structure interviews to ensure that the intervention reflects patient needs and preferences. Ethical considerations: this project will adhere to ethical principles of autonomy, beneficence, non-maleficence and justice. Informed consent, confidentiality and cultural selectivity will remain central throughout implementation.
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