Mark Mitchell

Mark Mitchell
University of Salford · University of Salford

BA, MSc, PhD, RN, NDNCert

About

43
Publications
18,340
Reads
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993
Citations
Introduction
Social, physical and psychological recovery at home following surgery on an enhanced recovery pathway
Additional affiliations
January 1994 - present
University of Salford
Position
  • Psychological aspects of care in minimal stay surgery

Publications

Publications (43)
Article
Aims and objectives: To determine selection and delivery of preoperative verbal information deemed important by nurses to relay to patients immediately prior to day surgery. Background: Elective day-case surgery is expanding, patient turnover is high and nurse-patient contact limited. In the brief time-frame available, nurses must select and pre...
Article
Full-text available
The study explored the behaviour of patients driving within 24 hours of a day-case procedure. Although advised not to drive for 24 hours, evidence suggests some patients are non-compliant. Of the 654 questionnaires returned, 3 people drove home following General Anaesthesia, 1 after sedation and 16 following Local Anaesthesia with 30 not responding...
Article
To investigate aspects of care potentially most influencing home recovery following day surgery. Elective surgery undertaken on a day-case basis is expanding. Many medical aspects of recovery have been investigated although less is known about the psychosocial view of postdischarge recovery. Greater insight into such issues is required for the deve...
Article
Full-text available
An increase in minimal-stay surgery has reduced opportunities for nurses to discuss patients' anxieties about anaesthesia and the procedures that they will undergo. To allay patient anxieties and therefore promote a good recovery from surgery, nurses need to put in place a planned programme of information provision for patients. They are in a good...
Article
The number of patients treated by elective day-case surgery in the UK is growing. Patient preoperative anxiety can be considerable, although the opportunity to help to reduce fears is minimal. Day surgery patients (n = 674) were surveyed and 82% were found to be anxious. General anaesthesia patients were more anxious than local anaesthesia patients...
Article
Elective day-case surgery undertaken in the UK is growing. Patient pre-operative anxiety can be considerable although the opportunity to help reduce fears is minimal. Day surgery patients (n=674) were surveyed and 82% were found to be anxious. General anaesthesia patients were more anxious than local anaesthesia patients and females more anxious th...
Article
Aim: To evaluate the experiences of patients and caregivers in the early transition phase of recovery at home following day surgery. Background: A global increase in elective day surgery has taken place over the last two decades. This has arisen from enhanced surgical and anaesthetic techniques, healthcare cost containment and patient preference. M...
Article
Patients undergoing surgery in the UK are seeing a rise in the development of enhanced recovery programmes as a result of increasing medical advances. Enhanced recovery is concerned with helping patients get better sooner after an operation by following a meticulous regime of care. The practical application of these programmes is undertaken largely...
Article
  To investigate the possible influence of gender and anaesthesia type on anxiety prior to day surgery.   Elective surgery undertaken on a day, short stay or 'day of surgery' basis is growing and much emphasis also placed on 'enhanced recovery' for in-patient surgery. During such brief episodes preoperative apprehension can be considerable but the...
Article
The pursuit of greater efficiency in modern day surgery has led to the adoption and development of many new and extended nursing roles. Such roles often focus on physiological measurement to ensure patient safety before and during surgery. However, studies suggest that patients require considerable care in relation to the social and psychological e...
Article
Full-text available
The pursuit of greater efficiency in modern day surgery has led to the adoption and development of many new and extended nursing roles. Such roles often focus on physiological measurement to ensure patient safety before and during surgery. However, studies suggest that patients require considerable care in relation to the social and psychological e...
Article
This paper is a report of a study carried out to uncover the most anxiety-provoking aspects of general anaesthesia and determine what interventions may help to alleviate such anxiety. General anaesthesia has proved to be highly anxiety-provoking. With the rise in elective day surgery, this aspect of patients' experience has become a prominent issue...
Article
Full-text available
The amount of surgery undertaken on the conscious patient is increasing. However, many patients are anxious and resistant to such surgery. Patients (n = 214) were surveyed to determine their related apprehensions. Being awake, feeling or seeing the body cut open and experiencing pain all increased anxiety. The potential for insufficient information...
Article
This paper is a report of a study: (i) to investigate anxiety arising from the experience of the clinical environment during surgery under local/regional anaesthesia and (ii) to uncover the specific aspects patients find anxiety provoking and possibly dissuade them from opting for such anaesthesia. Operating theatre staff have focused historically...
Article
Aim: The aim of this review was to examine the present scope and direction of nursing research into day surgery in order to gain insight into possible future surgical nursing intervention in a rapidly changing healthcare environment. Background: Elective surgical healthcare is changing rapidly. This process has witnessed modern surgical nursing bei...
Article
A considerable amount of elective surgery can now be undertaken on a day-case or short-stay basis--23-hour or 72-hour stay. Such changes to modern surgery are transforming surgical nursing as a result of the reduced levels of physical care traditionally required by elective surgical patients. Brief hospital stay and self-care have become the greate...
Article
The amount of time patients spend in hospital preparing for and recovering from elective surgery has reduced significantly in recent years. Nursing interventions associated with lengthy hospital admissions are no longer appropriate for patients who may only stay in hospital for hours rather than days, and therefore psychological and educational int...
Article
Background: The amount of surgery undertaken within United Kingdom Day Surgery Units has risen considerably over the past 15–20 years. Throughout this pioneering era, nursing roles and responsibilities within the modern surgical environment have developed although have largely shadowed medical advances. Evidence based nursing knowledge appears to h...
Article
Link teachers have historically been employed to encourage the utilisation of nursing theory in the clinical setting. However, evidence suggests that this role has done little to help establish a theory-practice link. This article outlines the concept of a nurse academic linking with a clinical area, which is compatible with their clinical research...
Article
This book is the first of its kind to specifically outline the psycho-educational nursing interventions required by the anxious, adult patient undergoing elective, ambulatory surgery. Pre-operative anxiety has been recognised for many decades and is a considerable issue for the majority of surgical patients. However, no planned specific psychologic...
Article
Background: Effective pain management following day surgery is a challenging issue. For the majority of patients severe pain is uncommon. However, a number of patients experience considerable pain following discharge. Uncontrolled pain is one of the main causes of re-admission to an inpatient bed following day surgery and a leading cause of patien...
Article
Most cases of elective surgery in the UK are now undertaken in day-case facilities, and the trend is set to increase. Surgical and anaesthetic health care is changing rapidly. Traditional pre- and post-operative nursing intervention, once commonly taught and practised, must now be re-evaluated as a result of such transformations. However, undertaki...
Article
• Medical advances have led to a considerable rise in the level of elective surgery undertaken as day-case surgery and with minimal hospital stay. However, amid such advances, preoperative psychological care has remained relatively static. • A considerable number of patients are very anxious prior to elective surgery and little formal care is under...
Article
This article outlines the increase in the amount and complexity of day-case surgery currently being undertaken in the UK. The continuing increase in day surgery has led to a corresponding rise in patient and lay carer involvement throughout the pre- and postoperative period. The impact day surgery expansion is having on patients and their carers' c...
Article
An increase in day surgery activity to 75 per cent of all elective surgery is a central feature of the NHS Plan (DoH 2000). However, patient information provision remains a challenge for all modern surgery as the time spent in hospital is brief and the level of self-care has grown. Effective information provision and an increased emphasis on psycho...
Article
An increase in day surgery activity to 75 per cent of all elective surgery is a central feature of the NHS Plan (DoH 2000). However, patient information provision remains a challenge for all modern surgery as the time spent in hospital is brief and the level of self-care has grown. Effective information provision and an increased emphasis on psycho...
Article
As modern surgical and anaesthetic techniques develop even greater capabilities, the time in which to adequately undertake such nurse/patient discussions has past and will never return. Information provision is thus a challenge for day surgery. Many studies have suggested patients require differing levels of information i.e. full, partial and minim...
Article
Improved anaesthetic techniques and the increase in minimal access surgery over the past 20 years has had a considerable impact upon the pattern of nursing care required by the surgical patient. In order to adapt to these changes some day surgery nurses have opted for an extension to their role while the majority have expanded their remit and perfo...
Article
Full-text available
Surgical nursing is changing as the type of surgical procedures being performed are becoming more complex and the time for delivering nursing care is reducing. This has resulted in condensing the acute physical care required into a few hours, often to the detriment of other aspects of nursing intervention such as pre- and post-operative anxiety man...
Article
Surgical and anaesthetic intervention associated with day surgery over the last 10 years has greatly improved although the position of psychological preparation has remained virtually unchanged [Ridgeway V, Mathews A. Brit J Clin Psychol 1982;21(4):271–80; Salmon P. Clin Psychol Rev 1992;12(7):681–704; Jarrett PEM. Surgery 1997;15(4):94–6]. Informa...
Article
Medical and pharmacological advances in surgery have contributed to the current and continued growth of day surgery. As the majority of adult UK elective surgery now takes place within day surgery facilities, these changes will inevitably have an impact upon nursing intervention. Past nursing practices may have to undergo a period of redevelopment...
Article
While the quality of medical intervention associated with day surgery has greatly improved, the position of psychological preparation has remained virtually unchanged. Recent evidence, however, has suggested that anxiety levels can be significantly reduced if preparatory information can be matched with individual coping styles. As choice of coping...
Article
The pursuit of greater efficiency in modern day surgery has led to the adoption and development of many new and ‘extended’ nursing roles. Such roles often focus on physiological measurement to ensure patient safety before (and during) surgery. However, studies suggest patients require considerable care in relation to the social and psychological im...
Article
Full-text available
For many patients the prospective of undergoing surgery and general anaesthesia is highly anxiety provoking. With the global rise in day surgery and limited nurse/ patient contact, anxiety has become a prominent issue. The aim of the study was to establish the degree of anxiety arising from elective day surgery and general anaesthesia and uncover s...

Projects

Projects (2)
Project
1) Investigate nurses and midwives views of the privacy afforded to prisoner-patients admitted to the hospital setting. 2) Examine nurses and midwives communication with prisoner-patients during hospital stay. 3) Evaluate nurses and midwives interactions with prisoner-patients throughout hospitalisation. 4) Develop professional recommendations to assist nursing and midwifery intervention with prisoner-patients in the acute setting.
Project
1) Investigate the prisoner-patient experience of initial contact in the Outpatient Clinic and Pre-assessment Clinic. 2) Examine the prisoner-patient encounter with minimal stay admission. 3) Evaluate the post-discharge prisoner-patient experience of prison recovery. 4) Develop professional recommendations to assist hospital stay and prison recovery.