Main Article Content

Abdullah Turbush A Almalki
Sehrish Khan
Mohammed Saad W Almutari
Fahad Sulaiman B Althiyabi
Abdullah Maashi F Alenezi
Ibrahim Fahad Alfuhed
Thana Aljohani
Mariam Eid ALamrni
Muneera Alosimi
Zainab Al Musawi
Amjad Mohammad Almutairi


Effectiveness, Preoperative, Nursing Assessments, Preoperative Complications, Saudi Arabia


Background: Preoperative assessment is effective in identifying the complications before the surgery. The preoperative nurses assess the patient's physiological and psychological issues before surgery. These disturbances include Anxiety, stress, and fear due to a lack of information about the surgery procedure and its outcomes. Psychological issues cause postoperative complications among patients.

Aim: The purpose of the systematic review is to examine the effectiveness of preoperative nursing assessments in reducing preoperative complications across Saudi Arabia.

Method: A systematic search was conducted across prominent databases, comprising Scopus, Springer, and Sagepub, to identify relevant research articles published between 2018 and 2023. Inclusion and exclusion criteria were applied rigorously to select studies aligned with the research objectives.

Results: This systematic review shows noticeable variations in the effectiveness of preoperative nursing assessments in reducing preoperative complications in Saudi Arabia. The analysis also revealed key themes preoperative assessment results in decreased Anxiety; Patient satisfaction Linked with the Preoperative Nursing Assessment; Preoperative Nursing Assessment as Psychoeducation to the Patients; Nurses Training in Preoperative Assessment.

Conclusion: Based on a systematic review, it is concluded that preoperative nursing assessment is effective in reducing preoperative complications as it helps reduce Anxiety and increase knowledge about the procedure of surgery, which shows the significant positive impact on the patient's satisfaction. It is also concluded that nurses' training and education in preoperative assessment is necessary to deal with the patient in the OT as the lack of trained nursing staff increases the anxiety level of patients and makes them vulnerable to any complications.

Abstract 271 | pdf Downloads 54


1. Abd El GwadElkalashy, R., & Masry, S. (2018). The effect of preoperative educational intervention on preoperative Anxiety and postoperative outcomes in patients undergoing open cholecystectomy. BJU Int, 117(1), 62-71.
2. Al amine Ali, E. S., & Abdallah, H. M. A. (2020). Effect of preoperative preparation on patients outcome among patients undergoing surgical operations at almik nimir hospital–sudan. Int J Res Granthaalayah, 8(8), 346-355.
3. Albolowi, N., Mustafa, O., Almohammadi, M., Al-Hindi, M. Y., & Jastaniah, W. (2020). Outcomes of a preoperative risk-based transfusion assignment protocol in sickle cell disease patients: a single-centre retrospective study from Saudi Arabia. Pediatric Hematology and Oncology, 37(7), 599-609.
4. AlFaifi, J. J., Alrehaili, R. A., Alshammari, S. D., Alqurashi, J. H. M., Alasmari, H. M. A., & Alhallafi, A. F. S. (2023). Levels of Surgical Patients' Education Related to Surgical Interventions Among Patients in Saudi Arabia. Cureus, 15(7).
5. Alharbi, N. S., Youssef, H. A., Felemban, E. M., Alqarni, S. S., Alharbi, N. M., Alsayed, A. A. O., ... & Shahbal, S. (2022). Saudi Emergency Nurses Preparedness For Biological Disaster Management At The Governmental Hospitals. Journal of Positive School Psychology, 6(9), 1218-1235.
6. Al-Somali, N. H.(2020). Implementation of a Nurse-Led Preoperative Clinic to Reduce Surgical Cancellation Rates in Saudi Arabia.
7. Anaba, P., Anaba, E. A., & Abuosi, A. A. (2020). Patient satisfaction with perioperative nursing care in a tertiary hospital in Ghana. International Journal of Health Care Quality Assurance, 33(6), 463-475.
8. Aronson, S., Murray, S., Martin, G., Blitz, J., Crittenden, T., Lipkin, M. E., ... & Flintom, C. (2020). Roadmap for transforming preoperative assessment to preoperative optimization. Anesthesia & Analgesia, 130(4), 811-819.
9. Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2018). Empowering education: A new model for in-service training of nursing staff. Journal of advances in medical education & professionalism, 5(1), 26.
10. Felemban, S. M. (2020). The Outcome Of Preoperative Transfusion Guideline On Sickle Cell Disease Patients At King Fahd Hospital-Jeddah (Ksa). American Journal of Clinical Pathology, 154(Supplement_1), S111-S111.
11. Hameed, R., & Mohammed, S. H. (2018). Nurses' knowledge and practice concerning pre and postoperative care in Nineveh Governorate. Mosul Journal of Nursing, 6(1), 41-50.
12. Hegarty, A., & Shah, N. (2018). Preoperative and operative care. Medicine, 46(12), 747-749.
13. Johnstone, J. (2020). How to provide preoperative care to patients. Nursing Standard. doi, 10.
14. Lambert-Kerzner, A., Ford, K. L., Hammermeister, K. E., Henderson, W. G., Bronsert, M. R., & Meguid, R. A. (2018). Assessment of attitudes towards future implementation of the "Surgical Risk Preoperative Assessment System" (SURPAS) tool: a pilot survey among patients, surgeons, and hospital administrators. Patient Safety in Surgery, 12, 1-15.
15. Liddle, C. (2018). An overview of the principles of preoperative care. Nursing Standard, 33(6).
16. Majid, N. (2020). The practice of patient education among public hospital nurses in Malaysia. Environment-Behaviour Proceedings Journal, 5(15), 131-137.
17. Mukantwari, J., Omondi, L., & Ryamukuru, D. (2021). Perioperative Nursing Training in Rwanda in Partnership with American Universities: The Journey So Far. Rwanda Journal of Medicine and Health Sciences, 4(1), 185-196.
18. Mulugeta, H., Ayana, M., Sintayehu, M., Dessie, G., & Zewdu, T. (2018). Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC anesthesiology, 18(1), 1-9.
19. Musa, S., & Ali, A. (2018). Adequacy of Preoperative Teaching Provided For Surgical Patients in Selected Hospitals of Kano State: Patients' Perspectives. IOSR, 7(4), 01-9.
20. Odor, P. M., Bampoe, S., Gilhooly, D., Creagh-Brown, B., & Moonesinghe, S. R. (2020). Perioperative interventions for prevention of postoperative pulmonary complications: systematic review and meta-analysis. Bmj, 368.
21. Ommundsen, N., Wyller, T. B., Nesbakken, A., Bakka, A. O., Jordhøy, M. S., Skovlund, E., & Rostoft, S. (2018). Preoperative geriatric assessment and tailored interventions in frail older patients with colorectal cancer: a randomized controlled trial. Colorectal Disease, 20(1), 16-25.
22. Phillips, J., & Perriman, C. (2018). Preoperative and postoperative care. Clinical Skills for Nursing Practice, 423-446.
23. Shahbal, S., Noshili, A. I., Hamdi, A. M., Zammar, A. M. A., Bahari, W. A., Al Faisal, H. T., ... & Buraik, L. M. (2022). Nursing profession in the light of Social Perception in the Middle East. Journal of Positive Psychology and Wellbeing, 6(1), 3970-3976.
24. Tadesse, B., Kumar, P., Girma, N., Anteneh, S., Yimam, W., & Girma, M. (2023). Preoperative Patient Education Practices and Predictors Among Nurses Working in East Amhara Comprehensive Specialized Hospitals, Ethiopia, 2022. Journal of Multidisciplinary Healthcare, 237-247.
25. Tarekegn, F., Asfaw, G., & Mossie, M. (2020). Perioperative mortality at tibebe ghion specialized teaching Hospital, Ethiopia: a longitudinal study design. International Journal of Surgery Open, 26, 81-85.
26. Thangam, M. M. N., & Al, M. (2022). Strengthening the preoperative Nursing Care: Stress and coping abilities of clients undergoing surgical procedure in Tabuk.
27. Zarei, B., Valiee, S., Nouri, B., Khosravi, F., & Fathi, M. (2018). The effect of multimedia-based nursing visit on preoperative Anxiety and vital signs in patients undergoing lumbar disc herniation surgery: A randomized clinical trial. Journal of Perioperative Practice, 28(1-2), 7-15.