Effect of a new nursing organization management mode constructed by appreciative inquiry on gynecological tumor patients in the perioperative period.
Chuntao Fang, Jing Yang
PMID 41160111WHAT IT FOUND
Gynecological tumor surgery patients in an appreciative inquiry nursing model had better resilience, quality of life, fewer pelvic floor symptoms, shorter postoperative recovery, and higher satisfaction than routine nursing patients.
Key findings
01After four weeks, the appreciative inquiry group had higher resilience and growth scores than the routine group, with CD-RISC 83.15 versus 76.54 and PTGI 98.35 versus 91.03.
02The appreciative inquiry group had better quality of life and fewer pelvic floor symptoms, with WHOQOL-BREF 106.85 versus 99.47 and PFDI-20 35.38 versus 39.58.
03The appreciative inquiry group had lower stigma, shorter exhaust time, shorter stay, and higher satisfaction, with SIS total 41.55 versus 53.29, exhaust 20.97 versus 31.48 hours, stay 8.84 versus 10.39 days, and satisfaction 98.81 versus 94.46.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Patients were assigned to nursing modes rather than randomly, so baseline differences or staff factors may explain some results. The analysis did not adjust for potential confounders, and no subgroup or interaction analyses were performed. The appreciative inquiry group received several bundled nursing activities, so the contribution of appreciative inquiry alone cannot be separated. The study was single-center and followed patients for only a short postoperative period. Outcome assessors and patients were not described as blinded, and self-reported satisfaction and symptom scores may be influenced by knowing the care model.
The easy way to misread this
Do not conclude that appreciative inquiry alone improved these outcomes. The study group also received pelvic floor training with urine suppression and biofeedback, WeChat support, family education, psychological sessions, patient experience sharing, and guided relaxation, and patients were assigned by nursing mode rather than randomly.