The efficacy of a nurse-led preoperative cataract assessment and postoperative care clinic.
OBJECTIVE
To describe the implementation of a nurse-led preoperative cataract assessment and postoperative care clinic and to assess the safety, efficacy and outcomes.


METHODS
A prospective study involving 185 public patients (221 eyes) referred to the Department of Ophthalmology at Flinders Medical Centre for cataract surgery. The study was conducted between February 2003 and August 2004.


METHODS
Patients were assessed in the nurse-led preoperative assessment clinic. Those deemed suitable for cataract surgery were also assessed by an ophthalmologist and underwent cataract surgery if appropriate. The nurse managed postoperative care.


METHODS
Concordance between nurse practitioner and ophthalmologist assessments; waiting times for first clinic appointment and surgery; visual acuity and degree of visual disability; patient satisfaction.


RESULTS
114 patients (61.6%) were assigned to see the ophthalmologist for cataract surgery. Median waiting times fell from 115 days (range, 23-268 days) to 21 days (range, 9-43 days) for initial clinic appointment, and from 44 days (range, 5-148 days) to 29 days (range, 14-154 days) for surgery. All 114 patients were listed for cataract surgery, and surgery had been performed on 121 eyes by the end of the study. After surgery, visual acuity improved by a mean of 0.45 logMAR (logarithm of the minimal angle of resolution) (SD, 0.24; range, 0.08-1.32). All patients had improved visual ability and high levels of satisfaction. Three quality assurance evaluations demonstrated full concordance between nurse and ophthalmologist assessments.


CONCLUSIONS
Implementing a nurse-led cataract assessment clinic improved access to care for public patients with cataracts. The safety and efficacy of the program and its excellent visual and patient-centred outcomes commend its adaptation and implementation to other ophthalmology departments.
Kirkwood
Bradley J
BJ
Department of Ophthalmology, NHMRC Centre for Clinical Eye Research, Flinders Medical Centre and Flinders University, Adelaide, SA.
Pesudovs
Konrad
K
Latimer
Paul
P
Coster
Douglas J
DJ
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000451:nursing* / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D017146:Models, Organizational; D009730:Nursing Assessment / Q000706:statistics & numerical data; D009739:Nursing Services / Q000706:statistics & numerical data*; D010043:Outcome and Process Assessment, Health Care; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D013527:Perioperative Nursing / Q000706:statistics & numerical data*; D011182:Postoperative Care / Q000451:nursing / Q000706:statistics & numerical data; D011300:Preoperative Care / Q000451:nursing / Q000706:statistics & numerical data; D011446:Prospective Studies; D011785:Quality Assurance, Health Care / Q000379:methods; D013021:South Australia; D014850:Waiting Lists