Abstract
The deep inferior epigastric perforator (DIEP) free flap is the gold standard for autologous breast reconstruction. We identified a knowledge gap among dressing clinic nurses in a unit establishing a DIEP reconstruction service. A quality improvement project was undertaken to deliver a structured educational programme for nursing staff involved in postoperative follow-up of these patients. The intervention comprised formal teaching, dissemination of standardised care pathways, case-based discussions, and opportunities for theatre observation. Thirty-seven participants completed pre- and post-intervention questionnaires assessing self-reported confidence and knowledge across five domains, with additional qualitative feedback. Baseline confidence varied, particularly regarding flap assessment, recognition of complications, and patient counselling. Following the intervention, there was a statistically significant improvement in confidence across all five domains (p<0.001). Nearly all participants (97%) recommended the teaching programme. Qualitative feedback highlighted an improved understanding of flap anatomy, enhanced confidence in escalation of concerns, and greater engagement within the multidisciplinary team. Theatre observation was reported as particularly impactful. Our structured educational intervention significantly improved dressing clinic nurses' confidence and perceived competence in managing patients following DIEP reconstruction. This approach offers a practical framework to support safe service development and multidisciplinary integration when introducing new microsurgical services.