Abstract
OBJECTIVE: To investigate the current development status and nursing safety management of day surgery in medical institutions across Hubei Province, with the aim of providing a scientific basis for optimizing day surgery service processes and constructing a standardized nursing safety management system for day surgery. METHODS: A convenience sampling strategy was employed to conduct a questionnaire survey among 205 medical institutions in Hubei Province from August to September 2024. The survey covered multiple dimensions, including basic information about medical institutions, the implementation status of day surgery services, the content of day surgery nursing services, and the index system for nursing safety management in day surgery. RESULTS: Among the surveyed medical institutions, 66 (32.20%) offered day surgery services, with 72.73% being tertiary hospitals and 12.95% secondary hospitals. In terms of annual surgical volume, 87.88% of the institutions performed fewer than 3,000 day surgeries per year. Regarding nursing service content, the implementation rates of six key components did not reach 80%; among the 21 indicators in the nursing safety management index system, only seven had implementation rates exceeding 90%, eight ranged between 80 and 90%, and the remaining six were below 80%. CONCLUSION: Currently, the development of day surgery in medical institutions across Hubei Province is still in its nascent stages. There is a need to further increase the proportion of day surgeries among elective procedures, optimize the content of nursing services, and strengthen the standardized construction of nursing safety management systems. Simultaneously, the implementation of continuous nursing models should be promoted, and intelligent management tools should be utilized to comprehensively enhance the service quality and safety management levels of day surgery.