Its primary purpose is to support the patient’s emotional well-being and improve communication before the procedure.

Why Nurses Often Recognize Hidden Signs of Anxiety

Nurses frequently spend more time communicating directly with patients than other members of the surgical team.

This gives them opportunities to notice changes in behavior that may indicate discomfort or worry.

For example, a patient who repeatedly asks when surgery will begin may be struggling with uncertainty. Someone who suddenly stops talking may feel overwhelmed.

Other possible signs include:

• Repeatedly looking toward the operating room entrance.
• Asking the same questions several times.
• Appearing unusually tense or restless.
• Having difficulty concentrating on instructions.
• Expressing concerns about anesthesia or recovery.

These behaviors do not automatically mean that a patient has an anxiety disorder. They may simply indicate that the person needs additional information or support.

A thoughtful nurse might ask, “What is worrying you most right now?”

This open-ended question gives patients an opportunity to explain their concerns in their own words.

Sometimes, the answer reveals something that requires further attention, such as a medication question, an allergy, uncertainty about the planned procedure, or a misunderstanding about recovery.

Identifying these concerns before surgery allows the appropriate members of the medical team to address them.

Can Holding a Patient’s Hand Make a Difference?

A reassuring gesture, such as briefly holding a patient’s hand, may provide comfort to some individuals.

In a clinical environment filled with unfamiliar equipment and procedures, a small gesture of human connection can help a patient feel less alone.

However, physical contact should always respect personal boundaries.

Not every patient feels comfortable being touched. Some may have personal, cultural, or medical reasons for preferring additional space.

Nurses should pay attention to individual preferences and ask permission when appropriate.

Reassurance can also be offered through eye contact, listening, a gentle tone of voice, or a clear explanation.

The most important principle is that emotional support should be guided by the patient’s comfort and consent.

How Preoperative Communication Supports Patient Safety

Emotional reassurance is only one part of a nurse’s responsibilities before surgery.

Healthcare professionals also follow established safety procedures to ensure that patients are appropriately prepared.

Depending on the procedure and hospital protocols, these responsibilities may include:

• Confirming the patient’s identity.
• Verifying the planned procedure and surgical site.
• Reviewing relevant medical information.
• Checking documented allergies.
• Confirming medication information.
• Reviewing required assessments and consent documentation.
• Ensuring that applicable preoperative instructions have been followed.

These checks are essential components of surgical safety.

Good communication complements these responsibilities because patients who feel comfortable speaking with their healthcare team may be more willing to raise important questions or disclose information.