The educational preparation of nursing staff undertaking pre-assessment of surgical patients – a discussion of the issues

Ormrod, Graham; Casey, Deborah C

doi:10.1016/j.nedt.2004.01.005

Cited by 10 publications

(4 citation statements)

References 22 publications

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“…It is against this backdrop that the establishment of perioperative competency standards for practice have rightly occupied professional perioperative nursing associations in many countries in recent times, much as they have concerned the wider nursing community 4,5 . The result of such preoccupation has been the development and publication of perioperative nursing competency standards by many organizations during the last two decades 6–8 .…”

Section: Methodsmentioning

confidence: 99%

A Synthesis of the Literature on “Competence” as It Applies to Perioperative Nursing

Gillespie¹,

Hamlin²

2009

AORN Journal

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Perioperative competence is an eclectic concept that has been difficult to define and even more difficult to measure. Competence has been described in relation to standards of practice with little emphasis placed on its interpersonal aspects. This article presents a synthesis of the literature focused on perioperative nurse competence. Although specialized knowledge in the form of technical proficiency is important, it is no longer the only indicator of perioperative competence. The findings in this synthesis attest to the increased awareness and emphasis given to human factors--recognition that teamwork, communication, coordination, and leadership also affect human performance. Based on these findings, the next important step would be to develop and test these categories of competence empirically.

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Section: Methodsmentioning

confidence: 99%

A Synthesis of the Literature on “Competence” as It Applies to Perioperative Nursing

Gillespie¹,

Hamlin²

2009

AORN Journal

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“…In this study, we examined the NRLS database in order to understand the contribution that a larger and more comprehensive database might make to identifying incidents and systemic problems relating to anaesthesia. As well as examining all anaesthetic incidents, we focused on pre‐surgery assessment, epidural anaesthesia, and incidents of awareness during anaesthesia, identified by multiple sources including the NPSA’s patient liaison group as numerically common incidents [9–13] that were associated with significant harm. As they cover a broad cross‐section of process, treatment and outcome in anaesthetic care, while being specific enough to allow detailed analysis and the identification of underlying systemic deficiencies, these incidents furthermore required us to consider methods for the collection and evaluation of large sets of safety data.…”

mentioning

confidence: 99%

Safety in anaesthesia: a study of 12 606 reported incidents from the UK National Reporting and Learning System

2008

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SummaryThe incident reporting database at the National Patient Safety Agency was interrogated on the nature, frequency and severity of incidents related to anaesthesia. Of 12 606 reports over a 2-year period, 2842 (22.5%) resulted in little harm or a moderate degree of harm, and 269 (2.1%) resulted in severe harm or death, with procedure or treatment problems generating the highest risk. One thousand and thirty-five incidents (8%) related to pre-operative assessment, with harm occurring in 275 (26.6%), and 552 (4.4%) related to epidural anaesthesia, with harm reported in 198 (35.9%). Fifty-eight occurrences of anaesthetic awareness were also examined. This preliminary analysis is not authoritative enough to warrant widespread changes of practice, but justifies future collaborative approaches to reduce the potential for harm and improve the submission, collection and analysis of incident reports. Practitioners, departments and professional bodies should consider how the information can be used to promote patient safety and their own defensibility.

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“…Courses are being designed for nurses to learn the skills required in the pre-assessment clinics and thereby help to improve day surgery efficiency (60) . However, extended roles and the gaining of pre-assessment skills both embrace devolved medical tasks (23,26,38,(61)(62)(63)(64)(65) .…”

Section: E T H O D O L O G Y L I T E R a T U R E R E V I E Wmentioning

confidence: 99%

Nursing knowledge and the expansion of day surgery in the United Kingdom

Mitchell

2006

Ambulatory Surgery

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For more information, including our policy and submission procedure, please contact the Repository Team at: usir@salford.ac.uk. N u r s i n g K n o w l e d g e a n d t h e E x p a n s i o n o f D a y S u r g e r y i n t h e U n i t e d K i n g d o m . AbstractBackground: The amount of surgery undertaken within United Kingdom Day Surgery Units has risen considerably over the past 15 -20 years. Throughout this pioneering era, nursing roles and responsibilities within the modern surgical environment have developed although have largely shadowed medical advances. Thereby, evidence based nursing knowledge appears to have contributed very little to the recent success of day surgery. This may be due, in part, to the lack of attention given to modern surgical practices within current preregistration nurse education programmes of study.Aim: The aim of this educational audit was to evaluate the consideration given to modern surgical practices in the programmes of study of recently qualified staff nurses employed within Day Surgery Units in the United Kingdom in order to gauge the extent of the challenge.Method: A postal audit was designed and sent to n=247 Day Surgery Units. The audit was intended to elicit information from the Staff Nurses regarding their experiences of modern, elective day surgery during their nurse education programmes of study.Results: Two hundred and seventy seven staff nurses responded revealing that the level of attention to day surgery practices within pre-registration programmes was extremely low. The Professions' actual and potential theoretical contribution to modern surgical practices was virtually nil. Their experience of pre-operative nursing intervention appeared mainly to involve the teaching of traditional surgical in-patients nursing skills. Additionally, the inclusion of modern surgical practices into the theoretical assignments within the programmes of study was very limited. Moreover, once qualified, the vast majority of staff nurses experienced no additional formal education for their new role. Conclusions:The results are discussed in relation to the re-focusing of pre-registration nurse education, changing clinical roles and the future of nursing within the modern surgical arena. D a y S u r g e r y : A N e w E r a o f S u r g i c a l N u r s i n g I n t e r v e n t i o n .

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The educational preparation of nursing staff undertaking pre-assessment of surgical patients – a discussion of the issues

Cited by 10 publications

References 22 publications

A Synthesis of the Literature on “Competence” as It Applies to Perioperative Nursing

A Synthesis of the Literature on “Competence” as It Applies to Perioperative Nursing

Safety in anaesthesia: a study of 12 606 reported incidents from the UK National Reporting and Learning System

Nursing knowledge and the expansion of day surgery in the United Kingdom

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