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dc.contributor.authorStreet, M
dc.contributor.authorPhillips, NM
dc.contributor.authorHaesler, E
dc.contributor.authorKent, B
dc.date.accessioned2018-08-15T14:24:44Z
dc.date.issued2018-11
dc.identifier.issn0309-2402
dc.identifier.issn1365-2648
dc.identifier.urihttp://hdl.handle.net/10026.1/12156
dc.description.abstract

<jats:title>Abstract</jats:title><jats:sec><jats:title>Aims</jats:title><jats:p>To evaluate use of an evidence‐based discharge tool, the Post‐Anaesthetic Care Tool and its impact on nursing assessment, communication, and management of patients in the postanaesthetic care unit.</jats:p></jats:sec><jats:sec><jats:title>Background</jats:title><jats:p>Postanaesthetic care unit nurses manage patients immediately after surgery and make clinical decisions on discharge readiness. There is a lack of evidence‐based guidance on assessing, documenting, and communicating the patient's postoperative experience. The Post‐Anaesthetic Care Tool, which includes instructions for assessing discharge readiness and incorporates the <jats:styled-content style="fixed-case">ISOBAR</jats:styled-content> acronym, was developed following a comprehensive systematic review and expert consultation.</jats:p></jats:sec><jats:sec><jats:title>Design and Methods</jats:title><jats:p>This quasiexperimental, multicentre, nonrandomized study was conducted in three postanaesthetic care units in Australia. Participants were nurses providing care to adults postgeneral anaesthesia. Episodes of care were observed before (<jats:italic>N</jats:italic> = 723) and after (<jats:italic>N</jats:italic> = 694) introduction of the evidence‐based tool. Statistical methods (Chi‐Square and Mann–Whitney <jats:italic>U</jats:italic>‐Tests) were undertaken to analyse nursing assessment, communication, and management outcomes before and after implementation of the Post‐Anaesthetic Care Tool.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The Post‐Anaesthetic Care Tool was associated with statistically significant improvements in the frequency of nursing assessment and responsiveness to complications including pain, nausea/vomiting and hypothermia. After the tool's introduction, nurses requested more medical reviews. This was associated with increased recognition of clinical deterioration and significant improvements in clarity of handover from the postanaesthetic care unit to the ward.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The structured discharge tool, Post‐Anaesthetic Care Tool, was associated with improved nursing management of patients in the postanaesthetic care unit and enabled early identification and response to clinical concerns.</jats:p></jats:sec>

dc.format.extent2566-2576
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherWiley
dc.subjectadverse effects
dc.subjectclinical handover
dc.subjectnursing assessment
dc.subjectpatient discharge
dc.subjectpatient safety
dc.subjectpostanaesthetic care unit
dc.subjectsurgery
dc.titleRefining nursing assessment and management with a new post-anaesthetic care discharge tool to minimise surgical patient risk
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000447551800010&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue11
plymouth.volume74
plymouth.publication-statusPublished
plymouth.journalJournal of Advanced Nursing
dc.identifier.doi10.1111/jan.13779
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2018-04-20
dc.rights.embargodate2019-6-26
dc.identifier.eissn1365-2648
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1111/jan.13779
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2018-11
rioxxterms.typeJournal Article/Review


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