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Nurse-led paediatric pre operative assessment: an equivalence study

Nurse-led paediatric pre operative assessment: an equivalence study
Nurse-led paediatric pre operative assessment: an equivalence study
Aim

To explore whether nurses can undertake the pre operative assessment of children prior to day case surgery as safely as senior house officers.

Design

A randomised controlled trial involving 595 children, using an equivalence methodology (a method which looks for similarity rather than a significant difference). Pre-operative assessment prior to day case surgery was randomised to either a nurse (experimental group) or a junior doctor (control group). Blinded expert verification of nurse/junior doctor performance was ascertained by an experienced anaesthetist (the ‘gold standard’).

Results

There was equivalence between nurses and senior house officers in their ability to detect clinically significant abnormalities within the sample population. Subgroup analysis also demonstrated equivalence in respect of history taking abilities. The smaller number of clinically significant physical findings within the sample meant that equivalence in respect of physical examination remains uncertain. Although the study was limited to a single setting, the results demonstrate nurses’ equivalence with junior doctors in a discrete paediatric context.
children, surgery, pre-operative assessment, nurse-led services
23-29
Rushforth, H.
a12eb91b-bee7-477b-9e1f-37fb3cbc0384
Burge, D.
d5753e4a-8221-4700-b0f5-79258ab7ef05
Mullee, M.
fd3f91c3-5e95-4f56-8d73-260824eeb362
Jones, S.
43516f9c-c999-4c10-86b6-43992e4e7a29
McDonald, H.
dd015d0d-578d-4aca-bb60-630ea406799f
Glasper, E.A.
381a920c-2ec2-40d4-a205-13869ff7c920
Rushforth, H.
a12eb91b-bee7-477b-9e1f-37fb3cbc0384
Burge, D.
d5753e4a-8221-4700-b0f5-79258ab7ef05
Mullee, M.
fd3f91c3-5e95-4f56-8d73-260824eeb362
Jones, S.
43516f9c-c999-4c10-86b6-43992e4e7a29
McDonald, H.
dd015d0d-578d-4aca-bb60-630ea406799f
Glasper, E.A.
381a920c-2ec2-40d4-a205-13869ff7c920

Rushforth, H., Burge, D., Mullee, M., Jones, S., McDonald, H. and Glasper, E.A. (2006) Nurse-led paediatric pre operative assessment: an equivalence study. Paediatric Nursing, 18 (3), 23-29. (PMID:16634381)

Record type: Article

Abstract

Aim

To explore whether nurses can undertake the pre operative assessment of children prior to day case surgery as safely as senior house officers.

Design

A randomised controlled trial involving 595 children, using an equivalence methodology (a method which looks for similarity rather than a significant difference). Pre-operative assessment prior to day case surgery was randomised to either a nurse (experimental group) or a junior doctor (control group). Blinded expert verification of nurse/junior doctor performance was ascertained by an experienced anaesthetist (the ‘gold standard’).

Results

There was equivalence between nurses and senior house officers in their ability to detect clinically significant abnormalities within the sample population. Subgroup analysis also demonstrated equivalence in respect of history taking abilities. The smaller number of clinically significant physical findings within the sample meant that equivalence in respect of physical examination remains uncertain. Although the study was limited to a single setting, the results demonstrate nurses’ equivalence with junior doctors in a discrete paediatric context.

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More information

Published date: April 2006
Keywords: children, surgery, pre-operative assessment, nurse-led services

Identifiers

Local EPrints ID: 41455
URI: http://eprints.soton.ac.uk/id/eprint/41455
PURE UUID: 9f4b9516-18ef-46c2-a2ea-d9dae2f87b56

Catalogue record

Date deposited: 11 Sep 2006
Last modified: 08 Jan 2022 06:58

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Contributors

Author: H. Rushforth
Author: D. Burge
Author: M. Mullee
Author: S. Jones
Author: H. McDonald
Author: E.A. Glasper

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