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Nurse-led pre-operative assessment: a study of appropriateness

Nurse-led pre-operative assessment: a study of appropriateness
Nurse-led pre-operative assessment: a study of appropriateness
A randomised controlled trial was undertaken to compare the safety and appropriateness of preoperative assessment of children prior to day case or minor surgery between five nurses and six senior house officers (SHOs). The nurses received 30 hours of training in history taking and physical assessment. Sixty children were randomly allocated to be assessed by an SHO or an assessment trained nurse and then by an expert (a specialist registrar paediatric anaesthetist). All children with no detectable abnormalities were identified correctly by both groups. The nursing group identified 85 per cent of the detectable abnormalities with the SHO group identifying 47 per cent. Parents, nurses, SHOs and surgeons were supportive of the initiative but anaesthetists were not so positive in their views. A larger study would indicate whether nurse-led pre-operative assessment could help to optimise pre-operative care of children.
15-20
Rushforth, Helen
a12eb91b-bee7-477b-9e1f-37fb3cbc0384
Bliss, Alison
4650b5ba-4e10-4725-8b50-ad34c40bc30a
Burge, David
17a2f2a5-6228-4192-92df-838e0cccdbe5
Glasper, Alan
381a920c-2ec2-40d4-a205-13869ff7c920
Rushforth, Helen
a12eb91b-bee7-477b-9e1f-37fb3cbc0384
Bliss, Alison
4650b5ba-4e10-4725-8b50-ad34c40bc30a
Burge, David
17a2f2a5-6228-4192-92df-838e0cccdbe5
Glasper, Alan
381a920c-2ec2-40d4-a205-13869ff7c920

Rushforth, Helen, Bliss, Alison, Burge, David and Glasper, Alan (2000) Nurse-led pre-operative assessment: a study of appropriateness. Paediatric Nursing, 12 (5), 15-20.

Record type: Article

Abstract

A randomised controlled trial was undertaken to compare the safety and appropriateness of preoperative assessment of children prior to day case or minor surgery between five nurses and six senior house officers (SHOs). The nurses received 30 hours of training in history taking and physical assessment. Sixty children were randomly allocated to be assessed by an SHO or an assessment trained nurse and then by an expert (a specialist registrar paediatric anaesthetist). All children with no detectable abnormalities were identified correctly by both groups. The nursing group identified 85 per cent of the detectable abnormalities with the SHO group identifying 47 per cent. Parents, nurses, SHOs and surgeons were supportive of the initiative but anaesthetists were not so positive in their views. A larger study would indicate whether nurse-led pre-operative assessment could help to optimise pre-operative care of children.

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Published date: June 2000

Identifiers

Local EPrints ID: 58906
URI: https://eprints.soton.ac.uk/id/eprint/58906
PURE UUID: b019e31e-408e-445e-8af0-1cefc994ee25

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Date deposited: 19 Aug 2008
Last modified: 13 Mar 2019 20:31

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