Entry-instrument used in the patient's evaluation in a post-anaesthetic recovery room: a matter of great concern: care continuity

Abstract

Objective: To know the nurses' evaluation about the continuity of nursing care. Methods: Fifty-nine nurses from two Hospitals (I and II) were interviewed. The questions addressed the following issues: the difficulties they face to obtain the necessary information to provide patient care in the immediate post-operative period; what is the best strategy to receive information related to this period; and what is their evaluation about the entryinstrument of the post anaesthetic recovery. Results: Difficulties in Hospital I: the instrument was often not included in the patient record and changing shifts over the telephone. Hospital II: incomplete completion of the instrument. Best strategy in Hospital I: entry-instrument associated to the shift change over the telephone. Hospital II: to aggregate the several means of information. Both groups evaluated the entry instrument and reported that it helps in the planning because it is a way to document patient care. They considered the aspects contained in the instrument as important and pertinent. Conclusions: This instrument consists of an efficient strategy for patient care continuity, in spite of the difficulties described above. Keywords: Anesthesia recovery period; Recovery room; Patient care; Nursing records; Perioperative nursing; Communication; Nursing assessment RESUMO Objetivo: Conhecer a avaliação dos enfermeiros das unidades pós-operatórias sobre a continuidade da assistência de enfermagem ao paciente cirúrgico. Métodos: Foram entrevistados 59 enfermeiros, de dois Hospitais (1 e 2) e se questionou quais as dificuldades na obtenção das informações necessárias para a assistência no período pós-operatório imediato; qual a melhor estratégia para receber informações pertinentes ao período; qual a avaliação sobre o instrumento de registro da recuperação pós-anestésica. Resultados: Dificuldades no Hospital 1: ausência do instrumento no prontuário do paciente e da passagem de plantão pelo telefone. No Hospital 2: preenchimento incompleto. Melhor estratégia no Hospital 1: instrumento de registro associado à passagem de plantão por telefone. Hospital 2: agregar os diversos meios de informações. A avaliação feita do instrumento de registro utilizado pelos dois grupos: o mesmo auxilia no planejamento sendo um meio de documentar o cuidado. Quanto aos aspectos contidos no instrumento: importantes e pertinentes. Conclusões: Constitui uma estratégia eficiente na continuidade da assistência apesar das dificuldades acima descritas. Descritores: Período de recuperação da anestesia; Sala de recuperação; Assistência ao paciente; Registros de enfermagem; Enfermagem perioperatória; Comunicação; Avaliação em enfermagem RESUMEN Objetivo: Conocer la evaluación de los enfermeros de las unidades post-operatorias sobre la continuidad de la asistencia de enfermería al paciente quirúrgico. Métodos: Fueron entrevistados 59 enfermeros, de dos Hospitales (1 y 2) y se preguntó respecto cuáles eran las dificultades en la obtención de las informaciones necesarias para la asistencia en el ...

Perceptions About an Instrument Used for Patients’ Evaluation and Discharge From Post-Anesthesia Care Units / Percepções Acerca de um Instrumento para Avaliação e Alta da Sala Recuperação Pós-Anestésica

“…In this context, the patients' safe recovery is linked directly to anesthetic-surgical procedures, considering the nursing procedures suitable for each patient and their recording to guarantee an assistance with expertise. 17 In the following testimonials, the interviewees pointed out that the hospital possesses an evaluation instrument for PACU patients, namely the Aldrete-Kroulik scale:…”

“…Consequently, information about nursing care during this period must be recorded by an instrument specific to each patient, allowing a continuous nursing care across different units of the institution. 17 Thus, we restate the importance of using a personalized instrument for recording nursing events related to postoperative patients and build a legal source of information to PACU professionals and to the institution. 19 According to the interviewees' report, the existence of a tool for the evaluation and discharge of patients from PACUs may help nursing and medical teams to provide care based on criteria specific to them.…”

Development and validation of educational videos addressing indwelling catheterization

“…Setting the number of experts at eight for the validation step was established based on other studies. [25,32,40] Even though the Delphi technique is not commonly found in the literature to validate the scripts of educational videos, it was used in this study because it is widely used in the nursing field to develop and validate information through expert consensus. [25] In regard to the number of rounds, one study reports that the Delphi technique generally requires two to three rounds to reach consensus among experts, though more rounds may be needed.…”

“…[19] The Delphi Technique allows the number of experts to be directly determined by the phenomenon one intends to study, ranging from 7 to 12 experts. [32,33] 2.2 Second Phase: Filming, editing, and validation of educational videos…”

Addressing the Mandate for Hand-off Education

“…There are numerous handoffs that occur routinely in academic anesthesia practice, and these hand-off types can be conceptualized as shift-to-shift handoffs, duty relief (breaks), or as transitions in care (table 1). Most original research and review articles about anesthesia handoffs focus on transitions in care, specifically operating room (OR) to postanesthesia care unit 1,[9][10][11][12][13][14][15][16][17][18][19][20][21][22]39,40 and OR to intensive care unit 12,23,[25][26][27][28][29][30][31][32][33][34]39,40 handoffs. Research focused on perioperative transitions has demonstrated repeated communication errors that are ameliorated with the institution of standardized hand-off processes, tools, or protocols.…”