Education, Competence, and Role of the Nurse Working in the PACU: An International Survey

Dahlberg, Karuna; Brady, Joni M.; Jaensson, Maria; Nilsson, Ulrica; Odom-Forren, Jan

doi:10.1016/j.jopan.2020.08.002

Cited by 19 publications

(20 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It can also form guidelines for skill acquisition by nursing students and nurses at lower competence levels. As there is no education specifically for nurses working in PACUs in Sweden, the present results together with those of two other studies by the same authors [12,13] could form the basis for developing education for PACU nurses in Sweden.…”

Section: Discussionsupporting

confidence: 63%

“…To enable safe and successful recovery for patients who have undergone surgery, nurses need competence in postoperative care [10,11]. However, there is no consensus regarding the competence or education needed to provide safe, highquality patient care in post-anaesthesia care units (PACU) [12,13]. This lack of consensus has been raised and discussed by the ICPAN, International Collaboration of PeriAnesthesia Nurses board and its members and is an area that needs further development and collaboration to strengthen nursing in the PACU [14,15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Nurse competence in the post-anaesthesia care unit in Sweden: a qualitative study of the nurse’s perspective

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background To enable safe and successful recovery for surgery patients, nurses working in post-anaesthesia care units need competence in postoperative care. No consensus defines what this specific competence includes, and it has not been studied from the perspective of nurses working in post-anaesthesia care units. The aim of this study is twofold: 1) To explore and describe nurses’ perception of the competence needed to work in post-anaesthesia care units. 2) To explore and describe nurses’ perception of what characterizes an expert nurse in post-anaesthesia care units. Methods This qualitative inductive study uses individual interviews. Sixteen nurses were recruited from two post-anaesthesia care units located in different parts of Sweden. Inclusion criteria were nurses employed in the post-anaesthesia care units for ≥1 years. Semi-structured individual interviews were conducted; data were analysed using thematic analysis. Results The interview analysis identified six subthemes and three themes. The themes being adaptable in an ever-changing environment and creating safe care represent the overarching meaning of competence required when working as a nurse in a Swedish post-anaesthesia care unit. Nurses must possess various technical and nontechnical skills, which are core competences that are described in the sub-themes. The theme seeing the bigger picture describes the nurse’s perception of an expert nurse in the post-anaesthesia care unit. Conclusions Nurse competence in post-anaesthesia care units entails specific knowledge, acknowledging the patient, and working proactively at a fast pace with the patient and team to provide safe, high-quality care. An expert nurse in post-anaesthesia care units can see the bigger picture, helping share knowledge and develop post-anaesthesia care. The expert competence to see a bigger picture can be used in supervising novices and creating a knowledge base for postgraduate education in order to promote safe, high-quality post-anaesthesia care.

show abstract

Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Nurse competence in the post-anaesthesia care unit in Sweden: a qualitative study of the nurse’s perspective

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Inspiration for the web‐based survey used here came from a survey that our research group developed for an international study describing the education, competence and role of RNs working in PACUs in 11 Western countries (6). The questions concerned phase‐1 and phase‐2 recovery, where phase 2 refers to day surgery only.…”

Section: Methodsmentioning

confidence: 99%

“…Specialized nursing care during postoperative recovery in the hospital is rarely described in the literature. Few countries have formal education for nurses working in PACUs (6). Poole reported that nurses with different levels of education (i.e.…”

Section: Introductionmentioning

confidence: 99%

Levels of education and technical skills in registered nurses working in post‐anaesthesia care units in Sweden

Dahlberg

Jaensson

Flodberg

et al. 2021

Scandinavian Caring Sciences

Self Cite

View full text Add to dashboard Cite

Background Specialized nursing care should be provided by nurses working in post‐anaesthesia care units to ensure safe and successful recovery after surgery and anaesthesia. However, there is no consensus regarding the competence and education needed by nurses working in post‐anaesthesia care units. Aim The aim of this study is to describe and compare levels of education and technical skills in registered nurses working in post‐anaesthesia care units in Sweden, as well as the education that post‐anaesthesia care unit nurse managers’ desire for registered nurses working in post‐anaesthesia care units. Methods This descriptive cross‐sectional study was conducted in Sweden between September and December of 2019. A web‐based survey was developed that included questions about the levels of education and technical skills possessed by registered nurses working in Swedish post‐anaesthesia care units and desired by nurse managers for these nurses. The survey was evaluated for content validity by four experts. The survey was distributed to the nurse manager of each studied post‐anaesthesia care unit. All nurse managers received written information and were informed that submitting the survey was considered as consenting to participate in the study. Results Most surveyed nurses held a postgraduate diploma in specialist nursing. Registered nurses performed many tasks autonomously; however, there was a significant difference between specialist nurses and registered nurses, with specialist nurses being more autonomous than registered nurses. Most of the nurse managers (n = 31/45) wanted the registered nurses in their units to have education in postoperative care. The relatively low overall response rate of 58% is a study limitation. Conclusions Registered nurses working in post‐anaesthesia care units in Sweden must have various technical skills. Some of these skills are only performed by specialist nurses, indicating that postoperative care is an advanced level of nursing care.

show abstract

“…We are fortunate to have the richness of information that comes from a global community who are interested in the same preanesthesia, postanesthesia, sedation, and quality issues that we are. Consider the research conducted by Dahlberg and others 4 that focused on competencies of perianesthesia nurses around the globe.…”

mentioning

confidence: 99%

Readers Ask … Editor Responds

Odom-Forren

2021

Journal of PeriAnesthesia Nursing

Self Cite

View full text Add to dashboard Cite

This December issue will print close to Christmas and New Year's Day. I started thinking about what I would wish for all of us as a new year begins. Obviously, I would wish for world peace and no Covid-19. That part was easy. Right now, I just wish my holiday shopping was done! So, I decided on another approach and thought I would try to answer some questions that I and Dr. Hooper have received over the years.Why are there so many research articles in JoPAN? Dr. Hooper and I love to receive manuscripts that are clinical or continuing education articles because we know that our readers in the clinical areas appreciate them so much. Best practice articles fall between the research and clinical articles. Many are projects that have shown promise in other hospitals and allow you to determine if it might work in your setting. An example of a best practice article that was rich with clinical information is on the topic of resumption of breastfeeding after surgery. 1 We do not receive many clinical or continuing education submissions. We encourage our readers to develop lectures and interests into published articles. We could use in-depth clinical or continuing education articles on many topics. Some examples follow but are not limited to: laryngospasm and/or bronchospasm (especially in pediatrics), care of specific types of more complex cases that are now going home on the same day (joints, dental, plastics), emergence delirium, care of the patient after a cesarean section, obstetrical emergencies, how to find a fetal heart tone, new technology and its use, assessment and management of the patient with COVID-19 in the PACU. One continuing education article from 2003 on understanding the complete blood count was the most cited article ever at the end of 2020. 2 Researchers are much more likely to publish because one ethical responsibility of conducting research is dissemination. Also, publication of research results is important because research produces the evidence upon which our practice is based.How do I write a continuing education article? Many types of articles can be turned into a continuing education (CE) article. The author writes 2 to 3 objectives and at least 10 multiple choice ques-The ideas or opinions expressed in this editorial are those solely of the author and do not necessarily reflect the opinions of ASPAN, the Journal, or the Publisher.

show abstract

Education, Competence, and Role of the Nurse Working in the PACU: An International Survey

Cited by 19 publications

References 32 publications

Nurse competence in the post-anaesthesia care unit in Sweden: a qualitative study of the nurse’s perspective

Nurse competence in the post-anaesthesia care unit in Sweden: a qualitative study of the nurse’s perspective

Levels of education and technical skills in registered nurses working in post‐anaesthesia care units in Sweden

Readers Ask … Editor Responds

Contact Info

Product

Resources

About