Improving Care of Patients Following Minimally Invasive Pectus Excavatum Repair With Standardization and Collaboration

Roskos, Penny L.; Conlon, Patricia M.; Blazejak, Danielle L.; Siebrecht, Amy L.

doi:10.1097/jps.0000000000000090

Cited by 4 publications

(1 citation statement)

References 3 publications

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“…It is also expected that in following the implementation of postoperative nursing care evidence-based protocols, patients will have improved surgical outcomes, including decreased hospital length of stay, improved pain management, earlier ambulation, and increased patient education (Roskos et al, 2016).…”

Section: Practice Implicationsmentioning

confidence: 99%

Caring for the Pediatric Patient Post-Nuss Procedure

Duque

Sarik

Buscemi

et al. 2023

Journal of Pediatric Surgical Nursing

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BackgroundSurgical correction for pectus excavatum (PE) is often performed during adolescence for patients exhibiting cardiac and respiratory problems. The surgery to correct PE is a thoracoscopic-assisted minimally invasive repair of PE or Nuss procedure. The postoperative clinical management is largely related to addressing pain from the constant pressure from the bar(s) on the sternum. A quality improvement project was developed to improve nurses' knowledge of appropriate postoperative care for the pediatric patient undergoing a Nuss procedure.MethodA literature search was conducted using CINAHL and MEDLINE (ProQuest) to identify research studies that have evaluated nurses' knowledge of postoperative care for patients undergoing surgical correction for PE. Six studies were identified that investigated nurses' knowledge and attitudes of postoperative pain management in the pediatric patient and the effectiveness of enhanced recovery pathways to improve patient outcomes. A pretest and posttest were developed from the findings of the literature review along with an educational intervention. The educational presentation focused on the postoperative care of the pediatric patient who undergoes a Nuss procedure. A complete supplemental care plan is provided, which includes an enhanced recovery after surgery pathway, recommended pain treatment plan, exercises, medication recording sheet, home management tips for pain control, and patient discharge information.ResultsImplementation of a targeted educational program for the care of the pediatric patient who undergoes a Nuss procedure improved the clinician's knowledge and attitudes, resulting in a positive impact on pain management practice and patient outcomes.ConclusionTargeted educational interventions to improve pain management knowledge in nurses can result in increased understanding of appropriate postoperative pain management. This increased knowledge has the possibility to improve pain management and significantly improve the nurse and patient experience.

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Section: Practice Implicationsmentioning

confidence: 99%