Nurse-led paediatric pre operative assessment: an equivalence study

Title

Nurse-led paediatric pre operative assessment: an equivalence study

Creator

Rushforth H; Burge D; Mullee M; Jones S; McDonald H; Glasper EA

Publisher

Paediatric Nursing

Date

2006

Subject

Child; Female; Humans; Male; Great Britain; Medical Staff; Nurse's Role; Sensitivity and Specificity; Hospitals; Nursing Evaluation Research; Single-Blind Method; Teaching; Nursing Staff; adolescent; Preschool; PedPal Lit; infant; Comparative Study; Clinical Competence/standards; Hospital/standards; Pediatric Nursing/education/organization & administration; Ambulatory Surgical Procedures/education/nursing; Hospital/education/standards; Medical History Taking/standards; Nursing Assessment/standards; Perioperative Nursing/education/organization & administration; Physical Examination/nursing/standards; Preoperative Care/nursing

Description

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.
2006

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

23-9

Issue

3

Volume

18

Citation

Rushforth H; Burge D; Mullee M; Jones S; McDonald H; Glasper EA, “Nurse-led paediatric pre operative assessment: an equivalence study,” Pediatric Palliative Care Library, accessed September 26, 2021, https://pedpalascnetlibrary.omeka.net/items/show/13146.

Social Bookmarking