Construction of a nursing assessment framework for patients in anaesthesia recovery period: A modified Delphi study

判断 德尔菲法 德尔菲 医学 护理部 临床判断 家庭医学 计算机科学 法学 人工智能 政治学 操作系统
作者
Lang Peng,Xianxian Zang,Ruili Liu,Ping Bai,Lu Wang,Guoyong Yang
出处
期刊:Journal of Advanced Nursing [Wiley]
卷期号:80 (9): 3653-3665
标识
DOI:10.1111/jan.16115
摘要

Abstract Aim To construct a nursing assessment framework for patients in anaesthesia recovery period. Design A three‐round modified Delphi method was employed to capture the consensus of 22 panellists. Methods The initial items in the nursing assessment framework for patients in anaesthesia recovery period were developed based on the mini‐clinical evaluation exercise (mini‐CEX). A panel of 22 experts participated in this study. The panellists have more than 10 years of experience in either clinical anaesthesia, or post‐anesthesia nursing, or operating room nursing, or surgical intensive nursing. Between March and April 2023, the panellists evaluated and recommended revisions to the initial framework. Results This study resulted in the development of a nursing assessment framework for patients in anaesthesia recovery period. The initial version of the framework consisted of six dimensions with 27 items. Six items were modified after the first round of consultation. After the second round, five modifications and four deletions were made based on expert opinion. The third round resulted in a convergence of expert opinion. The framework, which consists of 24 items across five dimensions, was refined. The five dimensions are as follows: History‐taking, Physical assessment, Clinical judgement, Organizational efficiency and Humanistic concern. Conclusion The nursing assessment framework for patients in anaesthesia recovery period was reached consensus between the 22 experts’ opinions. Implications for the profession and patient care The assessment framework constructed in this study could be used for the process evaluation of post‐anesthesia nursing. The framework may guide perianesthesia nurses in the timely and effective assessment of patients during this critical phase of care. It may be used for perianesthesia nursing education or to evaluate nurses' assessment skills. Reporting method The study is reported in accordance with the Guidance on Conducting and Reporting DElphi Studies (CREDES) recommendations. Patient or public contribution No patient or public contribution.
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