Single centre implementation of the Paediatric Anaesthesia Emergence Delirium scale.

IF 1.2 Q3 SURGERY

Journal of perioperative practice Pub Date : 2024-11-27 DOI:10.1177/17504589241299629

Hasima Hajdini, Tamara Otey, Christopher Guelbert, Benjamin Sanofsky

{"title":"Single centre implementation of the Paediatric Anaesthesia Emergence Delirium scale.","authors":"Hasima Hajdini, Tamara Otey, Christopher Guelbert, Benjamin Sanofsky","doi":"10.1177/17504589241299629","DOIUrl":null,"url":null,"abstract":"Purpose: Early recognition of paediatric emergence delirium (ED) by post-anaesthesia care unit (PACU) nurses is critical for the effective management and prevention of complications. This project aimed to enhance nursing education and standardise the use of the Paediatric Anaesthesia Emergence Delirium (PAED) scale as a reliable tool for assessing ED.Design: This project involved an educational intervention for PACU nurses to train them in using the PAED scale for ED evaluation. The effectiveness of the PAED scale was compared with the more commonly used Face, Legs, Activity, Cry, Consolability (FLACC) scale in the evaluation of postoperative paediatric patients.Methods: An educational programme was designed for PACU nurses, with pre-and post-surveys administered to assess the impact of the educational intervention on their knowledge, confidence, and familiarity with ED and the PAED scale. This project included time trials comparing the use of the PAED and FLACC scales during patient simulations after the educational intervention.Findings: Following the educational programe, nurses demonstrated increased confidence and familiarity with ED and the PAED scale. Furthermore, the use of the PAED scale following the educational intervention significantly reduced the time required to evaluate patients and initiate treatment for ED compared with the FLACC scale.Conclusion: Equipping nurses with the knowledge and skills to effectively implement the PAED scale improves ED's timely recognition and treatment, leading to safer, more efficient care for postoperative paediatric patients. This project demonstrates the importance of evidence-based tools and targeted nursing education.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241299629"},"PeriodicalIF":1.2000,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of perioperative practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17504589241299629","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: Early recognition of paediatric emergence delirium (ED) by post-anaesthesia care unit (PACU) nurses is critical for the effective management and prevention of complications. This project aimed to enhance nursing education and standardise the use of the Paediatric Anaesthesia Emergence Delirium (PAED) scale as a reliable tool for assessing ED.

Design: This project involved an educational intervention for PACU nurses to train them in using the PAED scale for ED evaluation. The effectiveness of the PAED scale was compared with the more commonly used Face, Legs, Activity, Cry, Consolability (FLACC) scale in the evaluation of postoperative paediatric patients.

Methods: An educational programme was designed for PACU nurses, with pre-and post-surveys administered to assess the impact of the educational intervention on their knowledge, confidence, and familiarity with ED and the PAED scale. This project included time trials comparing the use of the PAED and FLACC scales during patient simulations after the educational intervention.

Findings: Following the educational programe, nurses demonstrated increased confidence and familiarity with ED and the PAED scale. Furthermore, the use of the PAED scale following the educational intervention significantly reduced the time required to evaluate patients and initiate treatment for ED compared with the FLACC scale.

Conclusion: Equipping nurses with the knowledge and skills to effectively implement the PAED scale improves ED's timely recognition and treatment, leading to safer, more efficient care for postoperative paediatric patients. This project demonstrates the importance of evidence-based tools and targeted nursing education.

查看原文本刊更多论文

单中心实施儿科麻醉后谵妄量表。

目的：麻醉后护理病房（PACU）护士及早识别儿科出现的谵妄（ED）对于有效管理和预防并发症至关重要。本项目旨在加强护理教育并规范使用儿科麻醉后谵妄（PAED）量表，将其作为评估 ED 的可靠工具：该项目包括对 PACU 护士进行教育干预，培训她们使用 PAED 量表进行 ED 评估。在评估术后儿科患者时，将 PAED 量表与更常用的面部、腿部、活动、哭泣、安慰（FLACC）量表的有效性进行比较：方法：为 PACU 护士设计了一项教育计划，并进行了前后调查，以评估教育干预对护士对 ED 和 PAED 量表的了解、信心和熟悉程度的影响。该项目包括时间试验，比较教育干预后在模拟患者过程中使用 PAED 和 FLACC 量表的情况：教育项目结束后，护士对急诊室和 PAED 量表的信心和熟悉程度均有所提高。此外，与使用 FLACC 量表相比，教育干预后使用 PAED 量表大大缩短了评估患者和开始治疗 ED 所需的时间：让护士掌握有效实施 PAED 量表的知识和技能可提高 ED 的及时识别和治疗，从而为术后儿科患者提供更安全、更高效的护理。该项目证明了循证工具和有针对性的护理教育的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.