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- Supervision in Clinical Practice Indicator: Analysis of the Evaluation of Pain in the Context of Ambulatory SurgeryPublication . Teixeira, Leonor Olímpia; Augusto, Cristina; Barroso, Cristina; Carvalho, António LuísClinical supervision, as a formal process of monitoring professional practice, aims to improve decision-making to contribute to safety and quality of care through reflection processes and analysis of clinical practice. This study aimed to compare the postoperative pain evaluation and clinical recording procedures performed by nursing staff and clinical supervisors in ambulatory surgery patients. The study was integrated into the research project “SAFECARE”. It was developed a descriptive cross-sectional quantitative study in an ambulatory surgery unit of a University Hospital in Oporto, Portugal. The study population was the nursing staff with an intentional nonprobabilistic sampling method. A questionnaire was constructed and evaluation of postoperative pain, patient clinical and demographic variables was included. This instrument was applied in 116 patients matched by 12 surgical specialties. Results were compared between nursing staff, clinical supervisors and electronic nursing records. Patients had an average age of 48.6 years, being mostly female. Regarding pain evaluation, the scale most used by nurses (62.1%) and clinical supervisors (67.2%) was the “Numerical Scale”. Postoperative pain evaluation scores ranged from 0 to 7, with score 0 (no pain) presenting more frequently by nurses, electronic nursing records and clinical supervisors. 34.5% of results were not documented in electronic nursing records. These findings support the importance of an intervention of clinical supervision in the indicator “pain” for the outpatient surgery setting. Local protocols of clinical supervision practice would contribute to improve postoperative pain evaluation, as well as standardization and optimization of nursing records, thus ensuring quality care.
- Supervision in Clinical Practice Indicator: Evidence Based Practice in the Context of Outpatient SurgeryPublication . Teixeira, Leonor Olímpia; Teixeira, Ana; Barroso, Cristina; Carvalho, António LuísClinical supervision and evidence-based practice in nursing should be understood as complementary and indissociable as they go hand in hand towards the same objectives. Therefore, the supervising process should boost the evidence-based practice in order to promote better nursing care. The purpose of this study was to evaluate nurse’s predisposition to incorporate evidence-based practice into their care and to identify barriers to its application with the purpose of proposing contributions for the implementation of a nursing clinical supervision model that encourages the use of the best evidence available into the daily practice. The study is integrated into the research project “SAFECARE – Supervisão Clínica para a segurança e qualidade dos cuidados”. It was developed as an exploratory-descriptive study in an ambulatory surgery unit of a University Hospital in Porto, Portugal. It had a target population of 59 nurses, and it was used the “Evidence-Based Practice Questionnaire” as a method of collecting data. From the 49 questionnaires collected, we find that the subscale “Practices” has an average score of 4.89, the subscale “Attitudes” 5.36 and the subscale “knowledge/skills and competences” 5.08. These results showed that nurses have a low use of evidence-based practice when compared with the level of knowledge, skills and competences shown, although they seem to have a positive attitude towards this subject. These results can be partially explained by the overburden felt by the n urses, which identified the lack of time and motivation, but also inappropriate training and scarcity of team meetings and proper tools in the workplace as barriers
- Supervisão clínica: análise da avaliação da dor pós-operatória em cirurgia de ambulatórioPublication . Teixeira, Leonor Olímpia; Santos, Rui; Augusto, Cristina; Barroso, Cristina; Carvalho, António LuísClinical supervision, as a formal process of monitoring professional practice, aims to improve decision-making to contribute to safety and quality of care through reflection processes and analysis of clinical practice. This study aimed to compare the postoperative pain evaluation and clinical recording procedures performed by nursing staff and clinical supervisors in ambulatory surgery patients. The study was integrated into the research project “SAFECARE”. It was developed a descriptive cross-sectional quantitative study in an ambulatory surgery unit of a University Hospital in Oporto, Portugal. The study population was the nursing staff with an intentional non-probabilistic sampling method. A questionnaire was constructed and evaluation of postoperative pain, patient clinical and demographic variables was included. This instrument was applied in 116 patients matched by 12 surgical specialties. Results were compared between nursing staff, clinical supervisors and electronic nursing records. Patients had an average age of 48.6 years, being mostly female. Regarding pain evaluation, the scale most used by nurses (62.1%) and clinical supervisors (67.2%) was the “Numerical Scale”. Postoperative pain evaluation scores ranged from 0 to 7, with score 0 (no pain) presenting more frequently by nurses, electronic nursing records and clinical supervisors. 34.5% of results were not documented in electronic nursing records. These findings support the importance of an intervention of clinical supervision in the indicator “pain” for the outpatient surgery setting. Local protocols of clinical supervision practice would contribute to improve postoperative pain evaluation, as well as standardization and optimization of nursing records, thus ensuring quality care.