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Publication
Supervisão clínica: análise da avaliação da dor pós-operatória em cirurgia de ambulatório
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Advisor(s)
Abstract(s)
Clinical 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.
Description
Keywords
Clinical Supervision in Nursing Pain Surgical Wound Ambulatory Surgery
Citation
Teixeira, L., Santos, R., Augusto, C., Barroso, C., Carvalho, L. Supervisão clínica: análise da avaliação da dor pós-operatória em cirurgia de ambulatório. Suplemento digital Rev ROL Enferm 2020; 43(1): 244-249