Implementing a Frailty-Specific Postoperative Order Set to Improve Postoperative Outcomes in Frail Adults After Elective Thoracic Surgery.
J Nurs Care Qual
; 39(4): 361-368, 2024.
Article
en En
| MEDLINE
| ID: mdl-38936412
ABSTRACT
BACKGROUND:
Frailty is independently associated with adverse patient outcomes after surgery. The current standards of postoperative care rarely consider frailty status. LOCALPROBLEM:
There was no standardized protocol to optimize specialized postoperative care for frail patients at an academic medical center.METHODS:
A quasi-experimental pre-/postimplementation study design, using the Reach, Effectiveness, Adoption, Implementation, Maintenance implementation framework, was utilized.INTERVENTIONS:
A frailty-specific postoperative order set (FPOS) was developed, including tailored nursing care, activity levels, and nutritional goals.RESULTS:
There were significant improvements in nurse's self-reported familiarity with frailty ( P = .003) and FPOS awareness ( P < .001). The number of orders for delirium prevention, elimination, nutrition, sleep promotion, and sensory support increased ( P < .001).CONCLUSIONS:
Implementing an FPOS showed improvements in nurse frailty knowledge, awareness, and order set utilization.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Torácicos
/
Fragilidad
Límite:
Aged
/
Female
/
Humans
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Male
Idioma:
En
Revista:
J Nurs Care Qual
Asunto de la revista:
ENFERMAGEM
Año:
2024
Tipo del documento:
Article