Development and Psychometric Testing of a Post-Anesthesia Care Unit Discharge Scoring System

2.50
Hdl Handle:
http://hdl.handle.net/10755/304441
Category:
Full-text
Type:
Presentation
Title:
Development and Psychometric Testing of a Post-Anesthesia Care Unit Discharge Scoring System
Author(s):
Ecoff, Laurie; Vacinek, Kristen; Palomo, Jeanne; Stichler, Jaynelle F.
Lead Author STTI Affiliation:
Non-member
Author Details:
Laurie Ecoff, PhD, RN, NEA-BC, laurie.ecoff@sharp.com; Kristen Vacinek, BSN; Jeanne Palomo, BSN; Jaynelle F. Stichler, DNS, RN, NEA-BC, FACHE, FAAN;
Abstract:

Session presented on: Monday, July 22, 2013

Purpose: Accurate assessment of the patient's status post-operatively is critical prior to discharge from the Post Anesthesia Care Unit (PACU) to a nursing unit. The current discharge scoring system did not accurately predict readiness for discharge from the PACU. The purpose of the study was to develop and psychometrically test a PACU discharge scoring system.

Methods: A literature search was conducted for a reliable and valid PACU discharge scoring system. Although several systems were found, no system contained all criteria important for a safe discharge. Gaps included pain, nausea, hypertension, oxygenation, temperature, and resolution of spinal anesthesia. A query of Magnet organizations revealed similar gaps in discharge systems and an interest in the development of a comprehensive, valid and reliable system.

A 10-item tool was developed from other published tools and recommendations for discharge criteria described by the American Society of Anesthesiologists and the American Society of Peri-Anesthesia Nurses. Experts in the PACU setting including nurses and anesthesiologists established content and face validity. Reliability testing of the tool was conducted by scoring patients on both the existing and the new 10-item tool and then comparing readiness for discharge. Additionally, two PACU nurses scored the new system to determine inter-rater reliability and differences in PACU length of stay between the existing and study tool were compared.

Results: The content validity index for the list of discharge assessment items and the accompanying criteria was .80. There was 100% agreement among PACU nurses for 202 patients scored using the scoring tool. There was a mean difference of 27 minutes between the discharge times using the existing system as compared to the new tool; however, the difference was not statistically significant.

Conclusion: Development and psychometric testing of a valid and reliable discharge scoring system ensures that patients are discharge safely from the PACU setting.

Keywords:
discharge; psychometric; postanesthesia
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleDevelopment and Psychometric Testing of a Post-Anesthesia Care Unit Discharge Scoring Systemen
dc.contributor.authorEcoff, Laurieen
dc.contributor.authorVacinek, Kristenen
dc.contributor.authorPalomo, Jeanneen
dc.contributor.authorStichler, Jaynelle F.en
dc.contributor.departmentNon-memberen
dc.author.detailsLaurie Ecoff, PhD, RN, NEA-BC, laurie.ecoff@sharp.com; Kristen Vacinek, BSN; Jeanne Palomo, BSN; Jaynelle F. Stichler, DNS, RN, NEA-BC, FACHE, FAAN;en
dc.identifier.urihttp://hdl.handle.net/10755/304441-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b>Accurate assessment of the patient's status post-operatively is critical prior to discharge from the Post Anesthesia Care Unit (PACU) to a nursing unit. The current discharge scoring system did not accurately predict readiness for discharge from the PACU. The purpose of the study was to develop and psychometrically test a PACU discharge scoring system. <p><b>Methods: </b>A literature search was conducted for a reliable and valid PACU discharge scoring system. Although several systems were found, no system contained all criteria important for a safe discharge. Gaps included pain, nausea, hypertension, oxygenation, temperature, and resolution of spinal anesthesia. A query of Magnet organizations revealed similar gaps in discharge systems and an interest in the development of a comprehensive, valid and reliable system. <p>A 10-item tool was developed from other published tools and recommendations for discharge criteria described by the American Society of Anesthesiologists and the American Society of Peri-Anesthesia Nurses. Experts in the PACU setting including nurses and anesthesiologists established content and face validity. Reliability testing of the tool was conducted by scoring patients on both the existing and the new 10-item tool and then comparing readiness for discharge. Additionally, two PACU nurses scored the new system to determine inter-rater reliability and differences in PACU length of stay between the existing and study tool were compared. <p><b>Results: </b>The content validity index for the list of discharge assessment items and the accompanying criteria was .80. There was 100% agreement among PACU nurses for 202 patients scored using the scoring tool. There was a mean difference of 27 minutes between the discharge times using the existing system as compared to the new tool; however, the difference was not statistically significant. <p><b>Conclusion: </b>Development and psychometric testing of a valid and reliable discharge scoring system ensures that patients are discharge safely from the PACU setting.en
dc.subjectdischargeen
dc.subjectpsychometricen
dc.subjectpostanesthesiaen
dc.date.available2013-10-22T20:35:53Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:35:53Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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