IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v23y2014i23-24p3345-3355.html
   My bibliography  Save this article

Determining criteria to assess patient readiness for discharge from postanaesthetic care: an international Delphi study

Author

Listed:
  • Nicole M Phillips
  • Maryann Street
  • Bridie Kent
  • Mary Cadeddu

Abstract

Aims and objectives To obtain expert consensus on essential criteria required to assess patient readiness for discharge from the postanaesthetic care unit. Background A patient's condition can deteriorate after surgery, and the immediate postoperative period is recognised internationally as a time of increased risk to patient safety. A recent systematic review identified evidence‐based assessment criteria for the safe discharge of patients from the postanaesthetic care unit and identified gaps in the evidence. Design Descriptive consensus study using the Delphi method. Methods Members of international clinical specialist groups with expertise in anaesthesia or postanaesthetic care participated in three consultation rounds. Online surveys were used to determine expert consensus with regard to aspects of postanaesthetic care and specific criteria for assessing patient readiness for discharge. Three rounds of surveys were conducted from May 2011–September 2012. Results Twenty‐three experts contributed to the panel. Consensus, that is, at least 75% agreement, was reached in regard to 24 criteria considered essential (e.g. respiratory rate 100%; pain 100%; heart rate 95%; temperature 91%). Consensus was also reached for 15 criteria not considered essential (e.g. appetite 96%; headache 76%). Consensus was not obtained for a further 10 criteria. Participants (95%) agreed that a discharge tool was important to ensure safe patient discharge. Conclusion Consensus was achieved by a panel of international experts on the use of a tool to assess patient readiness for discharge from postanaesthesia care unit and specific variables to be included or excluded from the tool. Further work is required to develop a tool and test its reliability and validity. Relevance to clinical practice The findings of this study have informed the development of an evidence‐based tool to be piloted in a subsequent funded study of nursing assessment of patient readiness for discharge from the postanaesthetic care unit.

Suggested Citation

  • Nicole M Phillips & Maryann Street & Bridie Kent & Mary Cadeddu, 2014. "Determining criteria to assess patient readiness for discharge from postanaesthetic care: an international Delphi study," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(23-24), pages 3345-3355, December.
    • Handle: RePEc:wly:jocnur:v:23:y:2014:i:23-24:p:3345-3355
    DOI: 10.1111/jocn.12576
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.12576
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.12576?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Rowe, Gene & Wright, George, 1999. "The Delphi technique as a forecasting tool: issues and analysis," International Journal of Forecasting, Elsevier, vol. 15(4), pages 353-375, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Clint Douglas & Catriona Booker & Robyn Fox & Carol Windsor & Sonya Osborne & Glenn Gardner, 2016. "Nursing physical assessment for patient safety in general wards: reaching consensus on core skills," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1890-1900, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Prianto Budi Saptono & Gustofan Mahmud & Intan Pratiwi & Dwi Purwanto & Ismail Khozen & Muhamad Akbar Aditama & Siti Khodijah & Maria Eurelia Wayan & Rina Yuliastuty Asmara & Ferry Jie, 2023. "Development of Climate-Related Disclosure Indicators for Application in Indonesia: A Delphi Method Study," Sustainability, MDPI, vol. 15(14), pages 1-25, July.
    2. Lin, Tun & De Guzman, Franklin, 2007. "Tourism for pro-poor and sustainable growth: economic analysis of tourism projects," MPRA Paper 24994, University Library of Munich, Germany.
    3. Di Zio, Simone & Bolzan, Mario & Marozzi, Marco, 2021. "Classification of Delphi outputs through robust ranking and fuzzy clustering for Delphi-based scenarios," Technological Forecasting and Social Change, Elsevier, vol. 173(C).
    4. Litsiou, Konstantia & Polychronakis, Yiannis & Karami, Azhdar & Nikolopoulos, Konstantinos, 2022. "Relative performance of judgmental methods for forecasting the success of megaprojects," International Journal of Forecasting, Elsevier, vol. 38(3), pages 1185-1196.
    5. Alyami, Saleh. H. & Rezgui, Yacine & Kwan, Alan, 2013. "Developing sustainable building assessment scheme for Saudi Arabia: Delphi consultation approach," Renewable and Sustainable Energy Reviews, Elsevier, vol. 27(C), pages 43-54.
    6. Ngoy Kabemba S. & Chisumbe Sampa & Petere Gaida & Mwiya Balimu & Mwanaumo Erastus, 2023. "Factors Influencing Professional Indemnity Insurance Use in Construction Risk Management," Baltic Journal of Real Estate Economics and Construction Management, Sciendo, vol. 11(1), pages 199-220, January.
    7. Frederico Fernandes Ávila & Regina C. Alvalá & Rodolfo M. Mendes & Diogo J. Amore, 2024. "Socio-geoenvironmental vulnerability index (SGeoVI) derived from hybrid modeling related to populations at-risk to landslides," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 120(9), pages 8121-8151, July.
    8. van Asselt, E.D. & Meuwissen, M.P.M. & van Asseldonk, M.A.P.M. & Sterrenburg, P. & Mengelers, M.J.B. & van der Fels-Klerx, H.J., 2011. "Approach for a pro-active emerging risk system on biofuel by-products in feed," Food Policy, Elsevier, vol. 36(3), pages 421-429, June.
    9. Daniel Reißmann & Daniela Thrän & Alberto Bezama, 2018. "Key Development Factors of Hydrothermal Processes in Germany by 2030: A Fuzzy Logic Analysis," Energies, MDPI, vol. 11(12), pages 1-20, December.
    10. Myeonggil Choi & Changhan Lee, 2015. "Information Security Management as a Bridge in Cloud Systems from Private to Public Organizations," Sustainability, MDPI, vol. 7(9), pages 1-20, August.
    11. Odysseus Manoliadis & Ioannis Tsolas & Alexandra Nakou, 2006. "Sustainable construction and drivers of change in Greece: a Delphi study," Construction Management and Economics, Taylor & Francis Journals, vol. 24(2), pages 113-120.
    12. Grote, Matt & Waterson, Ben & Rudolph, Felix, 2021. "The impact of strategic transport policies on future urban traffic management systems," Transport Policy, Elsevier, vol. 110(C), pages 402-414.
    13. Haarhaus, Tim & Liening, Andreas, 2020. "Building dynamic capabilities to cope with environmental uncertainty: The role of strategic foresight," Technological Forecasting and Social Change, Elsevier, vol. 155(C).
    14. Julia A. Minson & Jennifer S. Mueller & Richard P. Larrick, 2018. "The Contingent Wisdom of Dyads: When Discussion Enhances vs. Undermines the Accuracy of Collaborative Judgments," Management Science, INFORMS, vol. 64(9), pages 4177-4192, September.
    15. Ribeiro, Barbara E. & Quintanilla, Miguel A., 2015. "Transitions in biofuel technologies: An appraisal of the social impacts of cellulosic ethanol using the Delphi method," Technological Forecasting and Social Change, Elsevier, vol. 92(C), pages 53-68.
    16. Makkonen, Marika & Hujala, Teppo & Uusivuori, Jussi, 2016. "Policy experts' propensity to change their opinion along Delphi rounds," Technological Forecasting and Social Change, Elsevier, vol. 109(C), pages 61-68.
    17. D F Andersen & J A M Vennix & G P Richardson & E A J A Rouwette, 2007. "Group model building: problem structuring, policy simulation and decision support," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(5), pages 691-694, May.
    18. Wilson, Kevin J., 2017. "An investigation of dependence in expert judgement studies with multiple experts," International Journal of Forecasting, Elsevier, vol. 33(1), pages 325-336.
    19. Chun-Chieh Tseng & Jun-Yi Zeng & Min-Liang Hsieh & Chih-Hung Hsu, 2022. "Analysis of Innovation Drivers of New and Old Kinetic Energy Conversion Using a Hybrid Multiple-Criteria Decision-Making Model in the Post-COVID-19 Era: A Chinese Case," Mathematics, MDPI, vol. 10(20), pages 1-25, October.
    20. Yeh, Duen-Yian & Cheng, Ching-Hsue, 2015. "Recommendation system for popular tourist attractions in Taiwan using Delphi panel and repertory grid techniques," Tourism Management, Elsevier, vol. 46(C), pages 164-176.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:23:y:2014:i:23-24:p:3345-3355. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.