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Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review
- Source :
- Journal of Multidisciplinary Healthcare. 13:647-660
- Publication Year :
- 2020
- Publisher :
- Informa UK Limited, 2020.
-
Abstract
- Purpose : Nurses provide care at each phase of the complex, perioperative pathway and are well placed to identify areas of care requiring investigation in randomized controlled trials. Yet, currently, the scope of nurse-led randomized controlled trials conducted within the perioperative setting are unknown. This scoping review aims to identify areas of perioperative care in which nurse-led randomized controlled trials have been conducted, to identify issues impacting upon the quality of these trials and identify gaps for future investigation. Methods : This scoping review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Searches were conducted in PubMed, Embase, Cumulative Index for Nursing and Allied Health Literature and the Cochrane Central Register of Controlled Trials, with a date range of 2014– 19. Sources of unpublished literature included Open Grey, and ProQuest Dissertation and Theses, Clinical Trials.gov and the Australian and New Zealand Clinical Trials Registry. After title and abstract checking, full-text retrieval and data extraction, studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklists for randomized controlled trials. Data were synthesized according to the main objectives. Key information was tabulated. Results : From the 86 included studies, key areas where nurses have led randomized controlled trials include patient or caregiver anxiety; postoperative pain relief; surgical site infection prevention: patient and caregiver knowledge; perioperative hypothermia prevention; postoperative nausea and vomiting; in addition to other diverse outcomes. Issues impacting upon quality (including poorly reported randomization), and gaps for future investigation (including a focus on vulnerable populations), are evident. Conclusion : Nurse-led randomized controlled trials in the perioperative setting have focused on key areas of perioperative care. Yet, opportunities exist for nurses to lead experimental research in other perioperative priority areas and within different populations that have been neglected, such as in the population of older adults undergoing surgery.
- Subjects :
- medicine.medical_specialty
education.field_of_study
Randomization
business.industry
030503 health policy & services
Population
General Medicine
Perioperative
law.invention
Clinical trial
03 medical and health sciences
Critical appraisal
0302 clinical medicine
Systematic review
Randomized controlled trial
Data extraction
law
medicine
030212 general & internal medicine
0305 other medical science
Intensive care medicine
education
business
General Nursing
Subjects
Details
- ISSN :
- 11782390
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Journal of Multidisciplinary Healthcare
- Accession number :
- edsair.doi...........09677c002d1cbc911e916cb24f614ce2