Key result
Post-operative surveillance team co-management model earns ~98% approval from frontline surgical staff.
Why the study?
Managing post-operative surgical patients is complex with high risk of complications and mortality, motivating evaluation of a co-management model.
Is the post-operative surveillance team (POST) co-management model popular among nurses and junior doctors?
Cross-Sectional (n=63)
Is the post-operative surveillance team (POST) co-management model popular among nurses and junior doctors?
The POST co-management model for high-risk surgical patients is highly popular among nurses and junior doctors, supporting its permanent implementation.
Supports local adoption discussions among nurses and junior doctors; leaves open whether popularity improves outcomes in prospective trials.
Managing post-operative surgical patients can be complex, with many patients at risk of complications and mortality. We piloted a model for co-management of high risk surgical patients: the post-operative surveillance team (POST). We conducted a survey to test the proposition that POST would be popular with nurses and junior doctors. We conducted a questionnaire survey of nurses and doctors involved with the POST programme. Fifty-three nurses and 10 doctors responded to the survey: 60% response rate. Of 63 respondents: 62 (98%; 95% CI: 92-100%) agreed that POST was valuable, 61 (97%; 95% CI: 89-99%) agreed that POST should continue, and 61 (97%; 95% CI: 89-99%) agreed that they enjoyed working with POST. In open ended responses 39% commented that POST provided supervision, mentoring, education, or collaboration. We conclude that POST was popular with surgical ward nurses and doctors. This popularity is one factor supporting a permanent service.
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Shelton et al. (2013) conducted a cross-sectional in Nurses and junior doctors managing high risk surgical patients (n=63). Post-operative surveillance team (POST) was evaluated on Agreement that POST was valuable (95% CI 92-100). The post-operative surveillance team (POST) model was considered valuable by 98% (95% CI: 92-100%) of surveyed nurses and junior doctors.
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