CRITICAL REFLECTION

Critical reflection and decision-making report

SCHOOL OF NURSING AND MIDWIFERY

Evidence-Based Nursing 2

ASSESSMENT ITEM 2

CRITICAL REFLECTION ON THE SELECTED BEST PRACTICE GUIDELINE

PROFORMA

Introduction

The Management of the Day Surgery Patient information sheet is evaluated from the three systematic reviews conducted by the Nursing Practice Unit, La Trobe University and the Day Surgery Special Interest Group, ANF, Victorian Branch. The day surgery is a concept that you go to the hospital the day of your surgery and go home the same day, usually several hours after your surgery. Your participation in your recovery plays an important role in the success of your hospitalization. This article covers the pre-admission, post admission and staffing procedures carried out when managing a day surgery.

Modified AGREE Report Instrument

DOMAIN: SCOPE AND PURPOSE

Aspect 1 The overall objective(s) of the guideline (are) specifically and adequately described.

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Comments: The objectives are clearly described and the reader can easily understand it. The objective of this guideline is the management of the performance of a day surgery, which occurs without overnight admission of the patient prior to or following the intervention.

Aspect 2 The clinical question(s) covered by the guideline (are) specifically described.

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Comments: There is clear statement of key areas covered by the guideline, which includes the how the day surgery can be effectively manage and the three phases which include pre-admission, post-admission care and staffing mix.

Aspect 3 The patients to whom the guideline is meant to apply are specifically described.

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Comments: The patient is not specifically described, however, the reader can judge by going through the background of the article that a patient of the dat surgery is the one who is not hospitalized for the surgery to be taken but only comes for a day, on the day of surgery.

DOMAIN: RIGOUR OF DEVELOPMENT

Aspect 8 Systematic methods were used to search for the evidence.

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Comments: Three sources are used systematically to draw these guidelines. These systematic reviews are Nursing Practice Unit, La Trobe University and the Day Surgery Special Interest Group, ANF, Victorian Branch.

Aspect 9 The criteria for selecting the evidence are clearly described.

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Comments: The criteria for selecting the evidence is clearly described through the Level of evidence box in the right. It describes different levels of evidence which are selected for this review.

Aspect 10 The methods used for formulating the recommendations are clearly described.

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Comments: The recommendations or implications for practice are based on the level of evidence. And each phase of the day surgery is differentiated by highlighting the level of evidence used in it.

Aspect 11 The health benefits, side effects and risks have been considered in formulating the recommendations.

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Comments: These are covered in separate headings of the three stages of the day surgery. An example of such health risk and benefit is in post-admission care that a tympanic temperature is not a useful measure for discharge readiness, the Post-Anaesthetic DischargeScoring System is, and could be used to replace the existing clinical discharge criteria.

Aspect 12 There is an explicit link between the recommendations and the supporting evidence

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Recommendations or implications are given on the ...