Appendix 18
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The document outlines a competency assessment schedule for monitoring and responding to changes in a patient's condition, listing 18 performance criteria such as obtaining patient histories, conducting assessments, monitoring vital signs, documenting findings, and reflecting on clinical experiences. Students are evaluated on their ability to independently, supervised, or with assistance demonstrate each competency. The assessment is meant to benchmark nursing competencies across Australian universities.
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13. Concludes the period of du$ with the individual dientd
patients by considerately concluding the therapeutic
relationshin
1.2,9.1,9.3,
9.5 p
14" Cleans/tidies area; disposes of any waste appropriately
and as soon as is practicable; removes glwes and other
PPE (as necessary).
0
15. Ensures the group of elientslpatients dignity, privacy ard
comfort at the end of a soan of dutv/seriod of care
1.2,2.3,2.5,7.1 *
16. Replaces, eleans andor dispses of equipment according
to oroanisational quidelines
1.1, 1.2,9.5,
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17. Reports and Records of relevant information:
i. Observation chart and fluid balance chart
ii. Nurcing care plan
iii. Clientslpatients progress notes
iv. Medication chart
Other documentation(s) if appropriate {i-e particular
assessrnent chart and/or anticoagulant therapy chart)
Sprcifyi.e.
1.1,1.?,
1.3,2.6,
9.2,1A_2
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18. Demonstrates ability to reflect on the activig and to link
theory to practice
i. Relatesto decisionsmade
ii. Evidence utilised and
iii. lmdications for planning of care for the group of
clients/patients
1.2,2.1,
2.3,3.1,
3-2.4.1.
4^2,5-2,
5.3. 7.1.8.1
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Bondy. K, M. 1983, 'Criterion-referenced definitionsfor rating sbales in diniml evalualion', Jaumal ol Nurci$o
Education, vol.22(9), pp. 376-381
Crisp ind Taylor2lAg Pofrer and Penfs Ftmdanre,rhls ol Nurcing,3d Edition, flsevier, Australia
Tollefson, J 2010 cttnicat wo'o,r$htti: ffientMut*s,4e Edition, Thomson, Australia
lndependent (l)
Referc to being safe & knotrrledgeable; proficient & coordinated and appropriately confident and
timdv. Does not require suDDortinq cues.
Supervised: {S}
Refets to being safe & knodedgeable; efficient & coordinated; displays some confidence and
undertakes activities within a reamnablv timelv manner. Reouires occasional suooortino cues.
Assisted: (Al
Refee to being safe and knowledgmble most of the time; skilful in parts hoaaner is inefficient
with some skill areas; takes longer than rryuuld be ocpected to complete the task. Rquires
frequent verbal and some physical cues.
ifiarginal: {M}
Refers to bdng safev*hen clmely supervised and supported; unskilled and inefficien{ uses
excess eneEy and takes a prolonqed time period- Continuousverbal and physical eues.
Dependent (D)
Refers to concerns about beirg unsafe and treing unaHe to demonstrate hhariour or articulate
intention; lacking in confidehce, c,oordination and ef6cieney. Continuous verbal and physical
cue$interventions necessarv
lmplementation, evaluation and benchmarking bf the pre-registration nursing competencies
assessmsnt schedule (NCAS) for use across Australian universities. twa!*i**esp 37](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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How to cite this articlePrado CBC, Machado EAS, Mendes KDS.docx
How to cite this article
Prado CBC, Machado EAS, Mendes KDS, Silveira RCCP, Galvão CM. Support surfaces for intraoperative
pressure injury prevention: systematic review with meta-analysis. Rev. Latino-Am. Enfermagem. 2021;29:e3493.
[Access
daymonth year
]; Available in:
URL
. DOI: http://dx.doi.org/10.1590/1518-8345.5279.3493
* Paper extracted from doctoral dissertation “Support surfaces
for prevention for pressure ulcer in the intraoperative
period: systematic review with meta-analysis”, presented
to Universidade de São Paulo, Escola de Enfermagem de
Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing
Research Development, Ribeirão Preto, SP, Brazil.
1 Universidade de Uberaba, Ciências da Saúde, Uberaba,
MG, Brazil.
2 Universidade de São Paulo, Escola de Enfermagem de
Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing
Research Development, Ribeirão Preto, SP, Brazil.
3 Scholarship holder at the Conselho Nacional de
Desenvolvimento Científico e Tecnológico/Ministério da
Ciência, Tecnologia e Inovações, Brazil.
Support surfaces for intraoperative pressure injury prevention:
systematic review with meta-analysis*
Objective: to evaluate evidence on effectiveness support
surfaces for pressure injury prevention in the intraoperative
period. Method: systematic review. The search for primary
studies was conducted in seven databases. The sample
consisted of 10 studies. The synthesis of the results was carried
out descriptively and through meta-analysis. Results: when
comparing low-tech support surfaces with regular care (standard
surgical table mattress), the meta-analysis showed that there is
no statistically significant difference between the investigated
interventions (Relative Risk = 0.88; 95%CI: 0.30-2.39). The
Higgins inconsistency test indicated considerable heterogeneity
between studies (I2 = 83%). The assessment of the certainty
of the evidence was very low. When comparing high-tech and
low-tech support surfaces, the meta-analysis showed that there
is a statistically significant difference between the interventions
studied, with high-tech being the most effective (Relative Risk
= 0.17; 95%CI: 0.05-0.53). Heterogeneity can be classified
as not important (I2 = 0%). The assessment of certainty of
evidence was moderate. Conclusion: the use of high-tech
support surfaces is an effective measure to prevent pressure
injuries in the intraoperative period.
Descriptors: Perioperative Nursing; Pressure Ulcer; Systematic
Review; Meta-Analysis; Intraoperative Period; Equipment and
Supplies.
Review Article
Rev. Latino-Am. Enfermagem
2021;29:e3493
DOI: 10.1590/1518-8345.5279.3493
www.eerp.usp.br/rlae
Carolina Beatriz Cunha Prado1
https://orcid.org/0000-0002-4570-9502
Elaine Alves Silva Machado1
https://orcid.org/0000-0002-3683-6438
Karina Dal Sasso Mendes2
https://orcid.org/0000-0003-3349-2075
Renata Cristina de Campos Pereira Silveira2
https://orcid.org/0000-00.
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Appendix 18
- 1. Molritorinq and Resoondins te Changes i,n a Gfiiqnt-Pati?nt bndition lmplementation, svaluation and benchmarking of the pre-registration nursing competencies assessment sehedule (NCASI for use across Australian universities. $@zlBMs+.@,@E Emolover Colno-QtencH (Skills Areasl Clinical ComoetencY Area Competency exemplar: Monitoring and responding to changes in a clienUpatient condition Demonstration of: The ability to effectively and safely monitor and respond to changes in a clienUpatient condition Pefiomrance Crtfe,ria (Please lnltial in the appropriate column) ltEesdbg belsfl hdbahsrheANMC N€tional Csttpeleney Standads for tie R€istered Nurse (2os) o Etr o IL o l, tr U' iio .g a o IL a {,6, p {t c) = G ED IE = o c(, ac0, IL o a lit tt o E TE rL o o o tr o (E r[ o. P o- Obtains comprehensive handarer {tape reorderlbEdside) to identify specific indications for contact/communietion or action with the group of client$patients {i.e. are there any sneeifin orders) 1-2,2.5,4.2,9.5 h 2. Reri€ft,vs the group of cllents/patients pfogress notes/ previous medical filedmedication charUnursing care plans/ any other documentations from mernbers of the multidisciplinary team to verify the validity of any written orders 1.1,1.2,1.3, 2.5, 9.5 0 3. Maintains hand hygiene (alcoholgeUhand wash) effectively and in a timelv manner 7.1, 9.5 ($ 4. Gathers the necessary equipment for assessment (i, appropriate) 3.1,3.3,5.2, 5.3,7.1,7.3, 8.1.9.5 fr 5. Canis out a comprehensive assessment with/of the group of clientSpalients 2.3,2.5, 5.2,5.3, 8.2,9.5 2.1 5.1 8.1 ts (, rE @ o .D G t 6. Monitors healih $atus of the group of dienHpaUents (i.e. vital signsffiuid balancdrnentd statuq etc) 1.2,1.3,2.2, 2.5,2.6,5.1, 5.2.5,3 0 7. Undertakes assessment of each situatioMnteraction identifying any changes in a dienUpdient condition that is reouired to reoond 3.1,3.3,5.2, 5.3, 8.1 I 8. Maintains dignig at all times, prorides privacy and cunfort mesures - displays problem solving abilities 5.1, s.2,5.3, 6.1,7.1,9.3, s.6 fr 9. Cgnsiders the Acttvities of living in which the client/patient has any deflcits and will therefore require assistance 1.2,2.3,2.5, 7.1,9.5 fr 10. Ensure the group oi ctients/patients is comfortable and preoared for anv intervention in the time smn 1.2,2.3,2.5, 9.1.9.2.9.3 ,0 1 1. Gathers necessary equipment and checks clinical suidelines for any interventionlmedication 5.2,5.3,7.1, 9.3, 9.5 W 12. lnformsthe shift coordinatorlon call medical fficer regarding the changes in a clientlpatient condition 1.2,2.5,5.2, 10.1, 10.2, 10.3 ,tr
- 2. '= (, (t og aE o o (} Pertomtance Criteria (Pleaee insert initial in the appropriate cdumn) The coding betnia, indic€tetheANMC National Cqnpetenry Standardg ftr tha Registered NurBe t2006) c(, tt a o. o ?r $ to o Eo e o a ?, G 9,'o o = o ED (, E o oE tr o IL o cl 13. Concludes the period of du$ with the individual dientd patients by considerately concluding the therapeutic relationshin 1.2,9.1,9.3, 9.5 p 14" Cleans/tidies area; disposes of any waste appropriately and as soon as is practicable; removes glwes and other PPE (as necessary). 0 15. Ensures the group of elientslpatients dignity, privacy ard comfort at the end of a soan of dutv/seriod of care 1.2,2.3,2.5,7.1 * 16. Replaces, eleans andor dispses of equipment according to oroanisational quidelines 1.1, 1.2,9.5, 10.1 w .E .e EEocd =EE .,E EE v. 17. Reports and Records of relevant information: i. Observation chart and fluid balance chart ii. Nurcing care plan iii. Clientslpatients progress notes iv. Medication chart Other documentation(s) if appropriate {i-e particular assessrnent chart and/or anticoagulant therapy chart) Sprcifyi.e. 1.1,1.?, 1.3,2.6, 9.2,1A_2 flaytfrt&€ necessqy I e] I rr) m ",ry d v d E} o= dL aJo 5CL t, o- luo 18. Demonstrates ability to reflect on the activig and to link theory to practice i. Relatesto decisionsmade ii. Evidence utilised and iii. lmdications for planning of care for the group of clients/patients 1.2,2.1, 2.3,3.1, 3-2.4.1. 4^2,5-2, 5.3. 7.1.8.1 v 4J ll o It W Bondy. K, M. 1983, 'Criterion-referenced definitionsfor rating sbales in diniml evalualion', Jaumal ol Nurci$o Education, vol.22(9), pp. 376-381 Crisp ind Taylor2lAg Pofrer and Penfs Ftmdanre,rhls ol Nurcing,3d Edition, flsevier, Australia Tollefson, J 2010 cttnicat wo'o,r$htti: ffientMut*s,4e Edition, Thomson, Australia lndependent (l) Referc to being safe & knotrrledgeable; proficient & coordinated and appropriately confident and timdv. Does not require suDDortinq cues. Supervised: {S} Refets to being safe & knodedgeable; efficient & coordinated; displays some confidence and undertakes activities within a reamnablv timelv manner. Reouires occasional suooortino cues. Assisted: (Al Refee to being safe and knowledgmble most of the time; skilful in parts hoaaner is inefficient with some skill areas; takes longer than rryuuld be ocpected to complete the task. Rquires frequent verbal and some physical cues. ifiarginal: {M} Refers to bdng safev*hen clmely supervised and supported; unskilled and inefficien{ uses excess eneEy and takes a prolonqed time period- Continuousverbal and physical eues. Dependent (D) Refers to concerns about beirg unsafe and treing unaHe to demonstrate hhariour or articulate intention; lacking in confidehce, c,oordination and ef6cieney. Continuous verbal and physical cue$interventions necessarv lmplementation, evaluation and benchmarking bf the pre-registration nursing competencies assessmsnt schedule (NCAS) for use across Australian universities. twa!*i**esp 37
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