Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Pediatric Postoperative Recovery—It’s Not Just about the Technology

Version 1 : Received: 10 October 2023 / Approved: 11 October 2023 / Online: 11 October 2023 (07:30:50 CEST)

How to cite: Sjöberg, C.; Ringdal, M.; Jildenstål, P. Pediatric Postoperative Recovery—It’s Not Just about the Technology. Preprints 2023, 2023100691. https://doi.org/10.20944/preprints202310.0691.v1 Sjöberg, C.; Ringdal, M.; Jildenstål, P. Pediatric Postoperative Recovery—It’s Not Just about the Technology. Preprints 2023, 2023100691. https://doi.org/10.20944/preprints202310.0691.v1

Abstract

Background: Measuring vital signs has always been a central task for Critical Care Nurse´s (CCNs) and Registered Nurse Anesthetist`s (RNAs) providing care in the post-anesthesia care unit (PACU) and a prerequisite for their decision-making. Properly measuring and understanding pediatric vital signs is a challenge in younger pediatric patients up to 36 months old. Purpose: gain a greater understanding of CCNs' and RNAs' perceptions of decision-making regarding the level of vital sign monitoring children require in the PACU. Method: A qualitative study design involving the critical-incident technique was used. Interviews were carried out with a purposeful sample of CCNs and RNAs (n=17) from two different hospitals. Findings: According to the nurses' experience, grounds for decisions concerning children’s need of vital-sign monitoring were both adequate and inadequate. They used actions to adjust the monitoring of vital signs to optimise conditions for assessment and the prospects of a safe recovery for the child. Conclusions: Evidence-based care and safety are compromised when the technology has limitations and is not adapted for children. Its use means that experience and clinical assessment are relied on to a greater extent. This not only makes experience important for reliable assessment, but also means that greater risks are accepted.

Keywords

Apnea; Competence Clinical; Clinical Skills; Hypoventilation; Monitoring; Patient safety Pediatrics; Postoperative period; Vital signs

Subject

Public Health and Healthcare, Nursing

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