Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review

Article

Munday, Judy, Higgins, Niall, Mathew, Saira, Dalgleish, Lizanne, Batterbury, Anthony S, Burgess, Luke, Campbell, Jill, Delaney, Lori J, Griffin, Bronwyn R, Hughes, James A, Ingleman, Jessica, Keogh, Samantha and Coyer, Fiona. 2020. "Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review." Journal of Multidisciplinary Healthcare. 13, pp. 647-660. https://doi.org/10.2147/JMDH.S255785
Article Title

Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review

ERA Journal ID123846
Article CategoryArticle
AuthorsMunday, Judy, Higgins, Niall, Mathew, Saira, Dalgleish, Lizanne, Batterbury, Anthony S, Burgess, Luke, Campbell, Jill, Delaney, Lori J, Griffin, Bronwyn R, Hughes, James A, Ingleman, Jessica, Keogh, Samantha and Coyer, Fiona
Journal TitleJournal of Multidisciplinary Healthcare
Journal Citation13, pp. 647-660
Number of Pages14
Year2020
PublisherDove Medical Press Ltd.
Place of PublicationUnited Kingdom
ISSN1178-2390
Digital Object Identifier (DOI)https://doi.org/10.2147/JMDH.S255785
Web Address (URL)https://www.tandfonline.com/doi/full/10.2147/JMDH.S255785
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 Sources of unpublished literature included Open Grey, and ProQuest Dissertation and Theses, Clinical Trials.gov and the Australian and New Zealand Clinical Trials Registry.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.

Keywordsperioperative; randomized controlled trial; scoping review; nursing
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20204205. Nursing
Byline AffiliationsQueensland University of Technology
University of Queensland
University of Agder, Norway
Royal Brisbane and Women’s Hospital, Australia
Australian National University
Griffith University
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