Evidence map›Paper›PMID 36267199›Full record

ArticleBJUI compass2022

Active involvement of nursing staff in reporting and grading complication-intervention events-Protocol and results of the CAMUS Pilot Nurse Delphi Study.

Christopher Soliman, Benjamin C Thomas, Pasqualina Santaguida, Nathan Lawrentschuk, Evie Mertens, Gianluca Giannarini, Patrick Y Wuethrich, Michael Wu, Muhammad S Khan, Rajesh Nair and 8 more

Open access · goldAbstract read
In one paragraph

Article in BJUI compass, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 6 countries.

Christopher SolimanDepartment of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia.ORCID https://orcid.org/0000-0001-9565-6296
Benjamin C ThomasDepartment of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia.ORCID https://orcid.org/0000-0002-1330-122X
Pasqualina SantaguidaDepartment of Health Research Methodology Evidence and Impact (HEI) McMaster University Hamilton Ontario Canada.
Nathan LawrentschukDepartment of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia.ORCID https://orcid.org/0000-0001-8553-5618
Evie MertensDepartment of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia.
Gianluca GiannariniUnit of Urology Santa Maria della Misericordia Academic Medical Centre Udine Italy.ORCID https://orcid.org/0000-0002-6995-246X
Patrick Y WuethrichDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital University of Bern Bern Switzerland.ORCID https://orcid.org/0000-0003-3704-6785
Michael WuDepartment of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia.
Muhammad S KhanDepartment of Urology Guy's and St. Thomas NHS Foundation Trust London UK.
Rajesh NairDepartment of Urology Guy's and St. Thomas NHS Foundation Trust London UK.
Ramesh ThurairajaDepartment of Urology Guy's and St. Thomas NHS Foundation Trust London UK.
Benjamin ChallacombeDepartment of Urology Guy's and St. Thomas NHS Foundation Trust London UK.
Prokar DasguptaDepartment of Urology Guy's and St. Thomas NHS Foundation Trust London UK.
Sachin MaldeDepartment of Urology Guy's and St. Thomas NHS Foundation Trust London UK.ORCID https://orcid.org/0000-0002-3712-9460
Niall M CorcoranDepartment of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia.
Philippe E SpiessDepartment of Genito-Urinary Oncology H. Lee Moffitt Cancer Center and Research Institute Tampa Florida USA.
Philip DundeeDepartment of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia.ORCID https://orcid.org/0000-0002-8581-5051
Marc A FurrerDepartment of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia.
The Royal Melbourne Hospital · AUGuy's and St Thomas' NHS Foundation Trust · GBUniversity of Bern · CHImpact · CAMoffitt Cancer Center · USOspedale Santa Maria della Misericordia di Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The aim of this study is to gain experienced nursing perspective on current and future complication reporting and grading in Urology, establish the CAMUS CCI and quality control the use of the Clavien-Dindo Classification (CDC) in nursing staff. Subjects and Methods: The 12-part REDCap-based Delphi survey was developed in conjunction with expert nurse, urologist and methodologist input. Certified local and international inpatient and outpatient nurses specialised in urology, perioperative nurses and urology-specific advanced practice nurses/nurse practitioners will be included. A minimum sample size of 250 participants is targeted. The survey assesses participant demographics, nursing experience and opinion on complication reporting and the proposed CAMUS reporting recommendations; grading of intervention events using the existing CDC and the proposed CAMUS Classification; and rating various clinical scenarios. Consensus will be defined as ≥75% agreement. If consensus is not reached, subsequent Delphi rounds will be performed under Steering Committee guidance. Results: Twenty participants completed the pilot survey. Median survey completion time was 58 min (IQR 40-67). The survey revealed that 85% of nursing participants believe nurses should be involved in future complication reporting and grading but currently have poor confidence and inadequate relevant background education. Overall, 100% of participants recognise the universal demand for reporting consensus and 75% hold a preference towards the CAMUS System. Limitations include variability in nursing experience, complexity of supplemental grades and survey duration. Conclusion: The integration of experienced nursing opinion and participation in complication reporting and grading systems in a modern and evolving hospital infrastructure may facilitate the assimilation of otherwise overlooked safety data. Incorporation of focused teaching into routine nursing education will be essential to ensure quality control and stimulate awareness of complication-related burden. This, in turn, has the potential to improve patient counselling and quality of care.

Indexed as

complication gradingcomplication reportingconsensus paperDelphi methodurological surgery

Identifiers

PMID36267199
PMCPMC9579890
OpenAlexW4282926327

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.