Evidence map›Paper›PMID 39164112›Full record

ArticleJournal of advanced nursing2025

Safety in spinal surgery-Empowering clinicians to report concerns in motor function.

Jennifer Burrows, Eniola Dada, Brjan Betzler, Louise Strickland, Gerard Mawhinney

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Jennifer BurrowsOxford Spine Service, Oxford University Hospitals, Oxford, UK.ORCID https://orcid.org/0009-0005-1159-7492
Eniola DadaOxford Spine Service, Oxford University Hospitals, Oxford, UK.
Brjan BetzlerDepartment of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Louise StricklandOxford Spine Service, Oxford University Hospitals, Oxford, UK.ORCID https://orcid.org/0000-0003-4486-1868
Gerard MawhinneyOxford Spine Service, Oxford University Hospitals, Oxford, UK.ORCID https://orcid.org/0000-0002-4595-6482

Funding

Burdett Trust for Nursing
6 · The paper itself

Abstract

aimsTimely identification of neurological deterioration in patients with spinal disorders, through spinal motor assessment, is paramount in achieving early intervention to reduce the risk of permanent deficits. This project was initiated to meet the requirement for safe, timely spinal motor assessment through establishing and addressing clinician's educational needs.

designMixed methods study conducted through online survey and concurrent focus groups June 2022-April 2023.

methodsPre-intervention online survey and focus groups identified insufficient provision of education targeted at identifying changes in motor function and as a result, clinicians lacked confidence and competence in completing assessments and caring for patients with spinal disorders. An e-learning package was created and shared widely along with additional interventions to support assessment completion. To establish the success of the project a post-intervention online survey was distributed.

resultsSurvey respondents reported that the e-learning package has influenced their practice to either some extent or to a great extent with 91% reporting increased confidence in completing a spinal motor assessment. Post-intervention results also demonstrated an increase in confidence in caring for spinal surgery patients.

conclusionThrough engaging with clinicians to establish and address educational needs, this quality improvement project has successfully increased competence and confidence in this area of spinal care. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study highlights the importance of targeted education to ensure that clinicians are appropriately skilled to identify neurological deterioration and demonstrates the effectiveness of digital education in providing this. IMPACT: This study addressed concerns around timely identification of deterioration of spinal patients. Study findings were the success in utilizing digital education to increase clinician's confidence and competence and thus enhance patient safety. This research will have an impact on clinical areas caring for patients with spinal disorders. REPORTING

methodSQUIRE guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Clinical CompetencePatient SafetySpinal DiseasesAdultFemaleFocus GroupsHumansMaleMiddle AgedSurveys and Questionnairesmultiprofessional educationneurologyneurosurgerynurse educationnursing assessmentnursing observationsorthopaedicspatient safetyqualityquality of care

Identifiers

PMID39164112
PMCPMC12371831

What OpenQuestion holds

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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.