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,
Ramesh Thurairaja,
Benjamin Challacombe,
Prokar Dasgupta,
Sachin Malde,
Niall M. Corcoran,
Philippe E. Spiess,
Philip Dundee,
Marc A. Furrer
Affiliations
Christopher Soliman
Department of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia
Benjamin C. Thomas
Department of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia
Pasqualina Santaguida
Department of Health Research Methodology Evidence and Impact (HEI) McMaster University Hamilton Ontario Canada
Nathan Lawrentschuk
Department of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia
Evie Mertens
Department of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia
Gianluca Giannarini
Unit of Urology Santa Maria della Misericordia Academic Medical Centre Udine Italy
Patrick Y. Wuethrich
Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital University of Bern Bern Switzerland
Michael Wu
Department of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia
Muhammad S. Khan
Department of Urology Guy's and St. Thomas NHS Foundation Trust London UK
Rajesh Nair
Department of Urology Guy's and St. Thomas NHS Foundation Trust London UK
Ramesh Thurairaja
Department of Urology Guy's and St. Thomas NHS Foundation Trust London UK
Benjamin Challacombe
Department of Urology Guy's and St. Thomas NHS Foundation Trust London UK
Prokar Dasgupta
Department of Urology Guy's and St. Thomas NHS Foundation Trust London UK
Sachin Malde
Department of Urology Guy's and St. Thomas NHS Foundation Trust London UK
Niall M. Corcoran
Department of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia
Philippe E. Spiess
Department of Genito‐Urinary Oncology H. Lee Moffitt Cancer Center and Research Institute Tampa Florida USA
Philip Dundee
Department of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia
Marc A. Furrer
Department of Urology, Royal Melbourne Hospital University of Melbourne Parkville Victoria Australia
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.
