Sammanfattning
Introduction: The complexities of pre- and post-operative nursing of liver-transplant patients and the provision of basic nursing in a fast-track care pathway require comprehensive management of care by nursing staff. The quality of care was formerly exclusively dependent on the individual nurse’s expertise and competence.
Method: Audit 1 (A1) (n=20) was conducted in 2013 and resulted in the creation of five standardised care plans based on best practice; preoperative information-giving for new waiting-list patients; booking in patients for transplantation; transfer from intensive care unit to inpatient ward; daily care plans from post-operative days 0-10 and from post-operative day 10 to discharge; discharge from hospital to outpatient care. Audit (A2) (n=20) was conducted in 2015 following implementation of the care plans.
Findings: We found a reduction in the number of days with CVC, with indwelling catheter, number of inpatient days and days until first bowel movement and full dietary intake. Blood sugars were monitored as prescribed, and the patients mobilised in line with the targets.
Significance for nursing: The implementation of the standardised care plans had a positive effect on the selected parameters from audits 1 and 2. The standardised care plans were conducive to nursing based on best practice.