Evidence map›Paper›PMID 42460068›Full record

ArticleFrontiers in medicine2026

Implementation of a nursing assessment framework in the postanesthesia care unit: a pre-post implementation design.

Ping Bai, Guozheng Chen, Xianxian Zang, Caiyun Li, Ziyi Zhang, Lu Wang, Guoyong Yang

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Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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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

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No citing paper in PubMed yet.

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

7 authors.

Ping Bai *Postanesthesia Care Unit, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
Guozheng Chen *Postanesthesia Care Unit, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
Xianxian ZangSchool of Nursing, Peking University, Beijing, China.
Caiyun LiOperating Room, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
Ziyi ZhangPostanesthesia Care Unit, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
Lu WangPostanesthesia Care Unit, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.
Guoyong YangPostanesthesia Care Unit, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Structured nursing assessment during the postanesthesia period is critical for patient safety, yet assessment practices in the postanesthesia care unit (PACU) often remain inconsistent. The Nursing Assessment Framework for Patients in the Anesthesia Recovery Period (NAF-PARP) was previously developed, but its implementation and impact have not been evaluated. This study aimed to implement NAF-PARP in a PACU and assess its effects on nursing assessment quality and the incidence of nursing defects. Methods: This study used a pre- and post-intervention quality improvement design. A total of 90 patients admitted between September and December 2024 were assessed using the existing model (control group). After a 2-month training program for nurses (January-February 2025), a second group of 90 patients admitted between March and June 2025 was assessed using NAF-PARP (intervention group). Outcome measures included scores for different assessment domains and the incidence of nursing defects. Results: Improvements were observed in physical assessment, clinical judgment, and organizational efficiency in the intervention group. However, there was no significant difference in the incidence of nursing defects between the two groups. Conclusion: Implementation of NAF-PARP was associated with improvements in key domains of nursing assessment quality but did not reduce nursing defects. These findings support the value of structured assessment frameworks in postanesthesia nursing while highlighting the complexity of translating process improvements into patient safety outcomes. Further research is warranted to explore longer-term effects and system-level strategies.

Indexed as

Anesthesia Recovery Periodnursing assessmentpatient safetypostanesthesia nursingquality improvement

Identifiers

PMID42460068
PMCPMC13369451

What Socratic holds

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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 Socratic graph.