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Implementation of a nursing assessment framework in the postanesthesia care unit: a pre-post implementation design.
Ping Bai1, Guozheng Chen1,2, Xianxian Zang2
1Postanesthesia 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.
Frontiers in Medicine
|July 16, 2026
Summary
Implementing the Nursing Assessment Framework for Patients in the Anesthesia Recovery Period (NAF-PARP) improved nursing assessment quality in the postanesthesia care unit (PACU). However, the framework did not significantly reduce nursing defects.
Area of Science:
- Nursing
- Patient Safety
- Quality Improvement
Background:
- Postanesthesia care unit (PACU) nursing assessments are vital for patient safety but often inconsistent.
- The Nursing Assessment Framework for Patients in the Anesthesia Recovery Period (NAF-PARP) was developed but not previously evaluated.
- This study addresses the need to assess NAF-PARP implementation and its impact on nursing practice.
Purpose of the Study:
- To implement the NAF-PARP in a PACU setting.
- To evaluate the effects of NAF-PARP on the quality of nursing assessments.
- To determine the impact of NAF-PARP on the incidence of nursing defects.
Main Methods:
- A pre- and post-intervention quality improvement study design was employed.
- Ninety patients in the control group were assessed using the existing model.
- Ninety patients in the intervention group were assessed using NAF-PARP after a nurse training program.
Main Results:
- The intervention group showed improvements in physical assessment, clinical judgment, and organizational efficiency.
- No significant difference was found in the incidence of nursing defects between the control and intervention groups.
- NAF-PARP implementation enhanced specific domains of nursing assessment quality.
Conclusions:
- NAF-PARP implementation improves nursing assessment quality in the PACU.
- The framework did not significantly decrease nursing defects, indicating complexity in translating process improvements to patient safety outcomes.
- Further research is needed to explore long-term effects and system-level strategies for NAF-PARP.
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