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Nurses' Ability to Recognize and Prevent Opioid-Induced Respiratory Depression: An Evidenced-Based Practice Project.
Molly A McNaughton1,2,3,4,5,6,7, Jamie Lundberg1,2,3,4,5,6,7, Meghan Schenian1,2,3,4,5,6,7
1Molly A. McNaughton, MAN, APRN, CNP-BC, RN-BC, AP-PMN , Abbott Northwestern Hospital, Minneapolis, MN.
Orthopedic Nursing
|December 1, 2021
Summary
Postoperative pain management education improved nurses' knowledge and confidence in managing opioid-induced respiratory depression (OIRD). The Pasero Opioid-Induced Sedation Scale (POSS) proved to be a feasible and easy-to-use tool for nurses.
Area of Science:
- Nursing Education
- Pharmacology
- Patient Safety
Background:
- Opioids are essential for managing acute postoperative pain.
- Opioid-induced respiratory depression (OIRD) is a significant risk associated with opioid use.
- Effective nursing knowledge and tools are crucial for preventing and managing OIRD.
Purpose of the Study:
- To enhance nurses' knowledge, confidence, and skills in recognizing, preventing, and treating OIRD in postoperative patients.
- To assess the feasibility and usability of the Pasero Opioid-Induced Sedation Scale (POSS) in clinical practice.
Main Methods:
- Registered nurses participated in an educational intervention on OIRD and the POSS.
- Nurses completed pre- and post-education assessments on opioid knowledge and confidence.
- Nurses evaluated the usability and feasibility of the POSS after a practical patient assessment.
Main Results:
- Nursing knowledge significantly improved in areas including recognizing opioid side effects, dose selection, and clinical decision-making.
- A slight decrease in knowledge was observed regarding identifying patients at risk for opioid side effects.
- Nurses reported high confidence post-education, and the POSS demonstrated significant agreement with expert scores, indicating ease of use.
Conclusions:
- OIRD education effectively boosts nursing confidence and knowledge.
- The Pasero Opioid-Induced Sedation Scale (POSS) is a practical and user-friendly tool for assessing opioid-induced sedation in nursing practice.
- Continued education and standardized tools like POSS are vital for improving patient safety in opioid management.
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