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McNaughton MA, Lundberg J, Schenian M, Maynard L, Aplin A, Kautza-Farley A, Finch-Guthrie P. Nurses' Ability to Recognize and Prevent Opioid-Induced Respiratory Depression: An Evidenced-Based Practice Project. Orthop Nurs 2021; 40:345-351. [PMID: 34851876 DOI: 10.1097/nor.0000000000000805] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Opioids are the primary therapy for acute postoperative pain, despite being associated with opioid-induced respiratory depression (OIRD). The purpose of this study was to improve nurses' knowledge, confidence, and ability to recognize, prevent, and treat OIRD in postoperative inpatients and evaluate the feasibility of using the Pasero Opioid-Induced Sedation Scale (POSS). Registered nurses completed three tools: (1) an Opioid Knowledge Self-Assessment, which was administered pre- and post-education; (2) a Confidence Scale, which was administered pre- and post-education; and (3) a POSS Perceptions and Usability Scale that was administered post-education. Nurses were educated on the POSS and then immediately following the training practiced by undertaking a patient assessment using the instrument. They then completed the POSS Perceptions and Usability Scale to rate their perception of the feasibility of using the POSS. Between preeducation and posteducation, participant knowledge increased in the following areas: recognizing opioid-induced side effects, dose selection, risk factors for oversedation, and information to make clinical decisions. However, there was a drop in scores when asked about knowledge of who is at risk for opioid-related side effects. These findings support our conclusion that OIRD education improves nursing confidence and knowledge. There was significant agreement between the nurse and subject matter experts POSS scores, indicating that this tool is easy to use.
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Affiliation(s)
- Molly A McNaughton
- Molly A. McNaughton, MAN, APRN, CNP-BC, RN-BC, AP-PMN , Abbott Northwestern Hospital, Minneapolis, MN
- Jamie Lundberg, BSN, RN, PHN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Meghan Schenian, BSN, RN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Leslie Maynard, MSN, BSN, RN-BC, APRN-BC , Abbott Northwestern Hospital, Minneapolis, MN
- Amanda Aplin, DNP, MAOL, RN, Abbott Northwestern Hospital, Minneapolis, MN; Student, St. Catherine University, St. Paul, MN
- Amanda Kautza-Farley, DNP, MAOL, RN , Student, St. Catherine University, St. Paul, MN
- Patricia Finch-Guthrie, PhD, RN , Faculty, St. Catherine University, St. Paul, MN
| | - Jamie Lundberg
- Molly A. McNaughton, MAN, APRN, CNP-BC, RN-BC, AP-PMN , Abbott Northwestern Hospital, Minneapolis, MN
- Jamie Lundberg, BSN, RN, PHN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Meghan Schenian, BSN, RN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Leslie Maynard, MSN, BSN, RN-BC, APRN-BC , Abbott Northwestern Hospital, Minneapolis, MN
- Amanda Aplin, DNP, MAOL, RN, Abbott Northwestern Hospital, Minneapolis, MN; Student, St. Catherine University, St. Paul, MN
- Amanda Kautza-Farley, DNP, MAOL, RN , Student, St. Catherine University, St. Paul, MN
- Patricia Finch-Guthrie, PhD, RN , Faculty, St. Catherine University, St. Paul, MN
| | - Meghan Schenian
- Molly A. McNaughton, MAN, APRN, CNP-BC, RN-BC, AP-PMN , Abbott Northwestern Hospital, Minneapolis, MN
- Jamie Lundberg, BSN, RN, PHN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Meghan Schenian, BSN, RN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Leslie Maynard, MSN, BSN, RN-BC, APRN-BC , Abbott Northwestern Hospital, Minneapolis, MN
- Amanda Aplin, DNP, MAOL, RN, Abbott Northwestern Hospital, Minneapolis, MN; Student, St. Catherine University, St. Paul, MN
- Amanda Kautza-Farley, DNP, MAOL, RN , Student, St. Catherine University, St. Paul, MN
- Patricia Finch-Guthrie, PhD, RN , Faculty, St. Catherine University, St. Paul, MN
| | - Leslie Maynard
- Molly A. McNaughton, MAN, APRN, CNP-BC, RN-BC, AP-PMN , Abbott Northwestern Hospital, Minneapolis, MN
- Jamie Lundberg, BSN, RN, PHN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Meghan Schenian, BSN, RN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Leslie Maynard, MSN, BSN, RN-BC, APRN-BC , Abbott Northwestern Hospital, Minneapolis, MN
- Amanda Aplin, DNP, MAOL, RN, Abbott Northwestern Hospital, Minneapolis, MN; Student, St. Catherine University, St. Paul, MN
- Amanda Kautza-Farley, DNP, MAOL, RN , Student, St. Catherine University, St. Paul, MN
- Patricia Finch-Guthrie, PhD, RN , Faculty, St. Catherine University, St. Paul, MN
| | - Amanda Aplin
- Molly A. McNaughton, MAN, APRN, CNP-BC, RN-BC, AP-PMN , Abbott Northwestern Hospital, Minneapolis, MN
- Jamie Lundberg, BSN, RN, PHN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Meghan Schenian, BSN, RN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Leslie Maynard, MSN, BSN, RN-BC, APRN-BC , Abbott Northwestern Hospital, Minneapolis, MN
- Amanda Aplin, DNP, MAOL, RN, Abbott Northwestern Hospital, Minneapolis, MN; Student, St. Catherine University, St. Paul, MN
- Amanda Kautza-Farley, DNP, MAOL, RN , Student, St. Catherine University, St. Paul, MN
- Patricia Finch-Guthrie, PhD, RN , Faculty, St. Catherine University, St. Paul, MN
| | - Amanda Kautza-Farley
- Molly A. McNaughton, MAN, APRN, CNP-BC, RN-BC, AP-PMN , Abbott Northwestern Hospital, Minneapolis, MN
- Jamie Lundberg, BSN, RN, PHN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Meghan Schenian, BSN, RN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Leslie Maynard, MSN, BSN, RN-BC, APRN-BC , Abbott Northwestern Hospital, Minneapolis, MN
- Amanda Aplin, DNP, MAOL, RN, Abbott Northwestern Hospital, Minneapolis, MN; Student, St. Catherine University, St. Paul, MN
- Amanda Kautza-Farley, DNP, MAOL, RN , Student, St. Catherine University, St. Paul, MN
- Patricia Finch-Guthrie, PhD, RN , Faculty, St. Catherine University, St. Paul, MN
| | - Patricia Finch-Guthrie
- Molly A. McNaughton, MAN, APRN, CNP-BC, RN-BC, AP-PMN , Abbott Northwestern Hospital, Minneapolis, MN
- Jamie Lundberg, BSN, RN, PHN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Meghan Schenian, BSN, RN , EBP Scholar, Abbott Northwestern Hospital, Minneapolis, MN
- Leslie Maynard, MSN, BSN, RN-BC, APRN-BC , Abbott Northwestern Hospital, Minneapolis, MN
- Amanda Aplin, DNP, MAOL, RN, Abbott Northwestern Hospital, Minneapolis, MN; Student, St. Catherine University, St. Paul, MN
- Amanda Kautza-Farley, DNP, MAOL, RN , Student, St. Catherine University, St. Paul, MN
- Patricia Finch-Guthrie, PhD, RN , Faculty, St. Catherine University, St. Paul, MN
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