Nurse education to improve use of BIS protocol for patients on neuromuscular blocking agents: a Quality initiative

Simple item page
dc.contributor.advisorMonahan, Laura
dc.contributor.authorAbraham, Sunitha
dc.contributor.committeeMemberBaldwin, Sara
dc.contributor.committeeMemberMelrose, Don
dc.date.accessioned2021-10-06T20:27:25Z
dc.date.available2021-10-06T20:27:25Z
dc.date.issued2021-08
dc.description.abstractBackground: Bispectral index (BIS) monitoring measured sedation levels of patients on neuromuscular blockers (NMB) in the intensive care unit (ICU) setting but monitoring lacked efficiency due to nurses’ unfamiliarity with the associated BIS protocol. Sedation effectiveness was highly dependent on nurse-related factors such as knowledge, skill, experience, and confidence. Objective: The objective of this quality improvement project was to improve ICU nurses’ level of knowledge and perception on BIS monitoring and increase the use of BIS protocol for management of patients receiving NMB agents. Methods: Educational intervention included a pretest and posttest method of evaluation. The project included theoretical and clinical sessions on NMB agents, BIS monitoring, and BIS sedation protocol. Effects were measured using the Knowledge Questionnaire (KQ) at baseline and four months after the intervention. BIS sedation protocol usage was assessed monthly from 1/1/2021 - 4/28/21. Results: N= 52 ICU nurses. Project was conducted in a large metropolitan hospital in Texas. KQ’s post-educational intervention demonstrated improvements (Mdn = 25, Range = 13[14-27]) which were higher than pre-educational levels (Mdn = 19.5, Range = 6 [21-27]; t= 16.954, p <. 001), Cohn’s d 2.35). The mean scores on BIS perceptions were higher post-education, between 4 to 6 on all five subscales. Protocol usage in January was 33.3%, February was 62.5%, March was 54.5 %, and April was 66.6 %. Conclusion: This educational intervention demonstrated effectiveness in improving overall ICU nurses’ knowledge levels. While not at 100%, this protocol demonstrated improvements over the four-month period. Continued education and newer strategies need to be adopted to achieve 100% usage.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent62 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/89767
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjectnursingen_US
dc.titleNurse education to improve use of BIS protocol for patients on neuromuscular blocking agents: a Quality initiativeen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

Files

Original bundle

Now showing 1 - 1 of 1
Thumbnail Image
Name:
Abraham_Sunitha_Dissertation.pdf.pdf
Size:
740.25 KB
Format:
Adobe Portable Document Format
Description:
Download

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Dissertations
Doctor of Nursing Practice Project Reports