RESUMEN
The COVID-19 pandemic impacted every aspect of the personal and professional lives of healthcare providers. Nursing professional development practitioners are challenged with ongoing classroom education, new hire onboarding, and just-in-time education for staff. This article is intended to present the unique challenges that the COVID-19 pandemic placed on nursing professional development practitioners in a large academic medical center and how opportunities presented to revise old education practices.
Asunto(s)
COVID-19/enfermería , Educación en Enfermería/organización & administración , Capacitación en Servicio/organización & administración , Rol de la Enfermera , Personal de Enfermería en Hospital/educación , COVID-19/epidemiología , Hospitales de Enseñanza , Humanos , Estados Unidos/epidemiologíaRESUMEN
PURPOSE: Obstructive sleep apnea (OSA) increases the risk of respiratory depression in surgical patients. This project screened patients for OSA and explored its relationship with respiratory complications. DESIGN: Quality improvement project. METHODS: Neurosurgical patients were preoperatively screened using STOP-Bang questionnaire scores of 5 or greater as high risk and less than 5 as low risk for moderate-to-severe OSA. Postoperative respiratory complications were compared between both OSA groups. Perioperative staff and patient education included an OSA care protocol using STOP-Bang screening. FINDINGS: Of the 161 patients screened, 29.8% scored high risk for OSA, noting elevated end tidal CO2, increased oxygen desaturation, and required pulse oximetry with supplemental oxygen compared with the low-risk group (P < .05). Education improved nurses' awareness of OSA risks by 81%, and 87.5% of patients were satisfied with the OSA care protocol. CONCLUSIONS: The OSA care protocol decreased risk for postoperative respiratory complications. Education is essential for safer perioperative outcomes.
Asunto(s)
Tamizaje Masivo/métodos , Procedimientos Neuroquirúrgicos/métodos , Complicaciones Posoperatorias/epidemiología , Insuficiencia Respiratoria/epidemiología , Apnea Obstructiva del Sueño/diagnóstico , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Oximetría , Oxígeno/metabolismo , Educación del Paciente como Asunto/métodos , Atención Perioperativa/métodos , Proyectos Piloto , Complicaciones Posoperatorias/prevención & control , Mejoramiento de la Calidad , Insuficiencia Respiratoria/prevención & control , Encuestas y CuestionariosRESUMEN
Obstructive sleep apnea (OSA) is a common condition that increases the risk of complications for patients undergoing sedation and/or general anesthesia. The purpose of this quality improvement project was to promote evidence-based practice for nurses to screen patients with OSA in the perioperative setting. A step-by-step team process was implemented using the Iowa Model of Evidence-Based Practice in a shared leadership environment at an acute care facility to educate staff and evaluate the practice change. A pilot project reviewed patient data pre- and post-implementation of an OSA screening tool, which revealed evidence of safer patient care. As a result of incorporating an OSA assessment, patient advocacy and a safer perioperative environment was created.