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Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice
This article describes the implementation and maintenance of obstructive sleep apnea (OSA) screening and capnography monitoring. A quality improvement project. A multidisciplinary team provided staff education to three perianesthesia care units. Using the STOP-Bang screening tool, five or more posit...
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| Published in: | Journal of perianesthesia nursing 2020-02, Vol.35 (1), p.7-16 |
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| container_title | Journal of perianesthesia nursing |
| container_volume | 35 |
| creator | Scully, Kathryn R. Rickerby, Jennifer Dunn, Jessica |
| description | This article describes the implementation and maintenance of obstructive sleep apnea (OSA) screening and capnography monitoring.
A quality improvement project.
A multidisciplinary team provided staff education to three perianesthesia care units. Using the STOP-Bang screening tool, five or more positive responses indicated high risk for OSA. A postanesthesia care unit audit tool tracked STOP-Bang scores, capnography use, hypoventilation events, nursing interventions, and respiratory complications.
Among 314 patients with OSA, 36% were identified as high risk. Nurses used capnography on 76% of OSA patients and were able to readily identify hypoventilation and intervene. Respiratory complications occurred in 10.8% (n = 34) requiring a higher level of care. Postimplementation, all six postanesthesia care units employ this best practice.
Perianesthesia nurses found OSA screening and capnography easy to incorporate into nursing practice. This process can reduce respiratory complications in the surgical patient with OSA. An Evidence-Based Practice Fellowship Program facilitated this practice change. |
| doi_str_mv | 10.1016/j.jopan.2019.06.004 |
| format | article |
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A quality improvement project.
A multidisciplinary team provided staff education to three perianesthesia care units. Using the STOP-Bang screening tool, five or more positive responses indicated high risk for OSA. A postanesthesia care unit audit tool tracked STOP-Bang scores, capnography use, hypoventilation events, nursing interventions, and respiratory complications.
Among 314 patients with OSA, 36% were identified as high risk. Nurses used capnography on 76% of OSA patients and were able to readily identify hypoventilation and intervene. Respiratory complications occurred in 10.8% (n = 34) requiring a higher level of care. Postimplementation, all six postanesthesia care units employ this best practice.
Perianesthesia nurses found OSA screening and capnography easy to incorporate into nursing practice. This process can reduce respiratory complications in the surgical patient with OSA. An Evidence-Based Practice Fellowship Program facilitated this practice change.</description><identifier>ISSN: 1089-9472</identifier><identifier>EISSN: 1532-8473</identifier><identifier>DOI: 10.1016/j.jopan.2019.06.004</identifier><identifier>PMID: 31495557</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>capnography ; Capnography - instrumentation ; Capnography - methods ; Female ; Humans ; Implementation Science ; Male ; Mass Screening - instrumentation ; Mass Screening - methods ; Middle Aged ; Nursing ; obstructive sleep apnea ; Postanesthesia Nursing - methods ; Postanesthesia Nursing - trends ; postoperative complications ; Postoperative Complications - prevention & control ; Quality Improvement ; Sleep Apnea, Obstructive - blood ; Sleep Apnea, Obstructive - diagnosis ; Surveys and Questionnaires</subject><ispartof>Journal of perianesthesia nursing, 2020-02, Vol.35 (1), p.7-16</ispartof><rights>2019 American Society of PeriAnesthesia Nurses</rights><rights>Copyright © 2019 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-b4334e4a7c6e5537889181f28a18dad73cb104afc9982b7ad59dd2d6a0b016f43</citedby><cites>FETCH-LOGICAL-c404t-b4334e4a7c6e5537889181f28a18dad73cb104afc9982b7ad59dd2d6a0b016f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31495557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scully, Kathryn R.</creatorcontrib><creatorcontrib>Rickerby, Jennifer</creatorcontrib><creatorcontrib>Dunn, Jessica</creatorcontrib><title>Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice</title><title>Journal of perianesthesia nursing</title><addtitle>J Perianesth Nurs</addtitle><description>This article describes the implementation and maintenance of obstructive sleep apnea (OSA) screening and capnography monitoring.
A quality improvement project.
A multidisciplinary team provided staff education to three perianesthesia care units. Using the STOP-Bang screening tool, five or more positive responses indicated high risk for OSA. A postanesthesia care unit audit tool tracked STOP-Bang scores, capnography use, hypoventilation events, nursing interventions, and respiratory complications.
Among 314 patients with OSA, 36% were identified as high risk. Nurses used capnography on 76% of OSA patients and were able to readily identify hypoventilation and intervene. Respiratory complications occurred in 10.8% (n = 34) requiring a higher level of care. Postimplementation, all six postanesthesia care units employ this best practice.
Perianesthesia nurses found OSA screening and capnography easy to incorporate into nursing practice. This process can reduce respiratory complications in the surgical patient with OSA. An Evidence-Based Practice Fellowship Program facilitated this practice change.</description><subject>capnography</subject><subject>Capnography - instrumentation</subject><subject>Capnography - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Implementation Science</subject><subject>Male</subject><subject>Mass Screening - instrumentation</subject><subject>Mass Screening - methods</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>obstructive sleep apnea</subject><subject>Postanesthesia Nursing - methods</subject><subject>Postanesthesia Nursing - trends</subject><subject>postoperative complications</subject><subject>Postoperative Complications - prevention & control</subject><subject>Quality Improvement</subject><subject>Sleep Apnea, Obstructive - blood</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Surveys and Questionnaires</subject><issn>1089-9472</issn><issn>1532-8473</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kE1r3DAQhkVpab76CwrFx17s6tOWAj2EJW0WAgkkOQtZGqdebEmVvAv776vtJjnmNMPwvDPMg9BXghuCSftj02xCNL6hmKgGtw3G_AM6JYLRWvKOfSw9lqpWvKMn6CznDcaYUaU-oxNGuBJCdKfIr-c4wQx-McsYfPVgR_AWLqu1tyHFkMrYP1d3fV7S1i7jDqqHCSBWV9GDKXgC8AfCeFetTPThOZn4Z1_yS6iud5D2zuyr-2RK2MIF-jSYKcOXl3qOnn5dP65u6tu73-vV1W1tOeZL3XPGOHDT2RaEYJ2UikgyUGmIdMZ1zPYEczNYpSTtO-OEco661uC-mBk4O0ffj3tjCn-3kBc9j9nCNBkPYZs1pbITVAgsC8qOqE0h5wSDjmmcTdprgvVBtN7o_6L1QbTGrS6iS-rby4FtP4N7y7yaLcDPIwDlzd0ISeejWjcmsIt2YXz3wD_rdZGK</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Scully, Kathryn R.</creator><creator>Rickerby, Jennifer</creator><creator>Dunn, Jessica</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202002</creationdate><title>Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice</title><author>Scully, Kathryn R. ; Rickerby, Jennifer ; Dunn, Jessica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-b4334e4a7c6e5537889181f28a18dad73cb104afc9982b7ad59dd2d6a0b016f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>capnography</topic><topic>Capnography - instrumentation</topic><topic>Capnography - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Implementation Science</topic><topic>Male</topic><topic>Mass Screening - instrumentation</topic><topic>Mass Screening - methods</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>obstructive sleep apnea</topic><topic>Postanesthesia Nursing - methods</topic><topic>Postanesthesia Nursing - trends</topic><topic>postoperative complications</topic><topic>Postoperative Complications - prevention & control</topic><topic>Quality Improvement</topic><topic>Sleep Apnea, Obstructive - blood</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scully, Kathryn R.</creatorcontrib><creatorcontrib>Rickerby, Jennifer</creatorcontrib><creatorcontrib>Dunn, Jessica</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perianesthesia nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scully, Kathryn R.</au><au>Rickerby, Jennifer</au><au>Dunn, Jessica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice</atitle><jtitle>Journal of perianesthesia nursing</jtitle><addtitle>J Perianesth Nurs</addtitle><date>2020-02</date><risdate>2020</risdate><volume>35</volume><issue>1</issue><spage>7</spage><epage>16</epage><pages>7-16</pages><issn>1089-9472</issn><eissn>1532-8473</eissn><abstract>This article describes the implementation and maintenance of obstructive sleep apnea (OSA) screening and capnography monitoring.
A quality improvement project.
A multidisciplinary team provided staff education to three perianesthesia care units. Using the STOP-Bang screening tool, five or more positive responses indicated high risk for OSA. A postanesthesia care unit audit tool tracked STOP-Bang scores, capnography use, hypoventilation events, nursing interventions, and respiratory complications.
Among 314 patients with OSA, 36% were identified as high risk. Nurses used capnography on 76% of OSA patients and were able to readily identify hypoventilation and intervene. Respiratory complications occurred in 10.8% (n = 34) requiring a higher level of care. Postimplementation, all six postanesthesia care units employ this best practice.
Perianesthesia nurses found OSA screening and capnography easy to incorporate into nursing practice. This process can reduce respiratory complications in the surgical patient with OSA. An Evidence-Based Practice Fellowship Program facilitated this practice change.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31495557</pmid><doi>10.1016/j.jopan.2019.06.004</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1089-9472 |
| ispartof | Journal of perianesthesia nursing, 2020-02, Vol.35 (1), p.7-16 |
| issn | 1089-9472 1532-8473 |
| language | eng |
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| source | Elsevier |
| subjects | capnography Capnography - instrumentation Capnography - methods Female Humans Implementation Science Male Mass Screening - instrumentation Mass Screening - methods Middle Aged Nursing obstructive sleep apnea Postanesthesia Nursing - methods Postanesthesia Nursing - trends postoperative complications Postoperative Complications - prevention & control Quality Improvement Sleep Apnea, Obstructive - blood Sleep Apnea, Obstructive - diagnosis Surveys and Questionnaires |
| title | Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice |
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