PMID: 12675325Apr 5, 2003Paper

A continuous quality improvement approach to improving clinical practice in the areas of sedation, analgesia, and neuromuscular blockade

Journal of Continuing Education in Nursing
Richard Arbour


Practice concerns associated with the medical prescription and nurses' administration and monitoring of sedatives, analgesics, and neuromuscular blocking agents were identified by the clinical nurse specialist within a surgical intensive care unit of a large, tertiary-care referral center. These concerns were identified using a variety of needs assessment strategies. Results of the needs assessment were used to develop a program of care, including a teaching initiative, specific to these practice areas. The teaching initiative incorporated principles of andragogy, the theory of adult learning. Educational techniques included inservice education, bedside instruction using "teaching moments," competency-based education modules, and integration of instruction into critical care orientation. Content and approach were based on the background and level of experience of participants. Educational program outcomes included increased consistency in monitoring neuromuscular blockade by clinical assessment and peripheral nerve stimulation. A second outcome was more accurate patient assessment leading to the provision of drug therapy specific to the patients' clinical states, including anxiety or pain. The continuous quality improvement app...Continue Reading

Related Concepts

Antinociceptive Agents
Education, Nursing, Continuing
Inservice Training
Monitoring, Physiologic
Neuromuscular Blocking Agents
Conscious Sedation
Educational Needs Assessment

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