Dissertation
Improving Sedation Practices for Intubated and Ventilated Patients in Critical Access and Rural Hospitals
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Critical access and rural hospitals face unique challenges in managing critically ill patients, particularly those requiring intubation and mechanical ventilation. Inconsistent sedation practices and infrequent documentation of sedation scales, such as the Richmond Agitation-Sedation Scale (RASS), can lead to adverse patient outcomes. Purpose: This Doctorate of Nursing Practice (DNP) project aimed to develop a comprehensive educational program that enhances the proficiency and confidence of nurses in managing sedation and care for intubated patients, leading to better documentation practices and improved patient care. Methods: A pre- and post-intervention design was utilized. Registered nurses (n=14) completed a needs assessment survey, followed by online educational modules on rapid sequence intubation and sedation management. Pre- and post-module knowledge assessments and self-reported comfort levels were measured. RASS documentation rates were collected pre- and post-intervention. Data were analyzed using descriptive statistics and independent t-tests. Findings: Post-module quiz scores significantly improved from a mean of 71% to 98% (p=0.00019). All participants reported increased knowledge, and 86% reported increased comfort in managing intubated and ventilated patients. RASS documentation rates increased from 33% to 86% post-intervention. Discussion: Asynchronous online educational modules are effective in improving nurses knowledge, comfort, and documentation practices regarding sedation management in a rural ED. This project demonstrates the potential of targeted education to enhance nursing practice and patient safety in resource-limited settings. Future research should focus on long-term sustainability and broader implementation across rural healthcare systems.
Details
- Title: Subtitle
- Improving Sedation Practices for Intubated and Ventilated Patients in Critical Access and Rural Hospitals
- Creators
- John Carroll - University of Iowa
- Contributors
- Cormac O'Sullivan (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Nurse Anesthesia
- Date degree season
- Spring 2025
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright 2025 John Carroll
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841037902771
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