Nurse perceptions of confidence in using the Pasero Opioid-Induced Sedation Scale to assess unintended patient sedation in hospital settings: A quantitative systematic review protocol

Cooper, Adam S.; Noble, Kim A.

doi:10.11124/jbisrir-2015-1792

Cited by 2 publications

(2 citation statements)

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“…A thorough bedside nursing assessment facilitates the early identification of complications from opioid medication use, such as opioid-induced sedation. To reduce the risk of opioid-induced sedation, a complete nursing assessment is performed paying particular attention to respiratory rhythm, rate, and depth as well as sedation level (Cooper, Stannard, & Noble, 2015; Drebert, 2014; Jarzyna et al, 2011; Pasero, 2012). The literature also supports the use of technological monitoring such pulse oximetry or end-tidal carbon monoxide monitoring in conjunction with a thorough nursing assessment (Carlisle, 2014; Jarzyna et al, 2011; Pasero, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Other tools, such as the Comfort Scale, provide a readiness score for mechanically ventilated patients; the Ramsay Scale and Richmond Agitation Sedation Scale are used with the Aldrete scoring tool to assess sedation before, during, and after a sedative is given (Hoover, 2018). The POSS, with a reliability Cronbach alpha of .903 in adults, identifies patients with increased sedation levels with early recognition of respiratory depression (Cooper et al, 2015; Davis et al, 2017; Drebert, 2014; Kobelt, Burke, & Renker, 2014). All applicable literature was appraised using the John Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal tool and the John Hopkins Nursing Evidence-Based Practice Non-Research Evidence Appraisal tool (Dang & Dearholt, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Pasero Opioid-Induced Sedation Scale in a Pediatric Surgical Ward: A Quality Improvement Project

Garcia

McMullan

2019

Journal of Pediatric Surgical Nursing

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Pediatric patients are at risk for adverse events associated with opioid medication. Sedation scales enable nurses to reach knowledgeable decisions maximizing patient safety during opioid administration. Adult literature has focused on the Pasero Opioid-Induced Sedation Scale (POSS) to address this risk in the adult population; however, literature in the pediatric setting is limited. Purpose The purpose of this quality improvement project was to implement the POSS tool in a pediatric setting and reduce adverse outcomes because of opioid oversedation and respiratory depression. Methods Two patient cohorts were recruited and evaluated to compare the number of medical emergency team calls, supplemental oxygen use, and length of stay. Bedside nurses received education on opioid-induced sedation and use of the POSS tool. Pretest and posttest surveys were conducted to acquire nurse perceptions of the POSS tool in pediatric postsurgical patients. Results No medical emergency team calls occurred in the preintervention and postintervention patient cohorts. Eight percent of the preintervention patient cohort required supplemental oxygen in comparison with no oxygen need in the postintervention group. In the postintervention patient cohort, length of stay averages were 185.85 hours (SD = 325.6) in comparison with 89.09 hours (SD = 76.6) in the preintervention group. Nursing survey results improved in nurses' confidence, usage, and assessment using the POSS tool. This project led to widespread use of POSS in the facility. Conclusions POSS is an appropriate tool to assess pediatric patients in acute care units. The POSS tool assists nurses in accurate assessments and reduces adverse events related to opioid-induced sedation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pasero Opioid-Induced Sedation Scale in a Pediatric Surgical Ward: A Quality Improvement Project

Garcia

McMullan

2019

Journal of Pediatric Surgical Nursing

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American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions

Jungquist

Quinlan-Colwell

Vallerand

et al. 2020

Pain Management Nursing

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a b s t r a c tObjectives: This report presents up-to-date evidence and expert consensus-based revisions to the ASPMN 2011 guidelines that inform interprofessional clinical decision-making for hospitalized adults receiving opioid analgesics. Design: Systematic review of the literature. Methods: A 14-member expert panel was charged with reviewing and grading the strength of scientific evidence published in peer reviewed journals and revising the ASPMN 2011 existing guidelines. Panel members formulated recommendations based on the strength of evidence and reached consensus through discussion, reappraisal of evidence, and voting by majority when necessary. The American Society of Anesthesiologists evidence categories for grading and classifying the strength of the evidence were used. Recommendations were subjected to a critical review by ASPMN members as well as external reviews. Results: The 2011 guidelines were found to still be relevant to clinical practice, but new evidence substantiated refinement and more specific recommendations for electronic monitoring. The revised guidelines present risk factors divided into three categories: patient-specific, treatment-related, and environment of care. Specific recommendations for the use of electronic monitoring are delineated. Conclusions: All hospitalized patients that are administered opioids for acute pain are at risk of opioid induced advancing sedation and respiratory depression, but some patients are at high risk and require extra vigilance to prevent adverse events. All patients must be assessed for level of risk. Adaptations to the plan of care and monitoring strategies should be driven by iterative re-assessments according to level of risk.

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Nurse perceptions of confidence in using the Pasero Opioid-Induced Sedation Scale to assess unintended patient sedation in hospital settings: A quantitative systematic review protocol

Cited by 2 publications

References 8 publications

Pasero Opioid-Induced Sedation Scale in a Pediatric Surgical Ward: A Quality Improvement Project

Pasero Opioid-Induced Sedation Scale in a Pediatric Surgical Ward: A Quality Improvement Project

American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions

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