Nurses' Ability to Recognize and Prevent Opioid-Induced Respiratory Depression

McNaughton, Molly Ann; Lundberg, Jamie; Schenian, Meghan; Maynard, Leslie; Aplin, Amanda; Kautza-Farley, Amanda; Finch-Guthrie, Patricia

doi:10.1097/nor.0000000000000805

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Another intervention research, developed in an orthopedic adult unit, in a 660-bed teaching hospital in a metropolitan area of the Midwest of Minneapolis revealed that nurses strongly evaluated the POSS scale as an appropriate instrument for patients receiving opioids in the acute postoperative period. The test had a high result in nursing confidence and regarding the information with which to make clinical decisions (κ = 0.909) (14) . Contributions carried out by specialists improved the items and allowed the creation of understandable sentences without prejudicing the equivalence between versions.…”

Section: Discussionmentioning

confidence: 99%

Brazilian version of the Pasero Opioid-Induced Sedation Scale: cross-cultural adaptation study

Leite,

Furlan,

Silva

et al. 2024

Rev. Gaúcha Enferm.

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Objective: Perform a cross-cultural adaptation of the Pasero Opioid-induced Sedation Scale to the Brazilian setting. Method: This is a methodological study using Beaton’s framework, which consists in six stages: translation, synthesis of translations, re-translation, expert committee, pre-test, and sending the adapted version of the instrument to the author of the original. The study was carried out from April to December 2021. The research was conducted in a private hospitalin the city of São Paulo, in the adult hospitalization and critical care units. It was approved by the research ethics committee. Results: After translation, translation synthesis and back-translation steps, the version was evaluated by the expert committee, requiring two rounds to obtain acceptable CVI values above 0.80. In the pre-test phase, the scale was well understood, with a CVI of 0.98. Conclusion: The scale was adapted for the Brazilian context; however, further studies will be needed to analyze validity and reliability evidence.

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Section: Discussionmentioning

confidence: 99%

Brazilian version of the Pasero Opioid-Induced Sedation Scale: cross-cultural adaptation study

Leite,

Furlan,

Silva

et al. 2024

Rev. Gaúcha Enferm.

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“…Em outra pesquisa de intervenção desenvolvida em unidade adulta ortopédica, em hospital de ensino de 660 leitos em uma área metropolitana no meio-oeste de Minneapolis, revelou que os enfermeiros avaliaram fortemente que a escala POSS é um instrumento apropriado para pacientes recebendo opioides em pós-operatório agudo, pontuando mais alto em confiança da enfermagem e informações fornecidas sobre as quais fazer decisões clínicas (κ = 0,909) (14) .…”

Section: Discussionunclassified

Versão brasileira da Pasero Opioid-Induced Sedation Scale: estudo de adaptação transcultural

Leite,

Furlan,

Silva

et al. 2024

Rev. Gaúcha Enferm.

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RESUMO Objetivo: Realizar adaptação transcultural da escala Pasero Opioid-Induced Sedation para o cenário brasileiro. Método: Estudo metodológico, utilizado referencial de Beaton, composto por seis fases: tradução, síntese das traduções, retradução, comitê de especialistas, pré-teste e envio dos instrumentos adaptados ao autor do instrumento original. Estudo foi realizado de abril a dezembro de 2021. A pesquisa desenvolveu-se em um hospital privado, localizado no município de São Paulo, nas unidades de internação e críticas adultos. Recebeu aprovação do comitê de ética. Resultados: Após as etapas de tradução, síntese de tradução e retrotradução a versão foi avaliada pelo comitê de especialistas, com duas rodadas para obtenção de valores aceitáveis de índice de validade de conteúdo acima de 0,80. Na fase de pré-teste a escala apresentou boa compreensão com score de 0,98. Conclusão: A escala foi adaptada para o contexto brasileiro, no entanto, novos estudos serão necessários para análises de evidências de validade e confiabilidade.

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“…To provide safe pain management, organizations must ensure patients are monitored for side effects and adverse outcomes, such as opioid-induced respiratory depression (OIRD) which is a potentially lethal, but preventable, adverse outcome related to opioid consumption. To prevent OIRD and consequential dangerous sequelae, it is critical that organizations prioritize patient safety, educate all clinicians to intervene, and maintain evidence-informed policies that include assessments and interventions to recognize and treat OIRD (ECRI Institute, 2017; Jungquist et al, 2020; McNaughton et al, 2021).…”

Section: Barriers and Challenges To Providing Effective Pain Managementmentioning

confidence: 99%

Acute Perioperative Pain Management of the Orthopaedic Patient

McNaughton,

Quinlan-Colwell,

Lyons

et al. 2024

Orthopaedic Nursing

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Orthopaedic surgery often results in pain, with less than half of patients reporting adequate relief. Unrelieved acute pain occurring after surgery increases the risk of negative sequelae, including delayed healing, increased morbidity, pulmonary complications, limited rehabilitation participation, anxiety, depression, increased length of stay, prolonged duration of opioid use, and the development of chronic pain. Interventions that are individualized, evidence-informed, and applied within an ethical framework improve healthcare delivery for patients, clinicians, and healthcare organizations. Recommendations for using the principles of effective pain management from preoperative assessment through discharge are detailed, including recommendations for addressing barriers and challenges in applying these principles into clinical practice.

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Nurses' Ability to Recognize and Prevent Opioid-Induced Respiratory Depression

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 3 publications

References 15 publications

Brazilian version of the Pasero Opioid-Induced Sedation Scale: cross-cultural adaptation study

Brazilian version of the Pasero Opioid-Induced Sedation Scale: cross-cultural adaptation study

Versão brasileira da Pasero Opioid-Induced Sedation Scale: estudo de adaptação transcultural

Acute Perioperative Pain Management of the Orthopaedic Patient

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