Date of Project Completion

Summer 7-13-2022

Document Type

Project Paper

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Dr. Kimberly Langer DNP, APRN, CNP, ACNP-BC, FNP-BC

Second Advisor

Angie Spates BSN, RN CCRN, Nurse Educator

Location

Rochester, MN

Abstract

Abstract

Background: Accurate monitoring of sedation and proper utilization of the BIS Monitor in intensive care unit (ICU) patients can result in decreased use of sedative medications, which can lead to decreased time to extubation, thereby reducing costs and even perhaps the length of hospital stay. The purpose of this project was to provide education to medical intensive care unit (MICU) nurses to increase their knowledge and confidence using the BIS monitor.

Methods: A middle range theory, specifically the Synergy Model for Patient Care was used as a conceptual framework for designing the intervention and The Johns Hopkins Evidence-Based (JHNEBP) Model served as a guide for implementation of the project. Participants included MICU nurses. Data were collected utilizing a pre-intervention and post-intervention survey.

Intervention: A self-guided MyLearning module with supplemented materials.

Results: For all statements, the level of agreement increased from pre- to post-intervention, and the increases were statistically significant (p-value < 0.05) for statements one, two, and four.

Conclusions: BIS monitor education was beneficial to those who participated and could be utilized by other hospital units that also utilize the BIS monitor as an assessment tool. This project is the first step toward policy and procedure change in the ICU setting to promote better patient outcomes related to evidence-based practice.

Keywords: bispectral index monitor, BIS Monitor, sedation, deep sedation, nursing, critical care, nursing education, e-learning, and distance learning

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