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Post‐operative epidural analgesia: introducing evidence‐based guidelines through an education and assessment process
Author(s) -
Richardson Janet
Publication year - 2001
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/j.1365-2702.2001.00480.x
Subject(s) - competence (human resources) , medicine , audit , nursing , competency assessment , pain assessment , medical education , pain management , psychology , physical therapy , social psychology , management , economics
• The aim of this project was to re‐introduce post‐operative epidural analgesia on to two orthopaedic wards using an evidence‐based practice approach. This was achieved through the provision of appropriate staff education and information, assessment of staff competence, and provision of relevant and appropriate staff support. • An education programme was developed which included study days, ward‐based teaching and the assessment of competence. • The introduction of guidelines followed an audit cycle in order to measure the success of the education programme. • All nursing staff involved in the project were asked to complete a questionnaire which assessed their knowledge of caring for patients with postoperative epidural analgesia. This was completed before and following the education programme. • The outcome measures were: (i) successful completion of competence‐based assessment; (ii) levels of knowledge as assessed by the knowledge questionnaire; and (iii) participant perceptions of the project. • The results of the questionnaire demonstrated significant improvements in knowledge following the education programme. Participants commented on the importance of the ward‐based teaching. They also felt that pain was controlled more effectively using this method of analgesia.

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