Post-operative epidural analgesia: introducing evidence-based guidelines through an education and assessment process
- 23 March 2001
- journal article
- research article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 10 (2), 238-245
- https://doi.org/10.1046/j.1365-2702.2001.00480.x
Abstract
The aim of this project was to re-introduce post-operative epidural analgesi 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.Keywords
This publication has 9 references indexed in Scilit:
- Side-effects of epidural infusions of opioid bupivacaine mixturesAnaesthesia, 1998
- Barriers to evidence-based practiceClinical Effectiveness in Nursing, 1998
- Bladder management after total joint arthroplastyThe Journal of Arthroplasty, 1996
- Introducing epidural fentanyl for on-ward pain relief after major surgeryActa Anaesthesiologica Scandinavica, 1996
- Developing valid guidelines: methodological and procedural issues from the North of England Evidence Based Guideline Development Project.Quality and Safety in Health Care, 1996
- How can nurseteachers be more effective in practice settings?Nurse Education Today, 1996
- Implementing clinical guidelines: preparation and opportunismJournal of Clinical Effectiveness, 1996
- Developing clinically valid practice guidelinesJournal of Evaluation in Clinical Practice, 1995
- A review of the uses of epidural analgesiaNursing Standard, 1995