Does an Educational Intervention on BIS Monitoring Increase Utilization of BIS Monitoring and Decrease Post Operative Nausea and Vomiting?
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Kelsey Margaret Getzloff (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
- Advisor
- Vadim Korogoda
Abstract: The purpose of this Doctor of Nursing Practice project was to evaluate if education about the benefits of BIS monitoring to a group of anesthesia providers would change practice and encourage increased use of BIS monitoring. This project aimed to evaluate barriers to practice change, readiness for change, and support evidence-based practice aims surrounding the use of BIS monitoring. This project was a quantitative QI educational intervention with a post-survey. A retrospective chart review through EPIC healthcare software system was done to assess for increased use of BIS as well as BIS use’s impact on post operative nausea and vomiting (PONV). Findings revealed there was a decrease in BIS use after the educational intervention by 33%. PONV was also evaluated through chart reviews and the results demonstrated the incidence of PONV decreased by 33% in patients who had a BIS monitor applied vs. those who did not. A post-survey was completed by the study group that evaluated barriers to BIS application. This survey identified that anesthesia staff retained education on the benefits of BIS use, but more education is recommended for clearer understanding. Future practice recommendations include increased institutional access to BIS monitoring tools and evidence-based institutional guidelines for use of BIS monitoring. More research is needed on the effects of anesthetic medications on BIS monitoring reliability and how BIS can indirectly and directly decrease hospital costs.
Does an Educational Intervention on BIS Monitoring Increase Utilization of BIS Monitoring and Decrease Post Operative Nausea and Vomiting?
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Created on 2/10/2023
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Additional Information
- Publication
- Dissertation
- Language: English
- Date: 2022
- Keywords
- Bispectral Index Monitoring, BIS, PONV, general anesthesia, TIVA