The Impact of a Recommended Clinical Practice Guideline Educational Module on Anesthesia Providers’ and Registered Nurses’ Confidence and Self-Efficacy in Identifying and Managing Postoperative Pediatric Emergence Delirium
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Background and Significance: Pediatric emergence delirium (PED) is a postoperative complication that has become increasingly prevalent in the field of pediatric anesthesia. PED is not only a concern for the patient, caregivers, and healthcare providers, it is a complication that increases hospital costs and prolongs successful recovery among pre-school aged children. Anesthesia providers and post-anesthesia care unit (PACU) nurses are at the forefront for identifying and managing this postoperative issue, yet a gap in both knowledge and clinical practice remains. Purpose, Aims and Objective(s): The purpose of this Doctor of Nursing Practice (DNP) project is to examine the impact of a recommended clinical practice guideline educational module regarding the identification and management of pediatric emergence delirium and its correlation with self-efficacy and self-confidence amongst clinicians at a pediatric hospital in Western New York (WNY). Theoretical Framework: The Betty Neuman Healthcare Systems Model. Methods and Design: Anesthesia providers and PACU nurses employed at a WNY pediatric hospital were invited to voluntarily participate in this project via email. A baseline pre-survey regarding self-efficacy and confidence related to PED was emailed along with an educational module regarding a recommended clinical practice guideline. After viewing the module, the participants then filled out a post-survey. Survey Monkey was used to collect data. Results: Paired sample T-tests were used for analysis using SPSS 26. Statistical significance was not achieved regarding baseline knowledge levels in the pre and post surveys (p=0.95). Statistical significance was achieved regarding confidence (p=0.39) and self-efficacy (p=0.008) comparing the pre and post surveys.