Emily Sullivan, Cynthia L Foronda, Nicole A Gonzaga Gomez, Karina A Gattamorta, Denise C Vidot
{"title":"Implementation of Perioperative Anesthesia Considerations for Military Veterans Who Consume Cannabis: A Quality Improvement Project.","authors":"Emily Sullivan, Cynthia L Foronda, Nicole A Gonzaga Gomez, Karina A Gattamorta, Denise C Vidot","doi":"10.1016/j.jopan.2024.10.006","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>As no widely accepted recommendations or guidelines on perioperative management for the cannabis-consuming patient exist, this quality improvement project aimed to identify and implement evidence-based recommendations for cannabis-consuming patients throughout the perioperative period. The objectives of this project were (1) to improve anesthesia providers' knowledge on how to care for cannabis-consuming patients, (2) to increase anesthesia providers' self-efficacy in caring for cannabis-consuming patients, and (3) to assess the frequency of utilization of the given evidence-based recommendation.</p><p><strong>Design: </strong>This quality improvement project incorporated a pretest-posttest design.</p><p><strong>Methods: </strong>Nurse anesthetists, resident nurse anesthetists, and nurse practitioners (staff) in an urban veteran's hospital participated in the project. Following the Johns Hopkins Evidence-based Practice Model, a literature review was conducted via PubMed, Cochrane Library, and Cumulative Index to Nursing & Allied Health Literature to determine anesthetic considerations for cannabis consumers. Evidence was synthesized and translated into a live educational seminar that was evaluated via an electronic questionnaire before and after (pretest-postest) the seminar. Frequency of education utilization was measured via sticker poster system. Normality tests were conducted using Jamovi computer software. Wilcoxon signed-rank tests were pursued due to the skewed data distribution.</p><p><strong>Findings: </strong>Results from 22 articles informed content for the live educational seminar; 26 staff participated in the pretest-posttest. Specific preoperative, intraoperative, and postoperative considerations were extracted from the evidence. Questionnaire results showed a 60% increase in self-efficacy (P = .001), a 44% increase in knowledge (P = .001), and a 92% utilization rate (26/28 cannabis-consuming patients) of the recommendations in the clinical setting.</p><p><strong>Conclusions: </strong>With nearly 20% of veterans indicating use of cannabis, perianesthesia nurses should be aware of the unique preoperative, intraoperative, and postoperative considerations for the cannabis-consuming patient.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perianesthesia Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jopan.2024.10.006","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: As no widely accepted recommendations or guidelines on perioperative management for the cannabis-consuming patient exist, this quality improvement project aimed to identify and implement evidence-based recommendations for cannabis-consuming patients throughout the perioperative period. The objectives of this project were (1) to improve anesthesia providers' knowledge on how to care for cannabis-consuming patients, (2) to increase anesthesia providers' self-efficacy in caring for cannabis-consuming patients, and (3) to assess the frequency of utilization of the given evidence-based recommendation.
Design: This quality improvement project incorporated a pretest-posttest design.
Methods: Nurse anesthetists, resident nurse anesthetists, and nurse practitioners (staff) in an urban veteran's hospital participated in the project. Following the Johns Hopkins Evidence-based Practice Model, a literature review was conducted via PubMed, Cochrane Library, and Cumulative Index to Nursing & Allied Health Literature to determine anesthetic considerations for cannabis consumers. Evidence was synthesized and translated into a live educational seminar that was evaluated via an electronic questionnaire before and after (pretest-postest) the seminar. Frequency of education utilization was measured via sticker poster system. Normality tests were conducted using Jamovi computer software. Wilcoxon signed-rank tests were pursued due to the skewed data distribution.
Findings: Results from 22 articles informed content for the live educational seminar; 26 staff participated in the pretest-posttest. Specific preoperative, intraoperative, and postoperative considerations were extracted from the evidence. Questionnaire results showed a 60% increase in self-efficacy (P = .001), a 44% increase in knowledge (P = .001), and a 92% utilization rate (26/28 cannabis-consuming patients) of the recommendations in the clinical setting.
Conclusions: With nearly 20% of veterans indicating use of cannabis, perianesthesia nurses should be aware of the unique preoperative, intraoperative, and postoperative considerations for the cannabis-consuming patient.
期刊介绍：
The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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