Procedural Sedation Training: Competency Verification Through Simulation

Author

Christine HawknuffFollow

Date of Award

Spring 5-2024

Document Type

DNP Project

Project Team Faculty Member

Theresa Marcotte

Project Team Faculty Member

Lauren Douglass

Keywords

procedural, sedation, competency, simulation, moderate sedation, training

Abstract

A 450-bed tertiary hospital in Central Illinois lacked a standardized process for competency verification for procedural sedation care by registered nurses (RNs). Despite recommendations by many organizations, there are no consistent or standardized guidelines for verifying competency in nursing care of the procedural sedation. This project implemented a Procedural Sedation Training Course which comprised an in-person prelearning lecture, a group simulation learning experience, and an individual verification of competency through simulation.

Fifty-six RNs completed the Procedural Sedation Training Course and demonstrated competency through simulation, and 24 of these RNs completed a procedural sedation within the eight-month pilot period. Qualitative and quantitative data was collected from all 56 of the learners via the National League for Nursing Self-Confidence for Learning in Simulation (NLN) and the Simulation Learning Effectiveness Inventory (SLEI). Documentation compliance reports were reviewed to compare the procedural sedation documentation compliance for nursing-sensitive indicators of the pilot participants and all team member compliance. In addition, hospital safety event reports were reviewed for the pilot period.

RNs were able to effectively validate competence via simulation, and survey results demonstrated high self-confidence, learner satisfaction, and effectiveness in meeting learning objectives. Documentation compliance of study participants when compared with the general team showed consistent compliance rates with a less than 1% difference in any of the three nursing-sensitive indicators. Safety events reported during the pilot period indicated that RNs were able to successfully rescue sedation patients who experienced adverse events.

Recommended Citation

Hawknuff, Christine, "Procedural Sedation Training: Competency Verification Through Simulation" (2024). Doctor of Nursing Practice Projects. 325.
https://spark.siue.edu/dnpprojects/325

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