Obstructive Sleep Apnea Syndrome

Obstructive Sleep Apnea Syndrome

Design For Change Proposal Guidelines

Obstructive Sleep Apnea Syndrome is a common comorbidity that can have detrimental results on patient safety in the perioperative phase. Symptoms of OSA include daytime somnolence, loud snoring, and irritability. Obesity and anatomic abnormalities are considered risk factors of this sleep disorder. (Brousseau, Dobson, & Milne, 2014). OSA is characterized by periods of apnea during sleep which are caused by obstruction of the upper airway. The obstruction can be partial or complete and places a patient at a high risk for complications in conjunction with general anesthesia. OSA occurs in 28% of women and 38% of men and the rate increases with a BMI > 40. (AORN, 2014). Currently, with the exception of patients ... Show more content on Helpwriting.net ...Continuing education is important for nurses to remain competent and facilitate quality care. Education based on research is crucial in making practice changes and research based on tried and true evidence will influence these changes. The Johns Hopkins Nursing Evidence–Based Practice Process is evidence–based and consists of eighteen steps that are performed in three phases. The phases are practice question, evidence, and translation. (Dearholt & Dang, 2012) and it came about through collaboration between clinical nurses and nursing faculty. "The strength of the Johns Hopkins model is its reliance on a strong academic–collaboration as a foundation for mutual benefit." (Houser, 2015, p. 465). A Magnet designated institution has a responsibility to contribute to the education of nurses using research based evidence to make practice guidelines.

Practice Question

Step 1: Recruit Interprofessional Team

A perioperative team comprised of the pre–admission testing nurse manager, the PACU manager, a preoperative nurse, an anesthesiologist, and a respiratory therapist will be formulated and led by the author who represents the PACU nurses. This group of professionals will have a vested interest in promoting a safe surgical course for a patient with OSA.



Step 2: Develop and Refine the EBP

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