Effects of Education on Correct Procedures and Documentation in Spontaneous Awakening Trials

Abstract

Background: Prolonged use of sedative and analgesic medications in patients requiring mechanical ventilation has been linked to several adverse clinical outcomes. The nurse-led sedation protocol can lead to positive outcomes, such as reduced mechanical ventilation time, shorter ICU stays, and fewer sedation needs, along with increased spontaneous awakening trials conducted (Green & Staffileno, 2021). Purpose: The project aimed to educate nurses on the proper use of spontaneous awakening trials (SATs) and their documentation. The goal was to improve the number of ventilator-free days and length of ICU stay, and to enhance nurses' understanding of the SAT, while decreasing the use of unnecessary sedatives and analgesic medications for prolonged periods. Methods: Utilizing a pre-post intervention design, the study examined the effectiveness of education surrounding a nurse-driven SAT protocol. The project aimed to increase the number of successful documentations regarding the completion and implementation of the SAT. Results: Thirteen responses were collected from the pre-survey (n=13), and nine from the post-survey (n=9). Most participants improved their SAT knowledge and confidence. Confidence in performing SATs, eligibility, sedation guidelines, and practices increased significantly from pre- to post-survey. Confidence in documenting and performing SATs also improved, though not statistically significant. Ten chart audits showed significant improvements across all metrics, indicating effective measures and strong adherence to standards. Conclusions: Formal education on SATs improves ICU RNs' knowledge and confidence in eligibility, sedation, documentation, and performance. The QI (Quality Improvement) project Successfully enhanced critical care nurses' understanding of SATs, leading to better patient care and increased confidence among nursing staff.