Dawn Mueller-Burke, PhD, CRNP, NNP-BC
- Testing Reliability, Validity and Clinical Utility of the Richmond Agitation and Sedation Scale in Spontaneously Breathing Children undergoing a Procedure
- Validation of assessment tools for monitoring procedural sedation and the development of procedural sedation benchmarks have recently been identified as priorities of the Society for Pediatric Sedation (2017). The Richmond Agitation-Sedation Scale (RASS) is the one tool that has undergone psychometric testing for assessing sedation and agitation in critically ill adults and children with or without sedatives and mechanical ventilation use (Ely et al., 2003; Kerson et al., 2016; Kihlstrom, et al., 2014; Sessler et al., 2002). Although often used in a variety of pediatric settings, the RASS has not been assessed for clinical utility, which demonstrates the usefulness of an instrument and is important to implementation in the clinical setting (Polgar et al., 2002; Smart, 2006; Szoch & Kaiser, 2015). The overall purpose of this study is to assess reliability, validity and clinical utility of the RASS for spontaneously breathing pediatric patients undergoing procedural sedation.
The primary aim of this study is two-fold: 1) to test reliability and validity of the RASS when used to assess levels of sedation and agitation in spontaneously breathing pediatric patients receiving sedatives plus or minus analgesics, and 2) to appraise clinical utility of the RASS when used by nurses to assess sedation/agitation levels in patients receiving procedural sedation. If the RASS demonstrates reliability and validity for spontaneously breathing pediatric patients undergoing procedural sedation, a secondary aim will be added which will describe, graph, and provide linear modeling of the pattern of RASS scores over time for these patients at five critical time points used in the reliability and validity analysis.
UMNursing Grant Budget ($14,800)
Areas of Specialization
- neonatology, neonatal ischemic brain injury, therapeutic hypothermia, neurophysiology, stem cell biology, oxidative stress, evidenced based practice, research methods and measurement