Development of a self-directed learning manual for nurses caring for peripheral nerve blocks

Background: Pain is an experience that is unique to each individual and postoperative pain has been traditionally difficult to manage. Peripheral nerve blocks are an excellent form of pain control, especially for orthopaedic patients receiving total hip or total knee arthroplasty. As such, at St. Clare‟s Mercy Hospital, St. John‟s NL, they will be more frequently utilized. Completing an unfamiliar task, such as care of peripheral nerve blocks, can be taxing for new graduate nurses or nurses who are new to the skill. Purpose: The purpose of this practicum project was to develop a self-directed learning manual for nurses caring for peripheral nerve blocks. The manual is expected to enhance the knowledge, increase the confidence, and develop the skillset in managing peripheral nerve blocks for nurses who use it. Methods: An integrated literature review, consultations with key informants, and an environmental scan of other acute pain services in Canada were completed. Results: Self-directed learning is an appropriate form of study for adult learners, such as nurses. Both Benner‟s Novice to Expert Model and Knowles‟ Adult Learning Theory were used as the theoretical basis for this learning manual. The content of the manual was based on information obtained from completing the methods. Conclusion: Prior to use, key stakeholders will review the appropriateness of the content. This self-directed learning manual is expected to increase nurses‟ knowledge and confidence, as well as develop their skillset in caring for patients with peripheral nerve blocks as a form of pain management after surgery.