Educational Strategies to Improve Knowledge Retention and Clinical Competency in the Management of Local Anesthetic Systemic Toxicity: An Integrative Review.
Background: Local anesthetic systemic toxicity (LAST) is a rare but life-threatening complication of anesthetic administration. Nurses are often the first to observe subtle signs of toxicity, yet studies show gaps in knowledge and preparedness. This integrative review was conducted to evaluate effec...
| Publicado en: | Journal of Continuing Education in Nursing Vol. 57; no. 7; pp. 305 - 317 |
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| Autores principales: | , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
SLACK Incorporated
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194976431&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194976431 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00220124 1FC jtl: Journal of Continuing Education in Nursing issn: 00220124 maglogo: N pubinfo: dt: Jul2026 vid: 57 iid: 7 pid: 1693 pub: SLACK Incorporated place: Thorofare, New Jersey artinfo: ui: 194976431 194976431 194976431 10.3928/00220124-20260407-02 194976431 ppf: 305 ppct: 12 formats: tig: atl: Educational Strategies to Improve Knowledge Retention and Clinical Competency in the Management of Local Anesthetic Systemic Toxicity: An Integrative Review. aug: au: Adams, Hannah G. Silab, Sensei Kin Mariae Y. Halstead, Alexander E. affil: Johns Hopkins University School of Nursing, Baltimore, Maryland. sug: subj: Perioperative Nursing Education Education, Nursing, Continuing Anesthetics, Local Adverse Effects Drug Toxicity Education Patient Safety Education Perioperative Nurses Students, Nursing, Baccalaureate Teaching Methods Nursing Knowledge Evaluation Student Knowledge Evaluation Clinical Competence Competency Assessment Certified Registered Nurse Anesthetists Health Personnel Online Education Computer Simulation Patient Simulation Computer-Assisted Instruction Lecture Posters Confidence ab: Background: Local anesthetic systemic toxicity (LAST) is a rare but life-threatening complication of anesthetic administration. Nurses are often the first to observe subtle signs of toxicity, yet studies show gaps in knowledge and preparedness. This integrative review was conducted to evaluate effective educational strategies for clinicians to identify and manage LAST in the clinical setting. Method: A total of 13 articles were selected for inclusion based on their relevance to LAST education. Results: Thirteen studies met the inclusion criteria. Four primary educational strategies were identified: didactic instruction, simulation-based learning, web-based modules, and cognitive aids. All modalities showed significant short-term improvement in knowledge. Combined approaches, particularly simulation with didactic instruction, showed the strongest outcomes. Knowledge decay was identified as a persistent challenge, with only five studies assessing retention beyond 3 months. Conclusion: Preparing nurses and students for LAST requires integrated strategies that combine accessible content with experiential practice. Future research should emphasize long-term knowledge retention and innovative modalities to strengthen LAST education. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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