Evaluation of the Effectiveness of a Clinical Practice Guideline for Postoperative Pain Management in the NICU

2.50
Hdl Handle:
http://hdl.handle.net/10755/158827
Type:
Presentation
Title:
Evaluation of the Effectiveness of a Clinical Practice Guideline for Postoperative Pain Management in the NICU
Abstract:
Evaluation of the Effectiveness of a Clinical Practice Guideline for Postoperative Pain Management in the NICU
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Curry, Donna, PhD
P.I. Institution Name:Wright State University
Title:Associate Professor
Contact Address:College of Nursing & Health, 3640 Colonel Glenn Highway, 168 University Hall, Dayton, OH, 45435, USA
Contact Telephone:9377752653
Purpose: To evaluate the effectiveness of a clinical practice guideline for the management of pain after major surgical procedures for the infant in a Level Three NICU. The guideline was one outcome of a multidisciplinary group formed two years ago at this agency to address the institutional responsibility for management of pain in the hospitalized neonate. Theory base: Fuller's (1998) model of infant pain assessment and a framework of clinical practice guideline development served as the theory base for the study. Method: A retrospective chart review was conducted of a purposive sample of pre and postoperative infants using a data collection form based on the newly created guideline for pain management. Charts for 13 infants, three months pre protocol implementation and for 14 infants post implementation of protocol were compared on type of analgesia, whether protocol was met, if pain assessment was completed and if evaluation of pain interventions were done. Data was analyzed to compare the two groups using frequency and percent for three different twenty-four hour time frames after the surgery. Findings: Pain has been better managed since the protocol was implemented, However, the percent of compliance was related to mode of administration of analgesia ordered. Protocol was met 100% if the infant was receiving a continuous drip in contrast to a 23% compliance rate if the infant was receiving intermittent analgesia. Similar findings were found for the percent of compliance to protocol for pain assessment and evaluation. Implications for use of standard documentation forms and quality patient outcomes will be discussed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation of the Effectiveness of a Clinical Practice Guideline for Postoperative Pain Management in the NICUen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158827-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation of the Effectiveness of a Clinical Practice Guideline for Postoperative Pain Management in the NICU</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Curry, Donna, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Wright State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing &amp; Health, 3640 Colonel Glenn Highway, 168 University Hall, Dayton, OH, 45435, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">9377752653</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">currydm@aol.com</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To evaluate the effectiveness of a clinical practice guideline for the management of pain after major surgical procedures for the infant in a Level Three NICU. The guideline was one outcome of a multidisciplinary group formed two years ago at this agency to address the institutional responsibility for management of pain in the hospitalized neonate. Theory base: Fuller's (1998) model of infant pain assessment and a framework of clinical practice guideline development served as the theory base for the study. Method: A retrospective chart review was conducted of a purposive sample of pre and postoperative infants using a data collection form based on the newly created guideline for pain management. Charts for 13 infants, three months pre protocol implementation and for 14 infants post implementation of protocol were compared on type of analgesia, whether protocol was met, if pain assessment was completed and if evaluation of pain interventions were done. Data was analyzed to compare the two groups using frequency and percent for three different twenty-four hour time frames after the surgery. Findings: Pain has been better managed since the protocol was implemented, However, the percent of compliance was related to mode of administration of analgesia ordered. Protocol was met 100% if the infant was receiving a continuous drip in contrast to a 23% compliance rate if the infant was receiving intermittent analgesia. Similar findings were found for the percent of compliance to protocol for pain assessment and evaluation. Implications for use of standard documentation forms and quality patient outcomes will be discussed.</td></tr></table>en_GB
dc.date.available2011-10-26T21:26:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:26:07Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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