Implementing Evidence-based Pediatric Pain Management in EDs: Perspectives of Urban and Rural RNs and Providers

2.50
Hdl Handle:
http://hdl.handle.net/10755/159897
Type:
Presentation
Title:
Implementing Evidence-based Pediatric Pain Management in EDs: Perspectives of Urban and Rural RNs and Providers
Abstract:
Implementing Evidence-based Pediatric Pain Management in EDs: Perspectives of Urban and Rural RNs and Providers
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Furukawa, Ryoko, MSN
P.I. Institution Name:The University of Iowa
Title:College of Nursing
Contact Address:417 Hawkeye Dr., Iowa City, IA, 52246, USA
Contact Telephone:319-541-6709
Co-Authors:C. Kleiber, R. Furukawa, S. Wente, College of Nursing, The University of Iowa, Iowa City, IA; C.A. Jennissen, College of Medicine, The University of Iowa, Iowa City, IA;
Background: Pediatric pain management in Emergency Departments (EDs) is inadequate despite the availability of evidence-based practice (EBP) guidelines. This may be particularly problematic in rural EDs where providers (MDs/DOs/NPs/PAs) are not readily available to write pain management orders. Before developing programs for improvement, it is crucial to understand what ED nurses' and providers' identify as assisting with the use of EBP. Purpose: This poster presents the analysis for the open-ended question: "What would assist your ED in implementing additional evidence-based pediatric pain management practices?" Method: In this descriptive exploratory study, a 99 item web-based survey on current pediatric pain management was offered to all ED RNs and providers in the 117 hospitals in Iowa. Responses were analyzed using content analysis. Inter-rater agreement among investigators was 81%. Results: Of 1175 RNs and 267 MDs/DOs/NPs/PAs who responded to the survey, 734 nurses and 185 providers provided answers to the open-ended question. Most of the comments fell into three categories: Knowledge (need for education, information, and practice opportunities), Hospital Systems (need for guidelines or standing orders, QI initiatives, change in unit condition), and Staff Aspects (collaboration and issues with other disciplines such as nurses or MDs). A higher ratio of providers commented on Knowledge and Hospital Systems issues, and a higher ratio of Nurses commented on Staff Aspects. Participants from Urban and Rural hospitals showed different patterns of responses. More nurses from the smallest hospitals commented on the need for education, guidelines and collaboration with physicians. More physicians from the urban hospitals commented on communication issues with nurses. Conclusion: Despite professional status, Knowledge, Hospital Systems, and Staff Aspects are regarded as the important factors for assisting with implementation of EBP for pediatric pain. Differences between rural and urban settings are important to consider when planning programs to enhance the uptake of EBP in EDs.
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.titleImplementing Evidence-based Pediatric Pain Management in EDs: Perspectives of Urban and Rural RNs and Providersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159897-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementing Evidence-based Pediatric Pain Management in EDs: Perspectives of Urban and Rural RNs and Providers</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">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Furukawa, Ryoko, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">417 Hawkeye Dr., Iowa City, IA, 52246, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">319-541-6709</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ryoko-furukawa@uiowa.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">C. Kleiber, R. Furukawa, S. Wente, College of Nursing, The University of Iowa, Iowa City, IA; C.A. Jennissen, College of Medicine, The University of Iowa, Iowa City, IA;</td></tr><tr><td colspan="2" class="item-abstract">Background: Pediatric pain management in Emergency Departments (EDs) is inadequate despite the availability of evidence-based practice (EBP) guidelines. This may be particularly problematic in rural EDs where providers (MDs/DOs/NPs/PAs) are not readily available to write pain management orders. Before developing programs for improvement, it is crucial to understand what ED nurses' and providers' identify as assisting with the use of EBP. Purpose: This poster presents the analysis for the open-ended question: &quot;What would assist your ED in implementing additional evidence-based pediatric pain management practices?&quot; Method: In this descriptive exploratory study, a 99 item web-based survey on current pediatric pain management was offered to all ED RNs and providers in the 117 hospitals in Iowa. Responses were analyzed using content analysis. Inter-rater agreement among investigators was 81%. Results: Of 1175 RNs and 267 MDs/DOs/NPs/PAs who responded to the survey, 734 nurses and 185 providers provided answers to the open-ended question. Most of the comments fell into three categories: Knowledge (need for education, information, and practice opportunities), Hospital Systems (need for guidelines or standing orders, QI initiatives, change in unit condition), and Staff Aspects (collaboration and issues with other disciplines such as nurses or MDs). A higher ratio of providers commented on Knowledge and Hospital Systems issues, and a higher ratio of Nurses commented on Staff Aspects. Participants from Urban and Rural hospitals showed different patterns of responses. More nurses from the smallest hospitals commented on the need for education, guidelines and collaboration with physicians. More physicians from the urban hospitals commented on communication issues with nurses. Conclusion: Despite professional status, Knowledge, Hospital Systems, and Staff Aspects are regarded as the important factors for assisting with implementation of EBP for pediatric pain. Differences between rural and urban settings are important to consider when planning programs to enhance the uptake of EBP in EDs.</td></tr></table>en_GB
dc.date.available2011-10-26T22:26:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:26:12Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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