Implementing Recommended Perioperative Pain Practice Guidelines by Incorporating Intravenous Acetaminophen

11.83
Hdl Handle:
http://hdl.handle.net/10755/550408
Category:
Full-text
Type:
DNP Capstone Project
Level of Evidence:
Case-Control Study
Research Approach:
Translational Research/Evidence-based Practice
Title:
Implementing Recommended Perioperative Pain Practice Guidelines by Incorporating Intravenous Acetaminophen
Author(s):
Torabi, Sarah Ann
Additional Author Information:
Sarah Ann Torabi, MSN, CRNA, email: sat273@nau.edu
Advisors:
Stetina, Pamela
Degree:
DNP
Degree Year:
2015
Grantor:
Northern Arizona University
Abstract:

Optimizing perioperative pain management is important in decreasing adverse outcomes in surgical patients. The purpose of this project was to implement recommended perioperative pain practice guidelines by incorporating intravenous acetaminophen (IVA) as part of multimodal analgesia at an acute care hospital in Northern Arizona.  Lewin’s change theory guided this project by using strategies to break barriers in accepting and changing perioperative pain guidelines by completing a retrospective chart review to determine IVA efficacy. Data was obtained from adult surgical patients at this facility from January 1, 2014-July 31, 2014 which resulted in 74 charts that met criteria; 37 patients received IVA and 37 patients did not receive IVA.  Chi-square analysis and a paired t-test compared mean pain scores, total opioid dosages in the first 24 hours, length of hospital stay (LOS) and patient demographics/clinical characteristics. Statistically significant differences were noted in pain scores at 12 and 24 hours, total opioid dosages and LOS (p< 0.05) in the IVA group. There were no statistically significant difference in demographic characteristics between the two groups nor in postoperative care unit (PACU) pain scores (p>0.05). These findings support current literature review that IVA is an effective non-analgesic for perioperative pain management. 

Citation:
Torabi, S. A. (2015, April). Implementing recommended perioperative pain practice guidelines by incorporating intravenous Acetaminophen (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/550408
Keywords:
perioperative pain; intravenous acetaminophen; practice guidelines; Lewin's change theory
MeSH:
Perioperative Care; Pain Management; Practice Guideline; Evidence-Based Practice
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2015-04-21T13:32:54Z
Date of Publication:
2015-04-21

Full metadata record

DC FieldValue Language
dc.contributor.advisorStetina, Pamela-
dc.contributor.authorTorabi, Sarah Ann-
dc.date.accessioned2015-04-21T13:32:54Z-
dc.date.available2015-04-21T13:32:54Z-
dc.date.issued2015-04-21-
dc.identifier.citationTorabi, S. A. (2015, April). Implementing recommended perioperative pain practice guidelines by incorporating intravenous Acetaminophen (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/550408en_US
dc.identifier.urihttp://hdl.handle.net/10755/550408-
dc.description.abstract<p>Optimizing perioperative pain management is important in decreasing adverse outcomes in surgical patients. The purpose of this project was to implement recommended perioperative pain practice guidelines by incorporating intravenous acetaminophen (IVA) as part of multimodal analgesia at an acute care hospital in Northern Arizona.  Lewin’s change theory guided this project by using strategies to break barriers in accepting and changing perioperative pain guidelines by completing a retrospective chart review to determine IVA efficacy. Data was obtained from adult surgical patients at this facility from January 1, 2014-July 31, 2014 which resulted in 74 charts that met criteria; 37 patients received IVA and 37 patients did not receive IVA.  Chi-square analysis and a paired t-test compared mean pain scores, total opioid dosages in the first 24 hours, length of hospital stay (LOS) and patient demographics/clinical characteristics. Statistically significant differences were noted in pain scores at 12 and 24 hours, total opioid dosages and LOS (<em>p</em>< 0.05) in the IVA group. There were no statistically significant difference in demographic characteristics between the two groups nor in postoperative care unit (PACU) pain scores (<em>p</em>>0.05). These findings support current literature review that IVA is an effective non-analgesic for perioperative pain management. </p>en_GB
dc.language.isoenen
dc.subjectperioperative painen_GB
dc.subjectintravenous acetaminophenen_GB
dc.subjectpractice guidelinesen_GB
dc.subjectLewin's change theoryen_GB
dc.subject.meshPerioperative Careen_US
dc.subject.meshPain Managementen_US
dc.subject.meshPractice Guidelineen_US
dc.subject.meshEvidence-Based Practiceen_US
dc.titleImplementing Recommended Perioperative Pain Practice Guidelines by Incorporating Intravenous Acetaminophenen
dc.typeDNP Capstone Projecten
thesis.degree.grantorNorthern Arizona Universityen_GB
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsSarah Ann Torabi, MSN, CRNA, email: sat273@nau.eduen_GB
thesis.degree.year2015en
dc.type.categoryFull-texten_GB
dc.evidence.levelCase-Control Studyen
dc.research.approachTranslational Research/Evidence-based Practiceen
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