Nonpharmacological Techniques and Pain Management

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Nonpharmacological Techniques and Pain Management

Transcript Of Nonpharmacological Techniques and Pain Management

Walden Dissertations and Doctoral Studies

Walden University
ScholarWorks
Walden Dissertations and Doctoral Studies Collection

2019
Nonpharmacological Techniques and Pain Management
Nancy Arbuah
Walden University

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Walden University
College of Health Sciences
This is to certify that the doctoral study by
Nancy Arbuah
has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made.
Review Committee Dr. Mark Wells, Committee Chairperson, Nursing Faculty Dr. Diane Whitehead, Committee Member, Nursing Faculty Dr. Mary Catherine Garner, University Reviewer, Nursing Faculty
Chief Academic Officer Eric Riedel, Ph.D.
Walden University 2019

Abstract Nonpharmacological Techniques and Pain Management
by Nancy Arbuah
Project Submitted in Partial Fulfillment of the Requirements for the Degree of
Doctor of Nursing Practice
Walden University May 2019

Abstract The opioid epidemic in the United States continues to be a national health crisis affecting all populations. From 1999 to 2016, more than half a million people died from drug overdose. Nonpharmacological therapies are underused in nursing practice due to the gap in nurses’ baseline knowledge and confidence related to nonpharmacological techniques for pain management. The purpose of this scholarly project was to develop and implement an expert-reviewed, evidence-based education program focused on nonpharmacological techniques for pain management. Participants included 18 registered nurses (RNs) from an orthopedic unit in a large academic medical center. A 45-minute educational session was conducted for RNs. A pre/postquestionnaire, including a 5-point Likert scale on nurses’ self-perceived knowledge and confidence in using selected nonpharmacological techniques, was the method of data collection. Descriptive statistics were used to analyze the data. The results indicated an increase in nurses’ self-perceived knowledge in all nonpharmacological techniques. The most significant increase in knowledge posteducation intervention was guided imagery with an increase of 72% in terms of the response Good. The data analysis indicates that the nurses self-perceived confidence posteducation intervention increased in terms of the response Good by 50 % and response Excellent by 33% demonstrating the efficacy of an evidence- based education program on nonpharmacological techniques. The implications of this project for social change include the empowerment of nurses to provide holistic patient-centered care, opioid sparing in keeping in alignment with patient safety, and the development of an evidence-based program that can be replicated in other settings.

Nonpharmacological Techniques and Pain Management by
Nancy Arbuah
Project Submitted in Partial Fulfillment of the Requirements for the Degree of
Doctor of Nursing Practice
Walden University May 2019

Dedication To my family, mother (Veronica) father (Allwell), and sisters (Felecia & Kathy) for their ongoing encouragement, prayers and support. Especially my husband, Orlando Burton who is a pillar of support and who challenges me to continue to excel in all that I do.

Acknowledgments To my chair and cochair, Dr. Mark Wells and Dr. Diane Whitehead, your exceptional mentorship, encouragement and support is truly appreciated. You both exemplify the essence of a Doctoral Prepared Nurse and I am truly grateful for all of your contribution to this DNP Project. In addition, my clinical mentor, Dr. Frantzces Alabre who demonstrates exceptional leadership and continues to inspire me as a nurse leader and scholar.

Table of Contents List of Tables ..................................................................................................................... iv Section 1: Nature of the Project ...........................................................................................1
Introduction ....................................................................................................................1 Problem Statement .........................................................................................................2 Purpose ...........................................................................................................................2 Nature of the Doctoral Project .......................................................................................3 Significance ....................................................................................................................5 Summary ........................................................................................................................6 Section 2: Background and Context ....................................................................................7 Introduction ....................................................................................................................7 Review of the Scholarly Evidence .................................................................................7
Specific Literature................................................................................................... 8 General Literature ................................................................................................. 12 Concepts, Models, and Theories ..................................................................................13 Background ........................................................................................................... 14 Core Elements ....................................................................................................... 14 Definition of Terms............................................................................................... 17 Local Background and Context ...................................................................................18 Role of the DNP Student..............................................................................................19 Summary ......................................................................................................................19 Section 3: Collection and Analysis of Evidence................................................................20
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Introduction ..................................................................................................................20 Practice-Focused Question(s) ......................................................................................20 Source of Evidence ......................................................................................................20
Planning ................................................................................................................ 20 Participants............................................................................................................ 22 Implementation ..................................................................................................... 23 Protections............................................................................................................. 24 Analysis and Synthesis ................................................................................................24 Summary ......................................................................................................................24 Section 4: Finding and Recommendations ........................................................................26 Summary of Findings...................................................................................................26 Participants Response to Questionnaires .....................................................................27 Data Analysis ...............................................................................................................31 Implications..................................................................................................................34 Project Strength and Limitations .................................................................................37 Recommendations ........................................................................................................38 Section 5: Dissemination Plan ...........................................................................................39 Dissemination of Findings .....................................................................................39 Analysis of Self…………………………………………………………………..39 Summary…………………………………………………………………………41 References ..........................................................................................................................42 Appendix A: Nonpharmacological Techniques Knowledge Self-Assessment Questions
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Pre/Postsurvey....................................................................................................................46 Appendix B: Nonpharmacological Techniques Education Evaluation .............................48
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