Evaluation of Registered Nurse Knowledge/Education Related ...
Transcript of Evaluation of Registered Nurse Knowledge/Education Related ...
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Principal Investigator: Danielle Hoffman BSN, RN, TNS, EMT-P, SANE-A
Evaluation of Registered Nurse Knowledge/Education
Related to Distraction as a Nursing Intervention
for Pediatric Procedural Pain Management in the Emergency Department
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Background
Children requiring medical care
often go through painful or stressful procedures
Distraction is a defined nursing intervention that may be utilized for treatment of pain or distress
– but what does it look like?
https://youtu.be/EKh4ApbDsHw
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Literature Review
• American Academy of Pediatrics (2001) noted acute pain as a common adverse stimuli
• “a lack of familiarity with pediatric pain relief strategies” (ENA, 2010)
• McCarthy et al. (2010) concluded that an appropriate level of distraction is needed to decrease distress during painful medical procedures
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Purpose
To identify gaps in
education and implementation of distraction as a nursing intervention
Research Questions:
1. Does current practice reflect use of distraction
2. What are perceived barriers
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Objectives
• Identify # of nurses that use distraction
• Identify knowledge level with regard to implementing distraction
• Identify barriers to use of distraction
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Outcome Measures
Outcomes measured # of nurses reporting:
• Infrequent use of distraction
• Low knowledge of distraction
• Confidence in ability to use distraction
• Need for more education r/t distraction
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Method Cross-sectional, descriptive design • Utilizing a survey
Setting • Genesis Medical Center Davenport and Silvis Emergency
Departments Participant Inclusion Criteria • All full-time, part-time, and per diem nurses working at
time of survey in the settings above
Sample • Convenience sample (30% response rate)
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Results Q1: Years worked in the Emergency Department
• Less than 1 year = 0.00%
• 1-5 years = 23.33% of respondents
• 5-10 years = 36.67% of respondents
• More than 10 years = 40.00% of respondents
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Results Q2: Genesis Medical Center campus you are employed at
• Davenport = 56.67% of respondents
• Silvis = 43.33% of respondents
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Results Q3: The Emergency Department is an important setting for identifying and caring for pediatric patients (0-17) in pain.
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Results Q4: How often do you utilize distraction as a nursing intervention for the pediatric patient in pain?
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Results Q5: I have sufficient education to utilize distraction as a nursing intervention for the pediatric patient in pain.
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Results Q6: I am confident in my ability to provide distraction as a nursing intervention for pediatric procedural pain management such as: IV insertion, blood draw, and laceration repair.
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Results Q7: I know which types of distraction are appropriate for the various ages of pediatric patients.
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Results Q8: I would like to receive education related to utilizing distraction as a nursing intervention for pediatric procedural pain management.
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Results Q9: What barriers do you experience in your ability to use distraction as a nursing intervention for pediatric procedural pain management?
Themes Identified:
1. Limited knowledge/education
2. Lack of distraction tools
3. Parental concerns
4. Limited staffing
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Cluster Analysis
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Conclusion Questions answered:
1. Does the current practice in the emergency departments reflect the use
of distraction as a nursing intervention for pediatric procedural pain
management?
-Overall distraction is used as a nursing intervention
2. What are the perceived barriers to the use of distraction as a nursing
intervention for pediatric procedural pain management?
- Most reported barrier: limited knowledge or education
* All were open to the idea of more education on distraction *
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Implications to Practice
• Key finding:
nurses desire education on distraction intervention
• Opportunity for future research:
- interventional study to educate nurses
- randomized control study to investigate effectiveness of bed-side nurses utilizing distraction with the pediatric patient
• Distraction promotes efforts to provide quality and compassionate medical services for children who undergo painful procedures
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Lessons Learned
Process Oriented challenges:
• Buy-in / participant engagement
• 4 point vs. 5 point Likert scale
• Analysis of data
• Low response rate
• Convenience sample
Limitations
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Thank You!
Genesis Nursing Research & EBP Committee
• Sarah Castro
• Kathy Lenaghan
• Dr. J. Lemke
• Hannah McAfoos
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May I answer…
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References
American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health; Task Force on Pain in Infants, Children, and Adolescents (2001). The assessment and management of acute pain in infants, children, and adolescents. Pediatrics, 108, 793-797.
Emergency Nurses Association (2010). Pediatric procedural pain management. Retrieved from
https://www.ena.org/practiceresearch/Practice/Position/Pages/PediatricProceduralPainManagement.aspx
McCarthy, A. M., Kleiber, C., Hanrahn, K., Zimmerman, M. B., Westhus, N. & Allen, S. (2010).
Factors explaining children’s responses to intravenous needle insertions. Nursing Research, 59(6), 407-416
St. Louis Children’s Hospital.(2013 September, 18). Using distraction to make IV insertions
ouchless at St. Louis Children’s Hospital. [Video file]. Retrieved from https://youtu.be/EKh4ApbDsHw