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Description
EBP
PICOT Question:Among clinical staff in the Integrated Therapy Unit (ITU), how does the implementation and education of a standardized set of topical anesthetic agents affect staff consistency with the new pain management procedure over six months compared to existing inconsistent practices?
Background:Effective pain management during pediatric needlestick procedures is critical but often neglected, leading to immediate distress and long-term issues like needle phobia. Research shows that proper pain management not only reduces pain but also improves patient satisfaction and clinical outcomes. However, inconsistent use of strategies like topical anesthetics has hindered optimal care. This project aimed to standardize pain management practices in the ITU to enhance patient comfort and staff efficiency, guided by evidence-based models and the Plan- Do-Study-Act (PDSA) Cycle for continuous improvement.
Literature Review:The importance of pain management during pediatric needle procedures is well-established. Evidence shows that topical anesthetics significantly reduce pain and anxiety in children. For example, Cho and Choi (2021) found that combining distraction techniques with topical anesthetics effectively reduces needle-related pain, improving outcomes. Monk et al. (2023) highlighted the success of the "Poke Plan," a structured protocol that enhanced pain management through comprehensive education and clear procedures for staff. Frameworks like the Johns Hopkins Nursing Evidence-Based Practice Model and the Iowa Model support continuous education, resource availability, and the consistent integration of evidence-based practices into care.
Evaluation:The protocol's success was assessed through pre- and post-implementation audits, focusing on the consistent use of topical anesthetics. Before implementation, only 21% of patients received adequate pain management, which increased to 67% post-implementation, marking a 46% improvement. Ongoing evaluation includes monitoring adherence, resource availability, and the effectiveness of education. Feedback from staff and patients continues to guide further improvements. The increased compliance highlights the protocol’s positive impact, with continued efforts needed to sustain and enhance these practices.
Publication Date
9-27-2024
Keywords
EBP, Evidence-Based Pracitce, Evidence-Based Nursing, Pain Management, Needlesticks
Disciplines
Pediatric Nursing
Recommended Citation
Bhandari, Dhanu N., "Optimized Pain Management Protocol for Pediatric Needlestick Procedures: Boosting Team Coordination and Pain Relief" (2024). 2024. 36.
https://scholarlycollection.childrens.com/nursing-anf2024/36
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This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
