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theses

Background. Despite the fact that self-administration of medications (SAM) in postpartum women in a hospital setting has been proven to provide increased pain relief and decreased narcotic use, as well as increased patient and nurse satisfaction, it has not been widely implemented. Objective. For postpartum registered nurses (RNs) and nurse practitioners (NPs) to identify barriers and facilitators to implementing SAM in a metropolitan hospital setting. Methods. In this study, 41 postpartum RNs and 7 postpartum NPs participated in 1 of 3 lunch and learn programs in January 2020 where they were educated on the literature review of SAM. Following the conclusion of the education, participants completed a 30-question Likert scale survey entitled Barriers and Facilitators to Using Research in Practice. Each question was evaluated for the number of to no extent responses and the number of to a great extent response. Results. Postpartum RNs and NPs identified administration will not allow implementation (n= 42), the nurse does not feel he/she has enough authority to change patient care procedures (n=27), and the nurse does not feel capable of evaluating the quality of the research (n=15) as barriers. Facilitators to implementing the SAM program were the nurse sees benefit for themselves (n=30), the nurse sees the value of research for practice (n=20), and nurses’ willingness to try new ideas (n= 20). Implication. With administration identified as a roadblock to implementing SAM, a collaborative interdisciplinary team has been created to implement SAM and other evidenced-based measures into practice at this metropolitan hospital.

ETD_10844

DNP

Includes bibliographical references

doi:10.7282/t3-tt0z-3t24

ETD doctoral

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