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Improving the care of adult sickle cell disease patients presenting with acute vaso-occlusive crisis to the emergency department via education
Descriptive
TitleInfo
Title
Improving the care of adult sickle cell disease patients presenting with acute vaso-occlusive crisis to the emergency department via education
Name
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Granai
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Kimberly
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Kimberly Granai
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author
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Dial
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Alexis
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1990-
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Alexis Dial
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(authority = RULIB)
author
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Benenson
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Irina
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Irina Benenson
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Advisory Committee
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chair
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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theses
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2020
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2020-05
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English
Abstract
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Purpose: The purpose of this project was to improve pain management of sickle cell disease (SCD) patients presented to the emergency department (ED) with painful vaso-occlusive crisis (VOC).
Methodology: This project used a quasi-experimental pre-test post-test design. Registered nurses and other healthcare providers working in the adult ED participated in this project. A 30-min educational intervention on evidence-based pain management of SCD patients with VOC was carried out over a two-week period. A chart review was performed pre- and post- intervention to determine the impact of the intervention on pain management outcomes.
Results: Thirty RNs and four providers attended the educational sessions. The data analysis was based on review of 15 charts pre- and 12 charts post-intervention. There was no statistically significant improvement in assigning a higher triage level (p =0.482), starting a first dose of analgesics within 30 minutes after being triaged (p >0.05), reassessing pain within 30 minutes (p = 0.082), escalating a dose of pain medications (p = 0.765), and documenting pain at the end of the ED stay (0.542).
Implications for Practice: Future interventions should incorporate a pain management protocol in addition to educational sessions.
Methodology: This project used a quasi-experimental pre-test post-test design. Registered nurses and other healthcare providers working in the adult ED participated in this project. A 30-min educational intervention on evidence-based pain management of SCD patients with VOC was carried out over a two-week period. A chart review was performed pre- and post- intervention to determine the impact of the intervention on pain management outcomes.
Results: Thirty RNs and four providers attended the educational sessions. The data analysis was based on review of 15 charts pre- and 12 charts post-intervention. There was no statistically significant improvement in assigning a higher triage level (p =0.482), starting a first dose of analgesics within 30 minutes after being triaged (p >0.05), reassessing pain within 30 minutes (p = 0.082), escalating a dose of pain medications (p = 0.765), and documenting pain at the end of the ED stay (0.542).
Implications for Practice: Future interventions should incorporate a pain management protocol in addition to educational sessions.
Subject
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Topic
Sickle cell disease
Subject
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Topic
Vaso-occlusive crisis
Subject
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Topic
Pain management
Subject
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Topic
Emergency department
Subject
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Topic
Family Nurse Practitioner in Emergency Care
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Rutgers University Electronic Theses and Dissertations
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ETD_10610
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1 online resource (70 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-8vkz-bg89
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ETD doctoral
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Rights
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The author owns the copyright to this work.
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Name
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Dial
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Alexis
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Permission or license
DateTime
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2020-03-13 11:57:33
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Alexis Dial
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2020-05-31
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2022-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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