Development, implementation, and evaluation of the pain management protocol in the critical care unit
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Makhamadalieva, Barno.
Development, implementation, and evaluation of the pain management protocol in the critical care unit. Retrieved from
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TitleDevelopment, implementation, and evaluation of the pain management protocol in the critical care unit
Date Created2023
Other Date2023-05 (degree)
Extent131 pages : illustrations
DescriptionAbstract
Purpose: This project aimed to improve pain assessment and management effectiveness and quality among the nonverbal ICU population by developing, implementing, and evaluating the Critical care Pain Observation Tool (CPOT) pain management protocol.
Method: A quality improvement initiative with Plan Do Study Act framework and protocolized changes in 34 bed mixed ICU at northeastern, NJ, included adult mechanically ventilated patients ages 18-year-old or older. All nurses and ICU providers were given education on the CPOT tool use via the Mc Strategies platform, and the protocol was reviewed by the change agents three times a week during huddles. Data was collected on the frequency of pain assessments and the number of identified pain incidences on 50 charts. Nursing acceptability, applicability, and feasibility survey were collected after the eight weeks of implementation.
Results: 66% of the nurses completed the educational module. The consistency and compliance of the CPOT protocol was 92% at the end of the eight-week implementation. The nursing survey revealed a 53% response rate, with 86% of the nurses showing positive evaluation and finding the tool feasible, applicable, and appropriate for their population.
Implications: At the project site, the pain assessment and management frequency increased compared to week first compliance rate to week eight. Nurses found the CPOT tool easy to use, and the protocol helped them manage ventilated patients promptly. At the clinical site, the project implementation fulfilled the gap in the Society of Critical Care Medicine (SCCM) guidelines and anticipated further effects on reducing the ventilation time, length of ICU stays, reducing sedatives, delirium, coma, increasing patients' mobility, and early discharge from the hospital.
Keywords: intensive care, mechanical ventilation, pain measurements, CPOT, SCCM guidelines
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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