Ebp Task 2 Essay
EBP - PICO Task 2
A1: Describe a healthcare problem The problem presented is pain control in children postoperatively. Currently there are no proven ways to accurately measure postoperative pain in children. Hospital staff tend to under estimate the pain of children. Staff have only the word of patients and caregivers, combined with pain scales, which can be less than reliable due to the fact that many of them are utilizing opinions and visual cues. It is more difficult to gauge the pain of a child, especially under the age of 5, and in nonverbal children. So, the real problem is that many children do not have properly managed pain postoperatively.
A2: Explain the significance of the problem The main problem with uncontrolled postoperative …show more content…
Nurses are often times resistant to changes. Another barrier would be increased demand on the educators. No money is needed to make these changes.
F3: Strategies for Barriers Making the nursing staff aware of the neglect of postoperative pain management in the patient population would be a step in the right direction to making a change. Ensuring the staff that doing bedside reporting would not take any longer to accomplish than report at the nursing station. The nursing staff will also have to be made aware that getting the parents involved while reporting and confirming the plan of care they had during the day and what the plan of care is for the evening will make for a smoother shift. This also alleviates the ever so present accusations from one shift to another. Teaching pain management is already a practice, but not to the extent of involving the parents and making sure we listen to them. Refreshers on how to use our assessment tools correctly. The educator could delegate some of the responsibilities to a team of nurses that she trains. This would take much of the responsibility off of the educator and help get the staff more involved in the changes that need to be made.
F4: Indicator to Measure
A1: Describe a healthcare problem The problem presented is pain control in children postoperatively. Currently there are no proven ways to accurately measure postoperative pain in children. Hospital staff tend to under estimate the pain of children. Staff have only the word of patients and caregivers, combined with pain scales, which can be less than reliable due to the fact that many of them are utilizing opinions and visual cues. It is more difficult to gauge the pain of a child, especially under the age of 5, and in nonverbal children. So, the real problem is that many children do not have properly managed pain postoperatively.
A2: Explain the significance of the problem The main problem with uncontrolled postoperative …show more content…
Nurses are often times resistant to changes. Another barrier would be increased demand on the educators. No money is needed to make these changes.
F3: Strategies for Barriers Making the nursing staff aware of the neglect of postoperative pain management in the patient population would be a step in the right direction to making a change. Ensuring the staff that doing bedside reporting would not take any longer to accomplish than report at the nursing station. The nursing staff will also have to be made aware that getting the parents involved while reporting and confirming the plan of care they had during the day and what the plan of care is for the evening will make for a smoother shift. This also alleviates the ever so present accusations from one shift to another. Teaching pain management is already a practice, but not to the extent of involving the parents and making sure we listen to them. Refreshers on how to use our assessment tools correctly. The educator could delegate some of the responsibilities to a team of nurses that she trains. This would take much of the responsibility off of the educator and help get the staff more involved in the changes that need to be made.
F4: Indicator to Measure