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Dissertation
Standardization of topical pain management for invasive procedures in a Neonatal Intensive Care Unit
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Most NICU patients endure some sort of painful medical intervention or procedure daily during their hospitalization (Campbell-Yeo et al., 2019). Painful procedures can have both immediate and future physiological implications for neonatal patients (Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine, 2016). Purpose: Enhance the knowledge and utilization of an available pain intervention, L.M.X.4 (lidocaine 4%) topical anesthetic cream, and its standard of practice policy. The objectives included increased education, increased utilization, and better procedural tolerance. Methods: An evidence-based practice project was conducted using the Iowa Model Revised to promote the use of pain management interventions by NICU nurses in a hospital setting (Cullen et al., 2018). The project was deemed not human subjects research. The process included a pre-intervention survey, educational sessions, reminders and follow-ups, and a post-intervention survey. The pre and post-intervention surveys included a knowledge section and an attitudes/perceptions section. Findings: Knowledge scores from pre to post-intervention increased from 53% to 90%. 100% of survey participants agreed or strongly agreed that education helped them increase their utilization. 59% of survey participants agreed or strongly agreed that L.M.X.4 cream had helped their patients be calm and better tolerate the procedure. Discussion: The project was successful in significantly increasing staff knowledge about L.M.X.4. cream. The project also shows improvement in utilization and how well patients tolerated certain invasive procedures.
Details
- Title: Subtitle
- Standardization of topical pain management for invasive procedures in a Neonatal Intensive Care Unit
- Creators
- Logan Renee Kiche - University of Iowa
- Contributors
- Daniel Crawford (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Pediatric Nurse Practitioner (Primary Care)
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Logan Renee Kiche
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627352002771
Metrics
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