改善特殊护理单位全髋关节和膝关节置换术后疼痛管理:最佳实践实施项目。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Silvia Ruiz González, Tamara López Rico, Esperanza Arribas Arauzo, Janire García Prieto, Laura Albornos Muñoz
{"title":"改善特殊护理单位全髋关节和膝关节置换术后疼痛管理:最佳实践实施项目。","authors":"Silvia Ruiz González, Tamara López Rico, Esperanza Arribas Arauzo, Janire García Prieto, Laura Albornos Muñoz","doi":"10.1097/XEB.0000000000000507","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Post-operative pain is often underestimated (70% of surgical patients experience some degree of pain) and is insufficiently treated. This increases morbidity and mortality, mainly due to respiratory and thromboembolic complications, longer hospital stays, deterioration in quality of life, and occurrence of chronic pain.</p><p><strong>Objectives: </strong>This study aimed to improve post-operative pain management in the first 4 hours after total hip and knee replacement by promoting best practices.</p><p><strong>Methods: </strong>This project used the JBI Evidence Implementation Framework. JBI's Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) audit tools were used to collect data and develop implementation strategies, in line with identified barriers. The project was conducted in a special care unit in a primary hospital in Spain using a sample of 30 patients. Three phases of activity were followed: conducting a baseline audit, implementing improvement strategies, and conducting follow-up audits to assess intervention outcomes. The evaluation criteria used in the audits were derived from a JBI evidence summary on post-operative pain management.</p><p><strong>Results: </strong>The baseline audit identified five barriers: lack of nursing staff knowledge of appropriate pain assessment scales; lack of complete pain assessment record in the electronic nursing records; lack of staff confidence in evidence-based practice; lack of dedicated training time for staff; and low staff participation in consensus process. Strategies were formulated to address these barriers using JBI's GRiP method. Following implementation, compliance with all audit criteria significantly improved.</p><p><strong>Conclusion: </strong>The strategies developed using the JBI Evidence Implementation Framework positively impacted compliance with best practices.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A339.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Improving post-operative pain management after total hip and knee replacement in a special care unit: a best practice implementation project.\",\"authors\":\"Silvia Ruiz González, Tamara López Rico, Esperanza Arribas Arauzo, Janire García Prieto, Laura Albornos Muñoz\",\"doi\":\"10.1097/XEB.0000000000000507\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Post-operative pain is often underestimated (70% of surgical patients experience some degree of pain) and is insufficiently treated. This increases morbidity and mortality, mainly due to respiratory and thromboembolic complications, longer hospital stays, deterioration in quality of life, and occurrence of chronic pain.</p><p><strong>Objectives: </strong>This study aimed to improve post-operative pain management in the first 4 hours after total hip and knee replacement by promoting best practices.</p><p><strong>Methods: </strong>This project used the JBI Evidence Implementation Framework. JBI's Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) audit tools were used to collect data and develop implementation strategies, in line with identified barriers. The project was conducted in a special care unit in a primary hospital in Spain using a sample of 30 patients. Three phases of activity were followed: conducting a baseline audit, implementing improvement strategies, and conducting follow-up audits to assess intervention outcomes. The evaluation criteria used in the audits were derived from a JBI evidence summary on post-operative pain management.</p><p><strong>Results: </strong>The baseline audit identified five barriers: lack of nursing staff knowledge of appropriate pain assessment scales; lack of complete pain assessment record in the electronic nursing records; lack of staff confidence in evidence-based practice; lack of dedicated training time for staff; and low staff participation in consensus process. Strategies were formulated to address these barriers using JBI's GRiP method. Following implementation, compliance with all audit criteria significantly improved.</p><p><strong>Conclusion: </strong>The strategies developed using the JBI Evidence Implementation Framework positively impacted compliance with best practices.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A339.</p>\",\"PeriodicalId\":48473,\"journal\":{\"name\":\"Jbi Evidence Implementation\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-03-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Jbi Evidence Implementation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/XEB.0000000000000507\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jbi Evidence Implementation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/XEB.0000000000000507","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

术后疼痛通常被低估(70%的手术患者会经历某种程度的疼痛),并且没有得到充分的治疗。这增加了发病率和死亡率,主要是由于呼吸和血栓栓塞并发症、住院时间延长、生活质量恶化和慢性疼痛的发生。目的:本研究旨在通过推广最佳实践来改善全髋关节和膝关节置换术后最初4小时的术后疼痛管理。方法:本项目采用JBI证据实施框架。JBI的临床证据系统的实际应用(pace)和将研究付诸实践(GRiP)审计工具被用于收集数据和制定实施策略,以符合已确定的障碍。该项目在西班牙一家初级医院的一个特殊护理病房进行,抽样了30名患者。活动分为三个阶段:进行基线审计、实施改进战略和进行后续审计以评估干预结果。审计中使用的评估标准来自JBI关于术后疼痛管理的证据摘要。结果:基线审核确定了五个障碍:护理人员缺乏适当的疼痛评估量表的知识;电子护理记录中缺乏完整的疼痛评估记录;工作人员对循证实践缺乏信心;员工缺乏专门的培训时间;员工在协商一致过程中的参与度较低。使用JBI的GRiP方法制定了解决这些障碍的策略。实施后,对所有审计标准的遵守情况显著改善。结论:使用JBI证据实施框架制定的策略积极影响了最佳实践的依从性。西班牙文摘要:http://links.lww.com/IJEBH/A339。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving post-operative pain management after total hip and knee replacement in a special care unit: a best practice implementation project.

Introduction: Post-operative pain is often underestimated (70% of surgical patients experience some degree of pain) and is insufficiently treated. This increases morbidity and mortality, mainly due to respiratory and thromboembolic complications, longer hospital stays, deterioration in quality of life, and occurrence of chronic pain.

Objectives: This study aimed to improve post-operative pain management in the first 4 hours after total hip and knee replacement by promoting best practices.

Methods: This project used the JBI Evidence Implementation Framework. JBI's Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) audit tools were used to collect data and develop implementation strategies, in line with identified barriers. The project was conducted in a special care unit in a primary hospital in Spain using a sample of 30 patients. Three phases of activity were followed: conducting a baseline audit, implementing improvement strategies, and conducting follow-up audits to assess intervention outcomes. The evaluation criteria used in the audits were derived from a JBI evidence summary on post-operative pain management.

Results: The baseline audit identified five barriers: lack of nursing staff knowledge of appropriate pain assessment scales; lack of complete pain assessment record in the electronic nursing records; lack of staff confidence in evidence-based practice; lack of dedicated training time for staff; and low staff participation in consensus process. Strategies were formulated to address these barriers using JBI's GRiP method. Following implementation, compliance with all audit criteria significantly improved.

Conclusion: The strategies developed using the JBI Evidence Implementation Framework positively impacted compliance with best practices.

Spanish abstract: http://links.lww.com/IJEBH/A339.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信