Use of specific complementary therapies

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Reference no: EM133851277

Review the Sherpath Case Study: Building an Evidence-Based Nursing Practice (Below). Discuss your takeaways from this case study. How will this case study guide your implementation of EBP?

As a staff nurse, you decide to become a member of your institution's "Evidence-Based Practice" Committee. This committee uses chart reviews and other outcomes data to collect information about patient care and safety issues, nursing practice issues, adherence to institutional policy and procedure, and patient outcomes. A recent report indicated that postoperative patients on the surgical floors may still be experiencing inadequate pain control despite the appropriate administration of as-needed pain medications. Committee members are interested in adding the use of complementary therapies to the current pain management protocol, believing that this will assist nurses in helping patients achieve appropriate postoperative pain control.

Question 1

How would the committee begin to find evidence to support the use of specific complementary therapies? The first step would be to review and critically appraise the current evidence on complementary pain management therapies in postoperative patients. This would include reviewing evidence-based guidelines from government agencies, professional organizations, and health care agencies and appraising research syntheses (systematic reviews, meta-analyses, meta-syntheses, and mixed-methods systematic reviews) to determine the knowledge that is ready for use in practice. Based upon this review, the committee would be able to identify possible interventions to include in a new protocol.

Question 2

According to the Grove Model, what questions does the Committee need to pose to assess the quality and usefulness of the EB guidelines under consideration? Who wrote the guideline (expertise, profession)? How significant is the problem (is it worth making the effort to implement a change)? How strong is the evidence? Are the EB guidelines linked to national standards? Would it be cost effective to implement the EB guidelines into practice?

Question 3

The committee decides to offer music therapy to postoperative patients on the surgical floor as a complementary therapy to improve patients' pain management. Write a PICO format question addressing this issue.

P-Population - Postoperative patients on a surgical floor; I-Intervention - Listening to music on portable music devices; C-Comparison - Pain scores and patient satisfaction preprotocol and post protocol implementation; O- Outcome - Improved pain management and satisfaction with care in postoperative patients.

Question 4

What barriers might be encountered in implementing a new music therapy protocol? Barriers that might be encountered include staff perceiving that their workload is such that they have limited time to implement music therapy protocol, limited support from nursing administrators or medical staff to implement the practice change, and limited funds to support implementing music therapy. It might be that even if the music therapy was implemented, there are other unique patient factors that have been contributing to the inadequate pain control so that music therapy will not make a difference in patients achieving better pain management. Another barrier that might be encountered, depending on the topic, is the lack of evidence regarding the effectiveness of music therapy in this population. However, in this instance, there is compelling evidence to support offering music therapy to postoperative patients.

Question 5

If the protocol was successful, what do you think that practice on the surgical floor will look like in 1 year? If the protocol was successful, in 1 year an acceptable number of postoperative patients on the surgical floor would be achieving appropriate pain control using a combination of pain medications and music therapy. Patients would also report increased satisfaction with care. Staff would routinely be using music therapy as an intervention in delivering care to postoperative patients.

Reference no: EM133851277

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