Intravenous patient-controlled analgesia (IV PCA) for post-operative pain management: an education module for registered nurses

Norman, Ashley (2021) Intravenous patient-controlled analgesia (IV PCA) for post-operative pain management: an education module for registered nurses. Practicum Report. Memorial University of Newfoundland. (Unpublished)

[English] PDF - Accepted Version Available under License - The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission. Download (3MB)

Abstract

Background: Providing effective pain management post-operatively is essential to prevent complications after surgery, increase patient satisfaction and ultimately enhance optimal post-surgical outcomes. Intravenous patient-controlled analgesia (PCA) is a method of post-operative pain management which can achieve all of these outcomes and improve the overall quality of post-surgical care provided. Registered Nurses (RNs) at the Labrador West Health Centre (LWHC) in Labrador City, NL identified a lack of knowledge and experience with caring for patients receiving intravenous PCA. By providing a resource to enhance the knowledge of RNs regarding this method of post-surgical pain management, PCA will be a more feasible option for patients at the LWHC, where the current practice of intermittent intravenous or intramuscular injections of opioids remains in use. Purpose: The purpose of this practicum was to develop an educational resource for RNs focusing on the care of patients receiving PCA post-operatively. As a result of this educational resource, an increase in knowledge and confidence of RNs at the LWHC in using PCA is expected. Methods: An integrative literature review, consultations with key informants, and an environmental scan of other facilities within Newfoundland and Labrador were conducted. Results: Blended education has been found to be effective when educating RNs. This involves the use of self-directed and face-to-face learning. In keeping with this method of blended education, an educational module was created along with a face-to-face education session involving a discussion of case studies and the use of pre and post-tests. Conclusion: Prior to implementation, key informants from the LWHC will review the content of the education module. This module, combined with a face-to-face session, is expected to increase the knowledge and confidence of RNs along with improving the quality of post-operative care offered to patients. It is further anticipated that the implementation of this education module will lead to the consistent use of intravenous PCA as a method of post-operative pain management at the LWHC, thus enhancing optimal post-surgical outcomes.

Actions (login required)

View Item