Transcript File - Professional Portfolio

Pilot Study to Evaluate
Effectiveness of a Self-Directed
Audio Relaxation Intervention
TANYA I SLAND, CRNA, MSNA
DECEMBER 1, 2014
DNP CAPSTONE PROPOSAL
Presentation Topics
Overview
SWOT
Background
Literature Analysis
Research Questions
Methodology
PICOT
Objectives/Timeline
Overview
INADEQUATE MIND-BODY PREP
EMPHASIS ON PROCESS, NOT PATIENT
MINIMAL PRIVACY, UNFAMILIAR SURROUNDINGS
Background
ANXIETY-PROVOKING EXPERIENCE
FEAR OF ANESTHESIA AND SURGERY
LIMITATIONS IN EXISTING
TREATMENTS/INTERVENTIONS
SWOT Analysis
Strengths – engaged perioperative staff, customer-service
oriented
Weaknesses – task focused in preoperative area, production
pressure
Opportunities – potential shift in culture of care, emphasis
on evidence-based care.
Threats – possibility that patients decline to participate
Clinical Inquiry
WILL A SELF-DIRECTED AUDIO INTERVENTION
REDUCE ANXIETY AND PAIN EXPERIENCED BY
SURGICAL PATIENTS AT A COMMUNITY HOSPITAL?
CAN PERIOPERATIVE PATIENT SATISFACTION
SCORES FOR PATIENTS IMPROVE BY PROVIDING A
MIND-BODY INTERVENTION IN THE PREOPERATIVE
HOLDING AREA?
Description of Intervention
• NOISE-CANCELLING HEADSETS WITH MP3 PLAYER
WHILE WAITING FOR SURGERY
• MAY LISTEN TO GUIDED IMAGERY OR FM TUNER
• DATA COLLECTED – DEMOGRAPHICS, SURGICAL
PROCEDURE, MEDICATIONS, ANXIETY, AND PAIN
• LISTEN THROUGHOUT PERIOPERATIVE PERIOD
Stetler Model of EBP
• DEFINE – PATIENTS COMPLAIN ABOUT NOISE
• ASSESS – EVIDENCE-BASED FACTORS, PATIENT
FACTORS, AND CLINICAL SET TING FACTORS
• PLAN – DEVELOP A PILOT STUDY
• IMPLEMENT – CONDUCT A PILOT STUDY
• ASSESS – EVALUATE OUTCOMES
Review of Literature
• ASSESSMENT TOOLS FOR ANXIETY AND PAIN
• EFFECTS OF ANXIETY
• MUSIC I NTERVENTIONS
• GUIDED I MAGERY I NTERVENTIONS
• RELAXATION AND MIND -BODY PREPARATION
• NOVEL THERAPIES AND TECHNOLOGY
Population & Sample
• I NSTRUMENT: APAIS ( PERMISSION GRANTED)
• RANDOMIZED ON MORNING OF SURGERY
• CONTROL – STANDARD TREATMENT
• I NTERVENTION – NOISE CANCELLING HEADPHONES W
MP3 PL AYER
• I NCLUSION & EXCLUSION CRITERIA
Project Objectives & Timeline
• I MPROVE MIND-BODY PREP OF SURGICAL PATIENTS
• PHASE I – PROPOSAL SUBMISSION AND DEFENSE
• PHASE I I – PI LOT STUDY PREP AND TRIAL OF TOOLS
• PHASE I II – DATA COLLECTION
• PHASE I V – DATA ANALYSIS
Evaluation, Outcomes, &
Implications for the Future
• EVALUATIO N O F I N T ERVENTI ON WI L L B E BA S ED O N
T HE R ES EARCH Q UEST I ONS AND HY P OTHESES
• CO ST - B ENEFIT A N A LYSI S WI L L B E CO N D U C TED
• O UTCO MES I NCLU D E: PA I N , A N X I ETY, N A RCOT IC
CO NS UMPTI ON, A N A LGES I C CO N S U MPTI ON, &
PAT I ENT SAT I S FAC TION SCO RES
• I M P L I CATIO NS: BA S ED O N P I LOT ST U DY F I N D INGS
Conclusion and Questions
OVERVIEW
SWOT
BACKGROUND
LITERATURE ANALYSIS
CLINICAL INQUIRY
METHODOLOGY
PICOT
OBJECTIVES/TIMELINE
ANY QUESTIONS??
References
May be reviewed in Capstone Proposal embedded below