Professional Capstone and Practicum
My capstone project intervention involves developing non-pharmacological interventions to help PACU patients with pain management and minimize the use of medications to manage pain. I worked with my preceptor to assess organization policies in the facility. During the evaluation process, we found some organizational policies and outcomes that influenced the proposed intervention.
First, the intensity of postoperative pain among PACU patients will reduce. The use of non-pharmacological interventions such as music therapy will help to reduce the intensity of postoperative pain. The use of music as a psychological treatment decreases pain perception and helps relieve depression, which in turn can help reduce the amount of pain medication needed. Music relaxation techniques have shown positive results for patients with chronic pain, decrease intensity of pain and decrease muscle tenderness (Geziry, A., Toble, Y., Kadhi, F., & Nobani, M., 2005).
Another outcome is that the organization will evaluate social impact, and side effects from a proposed change in pain management. When using music therapy on PACU patients, less medication will be needed. Patients will only be given low pain medications such as ibuprofen, and Tylenol (Song, Eaton, Gordon, Hoyle, & Doorenbos, 2015). As a result, the organization’s expenditure on pain management will drop drastically after implementing the proposed change project. As a result, patients will not have severe side effects like risk of respiratory depression, abuse, nausea, vomiting or constipation.
Another measurable outcome is that the recovery process after surgical procedures will be fast. After implementing the proposed change intervention, PACU patients in the facility will be using music therapy to manage their postoperative pain. When pain is reduced, the surgical wounds will heal faster than when patients use pain management medications.
Another outcome is that surgical procedures will be affordable for most patients. Patients will be able to afford surgical treatments because pain management will be cheaper and affordable. The recovery process will also be easier when music therapy is used to manage postoperative pain.
Lastly, the proposed intervention will be ethically and morally acceptable. The intervention must align with the organizational policies. The proposed change intervention developed by students or clients to bring change and improvement must stay within the organizational context of code of conduct (Hall & Roussel, 2020). The intervention is influenced by organizational policies because the intended change must align with the organizational needs.
Geziry, A., Toble, Y., Kadhi, F., & Nobani, M. (2018, November 2005). Non-Pharmacological pain management. Retrieved February 07, 2021, from https://www.intechopen.com/books/pain-management-in-special-circumstances/non-pharmacological-pain-management
Hall, H. R., & Roussel, L. A. (2020). Evidence-based practice: An integrative approach to research, administration, and practice. Jones & Bartlett Learning.
Song, W., Eaton, L. H., Gordon, D. B., Hoyle, C., & Doorenbos, A. Z. (2015). Evaluation of evidence-based nursing pain management practice. Pain Management Nursing, 16(4), 456-463.
I worked with my preceptor to assess the organization for required resources needed for the strategic plan if the capstone change proposal were to be implemented. The change proposal involves using music therapy in Post Anesthesia Care Unit (PACU) to reduce the postoperative pain of patients who have undergone surgical procedures and minimize the use of high pain medications such as opioids (Farokhzadian, Khajouei, & Ahmadian, 2015). Music therapy will be used alongside low pain medications such as ibuprofen and Tylenol.
One of the required resources is education and training nurses. One of the problems faced by facilities that have implemented evidence-based interventions is resistance from the healthcare professionals. Most nurses and other providers want to stick to their old ways. They do not want to adopt new evidence-based ways (Schmidt & Brown, 2017). To reduce this resistance, the organization would need to educate and train nurses on evidence-based practice (EBP) and importance of adopting the practice.
Another resource needed related to human resources and hiring of additional nurses. Nursing shortage is a major problem facing the healthcare system today. Most facilities that have implemented evidence-based interventions face the problem of incomplete adoption due to shortage of nurses (Farokhzadian, Khajouei, & Ahmadian, 2015). The organization should hire more nurses to ensure that there are enough nurses to perform various tasks required for effective EBP adoption.
The organization will also need well-equipped research resources. Once an organization adopts evidence-based practice, best and updated evidence will be a necessary requirement to improve the health outcomes and quality of care. As a result, the organization will need a research environment (Farokhzadian, Khajouei, & Ahmadian, 2015). The organization will need modern computer systems, strong internet connection and skilled nurses.
The organization will also need financial resources. Money will be needed to purchase the required items such as music components, strong internet installation, computer systems and other necessary items (Schmidt & Brown, 2017). The financial resources will also enable the organization to hire more staff required in the capstone change proposal.
Farokhzadian, J., Khajouei, R., & Ahmadian, L. (2015). Evaluating factors associated with implementingevidence‐based practice in nursing. Journal of evaluation in clinicalpractice, 21(6), 1107-1113. Schmidt, N. A., & Brown, J. M. (2017). Evidence-based practice for nurses: Appraisal and application of research. Jones & Bartlett Learning
Also check: Essentials of Evidence-Based Practice