Group 4 Part 5 Jessica McClusky Ferris State University MSN Program NSI Pediatric Pain AIR Cycle Purpose 5 Prevalence of completed pain cycles Average length of time between cycles Relationship between cycles and nursing hours worked ID: 225588
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Slide1
Quality Indicators & Safety Initiative:Group 4: Part 5
Jessica McClusky
Ferris State University
MSN ProgramSlide2
NSI: Pediatric Pain AIR Cycle
Purpose
(5)
Prevalence of completed pain cyclesAverage length of time between cyclesRelationship between cycles and nursing hours workedDefinitions (5)AssessmentInterventionReassessmentComplete CycleNursing’s Role (2)Slide3
NSI: Pediatric Pain AIR Cycle
Schumann (2012)
(7)
Pain scores for children over 24 hour periodsIntervened 75% of the time, regardless of pain score20% pain reduction for majorityHabich et al. (2012) (2)Implementation of a standard pain AIR cycleIncrease in minimal pain assessment31% to 97-98%Increase in appropriate pain scale use
51% to 92%Slide4
NSI: Pediatric IV Infiltration
Purpose
(5)
Prevalence of peripheral IV infiltrationsRelationship between infiltrations and nurse staffingDefinitions (1, 5)Infiltration/extravasationNursing’s Role (8)
Infiltration Scale
None
No infiltration
Grade
1
Skin blanched,
edema less than 1”, cool, with/without pain
Grade 2
Skin blanched, edema
1-6”, cool, with/without pain
Grade
3
Skin
blanched, translucent, gross edema, cool, pain, numbness
Grade 4
Skin blanched, translucent, leaking, bruised,
gross edema circulatory impairment, painSlide5
NSI: Pediatric IV Infiltration
Amjad
, Murphy,
Nylander-Housholder, & Ranft (2011) (1)Interdisciplinary team Importance of prevention and early detectionSimona (2012) (8)Challenges current grading systemIdentifies barriers to appropriate pediatric infiltration grading
Calls for further researchSlide6
QSEN: Patient-Centered Care
Definition
(5)
Impact on environmentPatient perceptions (4)Parent perceptions (8)Nursing’s Role (4)My experienceSlide7
QSEN: Patient Centered Care
Jayadevappa
& Chhatre (2011) (3)Positive outcomesInformed decision makingTrustWebster (2013) (10)Patient centered care with studentsSimulation use
Need for repeated exposure
and clinical competency
experiencesSlide8
ConclusionSlide9
References
Amjad
, I., Murphy, T.,
Nylander-Housholder, L., & Ranft, A. (2011). A new approach to management of intravenous infiltration in pediatric patients: pathophysiology, classification, and treatment. Journal Of Infusion Nursing, 34(4), 242-249. doi:10.1097/NAN.0b013e31821da1b3 Habich
, M., Wilson, D.,
Thielk
, D.,
Melles
, G. L.,
Crumlett
, H. S.,
Masterton
, J., & McGuire, J. (2012). Evaluating the Effectiveness of Pediatric Pain Management Guidelines.
Journal Of Pediatric Nursing
,
27
(4), 336-345. doi:10.1016/j.pedn.2011.06.002
Jayadevappa
, R., &
Chhatre
, S. (2011). Patient-centered care—A conceptual model and review of the state of art. Open Health Services and Policy Journal, 4, 15–25
.
Lusk, J. M., &
Fater
, K. (2013). A Concept Analysis of Patient-Centered Care.
Nursing Forum
,
48
(2), 89-98. doi:10.1111/nuf.
12019
National Database of Nursing Quality Indicators. (2009). Slide10
References
Quality and Safety Education for Nurses. (
n.d.
). Pre-licensure KSAs. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/#patient-centered_careSchumann
(2012, January).
Measuring improvement in pediatric pain: Modification of a pediatric pain measure to capture pain reduction.
Poster presented at ANA Nursing Quality Conference, Las Vegas, NV. Retrieved from https://
ana.confex.com
/
ana
/ndnqi12/
webprogram
/Paper6769.html
Simona
, R. (2012). A pediatric peripheral intravenous infiltration assessment tool.
Journal Of Infusion Nursing
,
35
(4), 243-248.
Uhl
, T., Fisher, K., Docherty, S. L., & Brandon, D. H. (2013). Insights into Patient and Family-Centered Care Through the Hospital Experiences of Parents.
JOGNN: Journal Of Obstetric, Gynecologic & Neonatal Nursing
,
42
(1), 121-131. doi:10.1111/1552-6909.12001
Webster, D. (2013). Promoting Therapeutic Communication and Patient-Centered Care Using Standardized Patients.
Journal Of Nursing Education
,
52
(11), 645-648. doi:10.3928/01484834-20131014-06