Date of Paper/Work

5-2019

Type of Paper/Work

Doctor of Nursing Practice Project

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Cynthia Lee Dols

Department/School

Doctor of Nursing Practice

Abstract

Background: A Minnesota Metro Area transitional care facility reported higher-than-average moderate-to-severe pain scores. Objective: This interprofessional, evidence-based project purpose was to develop a sustainable implementation process for patient pain management using complementary therapy interventions. Methods: The National Implementation Research Network (NIRN) implementation drivers guided the three-phase project: 1) a stakeholder analysis, 2) staff and leader education and 3) initial implementation. Results: Stakeholder analysis data were triangulated to identify themes about staff and leader perspectives on implementation. The staff education module, using findings from the stakeholder analysis, demonstrated a significant (z = 82, p = 0.009, n = 22) change in staff and leader pre-post knowledge scores. The project created multiple products to support initial implementation and sustainability of the complementary therapy pain interventions. Conclusions: A stakeholder analysis is an essential implementation process for positive change. Knowledge increased following an educational intervention developed from themes emerging from the stakeholder analysis. The NIRN framework served as the foundation for initial implementation and sustainability of the complementary therapy interventions. Nursing Implications: Using the NIRN framework promoted positive nurse-led change. Engaging all stakeholders, along with leadership support, is essential in the process and sustainability of practice change.

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