Cardiac surgery (CS) can result in significant pain that is often treated with opioids, reducing patient activity. The project site noted a gap in practice with an increase in opioid usage for postoperative CS patients; however, research indicates that a multimodality approach is best. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of Pasero’s Comfort Function Goal (CFG), which includes opioid reduction and recovery activities, used in conjunction with the established numerical pain rating scale, would impact postoperative patients in a cardiovascular intensive care unit. The project took place in a hospital in South Carolina over four-weeks. The theoretical foundation for the project employed Watson’s caring and Kolcaba’s comfort theories. Opioid usage and recovery activity data for the sample size of 46 were analyzed using independent t-tests between comparative (n=16) and implementation (n=30) groups. Results revealed a clinical and statistically significant reduction in opioid use (M=9.20, SD=8.30), t(44)=-2.40, p=.021, but not in the recovery activity of ambulation (M=252.15, SD=179.85), t(40)= 0.19, p=.847 or incentive spirometry (M=764.62, SD=249.76, t(13)=-.61, p=.132. Though statistical significance was not seen in the recovery efforts, clinical significance should be noted in increased ambulation. Based on the results, implementing a CFG in postoperative CS patients may reduce opioid use and increase recovery activities. Recommendations include using the CFG in CS patients and the project’s repetition over an extended monitoring period with larger sample sizes.
|School:||Grand Canyon University|
|Department:||College of Nursing and Health Care Professions|
|School Location:||United States -- Arizona|
|Source:||DAI-B 82/8(E), Dissertation Abstracts International|
|Subjects:||Nursing, Surgery, Medicine, Health care management, Public health|
|Keywords:||Cardiac surgery, Kolcaba’s comfort theory, Numerical pain rating scale, Pasero’s Comfort Function Goal, Postoperative pain, Watson’s caring theory, South Carolina|
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