Nurse and Parent Training in Postoperative Stress

护士和家长术后应激培训

基本信息

批准号：
8984214
负责人：
Brooke Jenkins
金额：
$ 3.63万
依托单位：
UNIVERSITY OF CALIFORNIA-IRVINE
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-17 至 2018-07-16
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8984214
关键词：
Adult Affect Anesthesia procedures Behavior Behavioral Caring Child Child Rearing Child health care Client satisfaction Clinical Data Collection Distress Educational process of instructing Effectiveness Environment Evaluation Exhibits Feedback Foundations Funding Goals Grant Health Personnel Health Psychology Home environment Hospitals Intervention Lead Medical Methods National Institute of Child Health and Human Development Nurses Operative Surgical Procedures Pain Parents Phase Positioning Attribute Postoperative Pain Postoperative Period Randomized Controlled Trials Recovery Research Stress Testing Training Training Programs Treatment Efficacy United States National Institutes of Health Work base behavior influence cost effective design efficacy testing experience improved nursing intervention primary outcome public health relevance satisfaction secondary outcome therapy development

项目摘要

DESCRIPTION (provided by applicant): A majority of children who recover from surgery suffer from pain in the post-anesthesia care unit (PACU) and upon arriving home. Poorly treated postoperative pain is detrimental due to impacts on children's postoperative behavioral and clinical recovery and subsequent pain and medical care. Accordingly, it is important to develop methods that will alleviate child pain in the postoperative environment. In a previously funded NICHD grant, specific nurse and parent behaviors that influence children's postoperative pain were identified. Building on this line of research, the overall goal of this F31 application is to develop and test the Nurse and Parent Training in Postoperative Stress (N/P-TIPS). The first goal of this study is to develop an intervention which will include a training program to teach PACU nurses to increase behaviors that alleviate child pain and decrease behaviors that elicit child pain and teach nurses how to train parents to alter their own behaviors in a similar way. The second aim of this study is to conduct a formative evaluation to examine the feasibility and acceptability of this newly developed intervention in a busy surgery center. We will revise the intervention based on healthcare provider feedback. The third objective of this study is to conduct some preliminary testing of the intervention's ability to change parent and nurse behaviors leading to decreases in child postoperative pain. This application will subsequently lead to a large-scale, randomized controlled trial of the effectiveness of the newly developed intervention (R01 NIH application).

描述（由申请人提供）：大多数从手术中恢复的儿童在麻醉后监护室 (PACU) 和回家后都会感到疼痛。术后疼痛治疗不当会影响儿童的术后行为和临床恢复，从而带来痛苦。因此，在先前资助的 NICHD 拨款中，确定了影响儿童术后疼痛的具体护士和家长行为，这一点很重要。研究中，该 F31 应用程序的总体目标是开发和测试护士和家长术后应激培训 (N/P-TIPS)。本研究的第一个目标是开发一项干预措施，其中包括 PACU 教学培训计划。护士增加减轻儿童疼痛的行为并减少引起儿童疼痛的行为，并教导护士如何培训父母以类似的方式改变自己的行为。本研究的第二个目的是进行形成性评估，以检查可行性和可接受性。这种新开发的干预措施适用于繁忙的手术我们将根据医疗保健提供者的反馈修改干预措施，以对干预措施改变家长和护士行为以减少儿童术后疼痛的能力进行一些初步测试。新开发的干预措施有效性的大规模随机对照试验（R01 NIH 申请）。