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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）：大多数手术后康复的儿童在麻醉后护理室（PACU）和回家后都会感到疼痛。治疗不当的术后疼痛是有害的，因为影响儿童的术后行为和临床恢复以及随后的疼痛和医疗护理。因此，重要的是要开发的方法，将减轻儿童疼痛的术后环境。在先前资助的NICHD补助金中，确定了影响儿童术后疼痛的特定护士和父母行为。在这一研究领域的基础上，该F31应用程序的总体目标是开发和测试护士和家长术后压力培训（N/P-TIPS）。本研究的第一个目标是开发一种干预措施，其中包括一个培训计划，教导PACU护士增加减轻儿童疼痛的行为，减少引起儿童疼痛的行为，并教导护士如何训练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，以检查这种新开发的干预措施在一个繁忙的忙碌手术中心的可行性和可接受性。我们将根据医疗保健提供者的反馈修改干预措施。本研究的第三个目的是对干预措施改变父母和护士行为的能力进行初步测试，从而减少儿童术后疼痛。这项申请随后将导致一项大规模的随机对照试验的有效性，新开发的干预措施（R 01 NIH申请）。