Reducing Pain Associated with Intravenous Catheter Placement

Abstract

Background: The pain that patients experience can lead to poor outcomes and decrease the level of satisfaction with their healthcare. Peripheral Intravenous Catheter (PIVC) insertion is painful and is one of the most common invasive procedures performed in the healthcare setting. Naval Hospital Jacksonville (NHJAX) and Naval Medical Center Camp Lejeune (NMCCL) do not have a standardized policy aimed at the reduction of pain experienced during PIVC insertion. Purpose: The purpose of this project is to implement an evidence-based solution aimed at increasing patient satisfaction and reducing pain with PIVC insertion. Project Design: The Evidence-Based Project (EBP) team used the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model to guide this process improvement project. Evidence from a literature review suggested that intradermal lidocaine placed prior to PIVC insertion reduces pain and increases satisfaction. An educational hands-on intervention was delivered to nurses and corpsmen detailing intradermal lidocaine administration. Pre- and post-intervention data, utilizing a numeric rating scale (NRS) for pain and a Likert scale for satisfaction, was collected for analysis. Analysis of Results: The Wilcoxon rank sum test was used to analyze the pre- and postimplementation data. The pre- and post- intervention mean pain scores were 1.33 and 0.88, which was statistically significant (P less than 0.05). The pre- and post-intervention mean patient satisfaction scores were 4.71 and 4.74, which was not statistically significant (P greater than 0.05). The outcomes of this evidence-based project suggest that decreasing the pain that patients experience during PIVC insertion can be accomplished by using intradermal lidocaine.

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Document Details

Document Type
Technical Report
Publication Date
Jan 24, 2022
Accession Number
AD1186181

Entities

People

  • Daniel L. Calma
  • Lani A. Kuhlow
  • Michael J. Davidson

Organizations

  • Uniformed Services University of the Health Sciences

Tags

DTIC Thesaurus Topics

  • Analgesia
  • Anti-Infective Agents
  • Catheterization
  • Catheters
  • Data Analysis
  • Data Science
  • Databases
  • Education
  • Health Services
  • Hospitals
  • Information Science
  • Institutional Review Board
  • Knowledge Management
  • Medical Personnel
  • Military Medicine
  • Patient Care
  • Regression Analysis
  • Statistical Analysis
  • Students
  • Surveys

Fields of Study

  • Medicine

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