Registered nurses' choices regarding the use of intradermal lidocaine for intravenous insertions: The challenge of changing practice

Brown, Janet

doi:10.1053/jpmn.2002.123015

Cited by 10 publications

(6 citation statements)

References 14 publications

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“…[74][75][76][77] Patient barriers Thirty studies found that patient characteristics, attitudes, knowledge, or behaviors such as adherence were barriers to evidence-based care or implementation of guidelines. 58,67,78,79 Support/resource barriers Sixty-nine studies identified lack of material support, resources, funding, or time as the major barriers to implementing evidence-based care or guidelines. 80,81 System/process barriers Sixty-two studies reported lack of organizational, 82 …”

Section: Limitations Of Barrier Studiesmentioning

confidence: 99%

Gaps between knowing and doing: Understanding and assessing the barriers to optimal health care

Cochrane¹,

Olson

Murray

et al. 2007

Journal of Continuing Education in the Health Professions

406

395

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Section: Limitations Of Barrier Studiesmentioning

confidence: 99%

Gaps between knowing and doing: Understanding and assessing the barriers to optimal health care

Cochrane¹,

Olson

Murray

et al. 2007

Journal of Continuing Education in the Health Professions

406

395

View full text Add to dashboard Cite

show abstract

“…After one hospital enacted a policy that required RNs to offer intradermal lidocaine to all patients receiving an IV, it was found that only 30% of RNs were compliant; 47% of RNs reported that they never offered it. 7 Objections to complying with the policy included the perception that IV placement was made more difficult and that it was not ''part of the routine.'' Physicians as well have used such therapies sparingly.…”

Section: Discussionmentioning

confidence: 99%

Survey of Parental Willingness to Pay and Willingness to Stay for "Painless" Intravenous Catheter Placement

Walsh

Bartfield²

2006

Pediatric Emergency Care

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“…reported pain was unavoidable and over quickly (Meunier-Sham & Ryan, 2003), and the use of analgesia was not justified when it was considered to add another poke (Brown, 2002;MacLean et al, 2007). Read (1994) utilized a survey to examine the perceptions of pain and pain management by nurses and physicians who cared for pediatric emergency room patients.…”

Section: Attitudes Towards Pediatric Pain Managementmentioning

confidence: 99%

“…Brown (2002) reported registered nurses' felt professional judgment and observational assessment were sufficient determinants to define patient need for pain management. Survey results of nurses' attitudes toward pain assessment tools conducted by Young, Horton, and Davidhizar (2006) reported nurses' believed pain assessment tools as subjective, inaccurate, and preferred assessing mannerisms as the better alternative.…”

Section: Attitudes Towards Pediatric Pain Managementmentioning

confidence: 99%

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

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Rationale for the Study: Despite the exponential growth in pharmacological and nonpharmacological methods for the treatment of pediatric procedural pain there remains a gap between available interventions and actual practice in the emergency department clinical setting. Researchers have recommended the examination of unit culture since culture is proposed to be a major factor that affects the implementation of pain management practices. Method:Ethnography was employed to gain access to the beliefs and practices of healthcare participants in a Northeastern non-pediatric emergency department. Data were collected for 5 months with over 100 hours of observation. Six key informants were interviewed and 44 pediatric procedural interactions with 27 healthcare providers during the treatment of children two to eight years of age undergoing procedures were observed.Other information gathered included documents from the institution, and pain related information from the patient's medical record. All interviews were recorded and transcribed verbatim. Data were managed using the Ethnograph 6.0 and analyzed using the procedure developed by Leininger and McFarland (2006). Results:Seven major themes with categories were discovered that included assessment, ii procedural pain, treatment of pain, communication related to comfort, fragmentation of care in the emergency department, healthcare provider attitudes, and environmental issues and policies. Conclusion:The results of this study suggest that practice environment of the emergency department and organizational culture exerted a significant degree of influence over healthcare providers' pediatric pain management practices. Nurses' did not use pain measurement tools as they were intended to be used and instead improvised measurement by observing the child's behavior. The management of children during painful procedures consisted of an array of behaviors and practices. The use of physical restraint during painful procedures was a common practice. Participants continue to hold many assumptions and misconceptions about pediatric pain assessment and management. The findings of this study provide insight to the everyday practice of emergency department healthcare providers for pediatric pain in a non-pediatric setting.iii Acknowledgments and Dedication

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Registered nurses' choices regarding the use of intradermal lidocaine for intravenous insertions: The challenge of changing practice

Cited by 10 publications

References 14 publications

Gaps between knowing and doing: Understanding and assessing the barriers to optimal health care

Gaps between knowing and doing: Understanding and assessing the barriers to optimal health care

Survey of Parental Willingness to Pay and Willingness to Stay for "Painless" Intravenous Catheter Placement

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

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