Date of Award
Spring 4-21-2024
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Dr. Ruth Chavez, DNP, CNP, BC-FNP
First Committee Member
Dr. Ruth Chavez, DNP, CNP, BC-FNP
Second Committee Member
Dr. Brian Garrett, DNP, CRNA
Third Committee Member
Dr. Amy Bishop, DNP, AGCNS-BC
Keywords
Evidence-based Practice, Morphine Milliequivalents, Pain Score, Post-anesthesia Care Unit, Post-operative Nausea and Vomiting, Total Hip Arthroplasty
Subject Categories
Medicine and Health Sciences
Abstract
Hip arthroplasty, a frequently performed orthopedic surgery, is gaining popularity. However, postoperative pain, opioid utilization, nausea, and vomiting are common side effects associated with this procedure. Perioperative analgesic management for hip arthroplasty varies among providers, leading to possible inadequate pain management. The goal of this scholarly project is to provide an optimal perioperative analgesic guideline to decrease postoperative pain, opioid consumption, nausea, and vomiting in adults undergoing elective hip arthroplasty utilizing evidence-based practice. The evidence suggests that a multimodal analgesic approach incorporating multiple drug classes and types of anesthesia is most effective in reducing adverse postoperative outcomes. Using the Johns Hopkins Evidence-Based Practice Model's process of practice, evaluation, and translation, project managers developed a plan to implement evidence-based practice guidelines over a year at an urban outpatient surgical center specializing in elective hip arthroplasties. The project's metrics included a visual numerical rating scale, total morphine milliequivalents utilization, and postoperative nausea and vomiting intensity scale. Chi-square and t-tests are used for outcome analysis with a p-value of less than 0.05 considered significant.
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
Dittoe, MaKyah, "Final Scholarly Project: Optimal Perioperative Analgesic Management Guidelines for Elective Hip Arthroplasty in Adults" (2024). Doctor of Nursing Practice Scholarly Projects. 132.
https://digitalcommons.otterbein.edu/stu_doc/132