Date of Award

Spring 4-21-2024

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




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


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


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


Acknowledgement 2


Licensing Permission

Copyright, all rights reserved. Fair Use



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