Identify A Clinical Topic And Related Nursing Practice Issue ✓ Solved

Identify a clinical topic and related nursing practice issue

Identify a clinical topic and related nursing practice issue you think needs to be changed. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.

Best Practices: Please reach out to your instructor for feedback or assistance with your PICOT question as needed. Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews. Scholarly Sources and Citations: Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed. Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!

Paper For Above Instructions

The ACE Star Model of Knowledge Transformation is a widely recognized framework for promoting evidence-based practice (EBP) in various healthcare settings. This model consists of five distinct stages: Discovery, Summary, Translation, Implementation, and Evaluation. In this paper, I will identify a nursing practice issue regarding the management of chronic pain in patients, present a systematic review that addresses this issue, and apply the ACE Star Model to guide the change process.

Identifying the Practice Issue

Chronic pain management remains a significant clinical challenge for nurses and healthcare providers. According to the American Pain Society, chronic pain affects approximately 100 million adults in the United States, significantly impacting their quality of life and healthcare costs (American Pain Society, 2016). Many patients with chronic pain are often managed using opioid medications, raising concerns about addiction, tolerance, and side effects. Therefore, there is a pressing need to explore alternative evidence-based interventions that can improve pain management while mitigating risks associated with opioid use.

Systematic Review Identification

For this assignment, I located a systematic review titled “Nonpharmacological Interventions for Chronic Pain Management” from the CCN Library database. This review analyzes various nonpharmacological strategies, such as cognitive-behavioral therapy (CBT), physical therapy, and acupuncture (McCarberg et al., 2020). It identifies the effectiveness of these interventions in improving patient outcomes without relying solely on medications, specifically opioids.

ACE Star Model Application

1. Discovery

Discovery involves identifying the clinical problem and gathering existing information on the topic. The review highlights that various nonpharmacological interventions can reduce pain levels and enhance patients' ability to perform daily activities (McCarberg et al., 2020). Understanding the underlying reasons for chronic pain and the social, emotional, and physiological factors involved can lead to improved management strategies.

2. Summary

According to the systematic review, nonpharmacological interventions show promise in managing chronic pain, with evidence suggesting that CBT can decrease pain intensity and improve emotional well-being (McCarberg et al., 2020). These findings emphasize the importance of considering holistic approaches to pain management rather than relying solely on pharmacotherapy.

3. Translation

The translation phase focuses on applying research findings to clinical practice. Based on the systematic review, it is essential to develop guidelines for integrating nonpharmacological interventions into existing pain management protocols. Educating nurses about these methods can empower them to provide more comprehensive care to patients with chronic pain.

4. Implementation

The implementation phase involves putting the evidence into action. At this stage, a pilot program can be introduced in a clinical setting to assess the feasibility and effectiveness of incorporating nonpharmacological interventions into pain management protocols. Collaboration with interdisciplinary teams, including physical therapists and psychologists, can facilitate a comprehensive approach to patient care.

5. Evaluation

Finally, the evaluation phase assesses the implementation's impact. Collecting data on patient outcomes, such as pain levels, functional ability, and quality of life metrics, will provide insight into the program's effectiveness (McCarberg et al., 2020). Feedback from patients and healthcare professionals will also be essential in refining and improving the pain management strategy.

Conclusion

Implementing evidence-based, nonpharmacological strategies for chronic pain management is crucial in addressing the ongoing opioid crisis while enhancing patient care. Utilizing the ACE Star Model enables a structured approach to translating research into practice, ultimately benefiting patients and healthcare providers.

References

  • American Pain Society. (2016). The impact of chronic pain. Retrieved from [source URL]
  • McCarberg, B. H., et al. (2020). Nonpharmacological interventions for chronic pain management: A systematic review. Journal of Pain Research, 13, 1835-1851. Retrieved from [source URL]
  • Institute of Medicine. (2011). Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. The National Academies Press. Retrieved from [source URL]
  • Gallagher, R. M., et al. (2018). Pain management and nonpharmacologic treatment options. The Nurse Practitioner, 43(10), 45-51. Retrieved from [source URL]
  • Naylor, M. D., et al. (2017). Bridging the chasm: The role of nursing in improving pain management. American Journal of Nursing, 117(6), 38-46. Retrieved from [source URL]
  • Wenner, J., & Parker, A. (2019). Improving patient outcomes through interdisciplinary approaches to chronic pain management. Journal of Interprofessional Care, 33(4), 450-457. Retrieved from [source URL]
  • Kreitzer, M. J., et al. (2019). Integrative approaches to chronic pain management: A nursing perspective. Holistic Nursing Practice, 33(5), 284-295. Retrieved from [source URL]
  • Davis, G. M., & Tully, M. P. (2021). Evaluating the impact of alternative therapies on chronic pain. Clinical Journal of Pain, 37(5), 335-343. Retrieved from [source URL]
  • Fitzgerald, T. L., et al. (2020). The role of behavioral interventions in chronic pain management: A systematic review. Pain Management, 10(3), 189-198. Retrieved from [source URL]
  • McMahon, S. B., & Koltzenburg, M. (2019). Wall and Melzack’s Textbook of Pain. Elsevier Health Sciences. Retrieved from [source URL]