Nurses’ Perception of a Tailored Web-Based Intervention for the Self-Management of Pain After Cardiac Surgery
Background Cardiac surgeries rank among the most frequent surgical procedures and present a risk of chronic postsurgical pain (CPSP). A continuum approach is required to prevent the development of CPSP. As a first step, a tailored web-based intervention was developed and successfully tested to tackl...
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doaj-09c86eeea2624a6aa49340273a5406482020-11-25T03:17:51ZengSAGE PublishingSAGE Open Nursing2377-96082018-11-01410.1177/2377960818806270Nurses’ Perception of a Tailored Web-Based Intervention for the Self-Management of Pain After Cardiac SurgeryGeraldine Martorella RN PhD0Lucinda Graven RN PhD1Glenna Schluck PhD2Mélanie Bérubé RN MSN3Céline Gélinas RN PhD4TMH Center for Research and Evidence-Based Practice, College of Nursing, Florida State University, FL, USACollege of Nursing, Florida State University, Tallahassee, FL, USACollege of Nursing, Florida State University, Tallahassee, FL, USAIngram School of Nursing, McGill University, Montreal, CanadaAlan Edwards Centre for Research on Pain, McGill University, Montreal, CanadaBackground Cardiac surgeries rank among the most frequent surgical procedures and present a risk of chronic postsurgical pain (CPSP). A continuum approach is required to prevent the development of CPSP. As a first step, a tailored web-based intervention was developed and successfully tested to tackle pain management during hospitalization. Before proceeding to further development, preliminary acceptability of the intervention including the postdischarge phase must be evaluated. Purpose The purpose of this study was to examine nurses’ perception of a tailored Web-based intervention for pain management in the early recovery phase. The objectives were to evaluate intervention’s acceptability and to identify ways to enhance its acceptability. Methods A parallel mixed methods approach was used to assess the acceptability of the intervention in the early recovery phase (first month after surgery). Results In total, 249 participants completed the online survey and 10 participants were individually interviewed. Overall, the intervention was rated as acceptable. No difference was found in acceptability ratings by demographics. The intervention was rated as appropriate to very much appropriate by 79% of participants. Although nurses seemingly would recommend it to their patients, they did not perceive that their patients would be as highly willing to use it. Interviews highlighted several strengths of the intervention, such as postoperative pain awareness, customization of content, and flexible dosage and schedule. However, the main weakness was related to patient adherence. Opting for a hybrid format and integrating individual preferences could enhance the coaching experience. Conclusion The innovative intervention was judged as acceptable for pain management in the early recovery phase. Considering that the intervention has demonstrated positive effects on the pain experience in the first week after cardiac surgery, it seems logical to explore its potential impact after discharge on the transition to CPSP.https://doi.org/10.1177/2377960818806270 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Geraldine Martorella RN PhD Lucinda Graven RN PhD Glenna Schluck PhD Mélanie Bérubé RN MSN Céline Gélinas RN PhD |
spellingShingle |
Geraldine Martorella RN PhD Lucinda Graven RN PhD Glenna Schluck PhD Mélanie Bérubé RN MSN Céline Gélinas RN PhD Nurses’ Perception of a Tailored Web-Based Intervention for the Self-Management of Pain After Cardiac Surgery SAGE Open Nursing |
author_facet |
Geraldine Martorella RN PhD Lucinda Graven RN PhD Glenna Schluck PhD Mélanie Bérubé RN MSN Céline Gélinas RN PhD |
author_sort |
Geraldine Martorella RN PhD |
title |
Nurses’ Perception of a Tailored Web-Based Intervention for the Self-Management of Pain After Cardiac Surgery |
title_short |
Nurses’ Perception of a Tailored Web-Based Intervention for the Self-Management of Pain After Cardiac Surgery |
title_full |
Nurses’ Perception of a Tailored Web-Based Intervention for the Self-Management of Pain After Cardiac Surgery |
title_fullStr |
Nurses’ Perception of a Tailored Web-Based Intervention for the Self-Management of Pain After Cardiac Surgery |
title_full_unstemmed |
Nurses’ Perception of a Tailored Web-Based Intervention for the Self-Management of Pain After Cardiac Surgery |
title_sort |
nurses’ perception of a tailored web-based intervention for the self-management of pain after cardiac surgery |
publisher |
SAGE Publishing |
series |
SAGE Open Nursing |
issn |
2377-9608 |
publishDate |
2018-11-01 |
description |
Background Cardiac surgeries rank among the most frequent surgical procedures and present a risk of chronic postsurgical pain (CPSP). A continuum approach is required to prevent the development of CPSP. As a first step, a tailored web-based intervention was developed and successfully tested to tackle pain management during hospitalization. Before proceeding to further development, preliminary acceptability of the intervention including the postdischarge phase must be evaluated. Purpose The purpose of this study was to examine nurses’ perception of a tailored Web-based intervention for pain management in the early recovery phase. The objectives were to evaluate intervention’s acceptability and to identify ways to enhance its acceptability. Methods A parallel mixed methods approach was used to assess the acceptability of the intervention in the early recovery phase (first month after surgery). Results In total, 249 participants completed the online survey and 10 participants were individually interviewed. Overall, the intervention was rated as acceptable. No difference was found in acceptability ratings by demographics. The intervention was rated as appropriate to very much appropriate by 79% of participants. Although nurses seemingly would recommend it to their patients, they did not perceive that their patients would be as highly willing to use it. Interviews highlighted several strengths of the intervention, such as postoperative pain awareness, customization of content, and flexible dosage and schedule. However, the main weakness was related to patient adherence. Opting for a hybrid format and integrating individual preferences could enhance the coaching experience. Conclusion The innovative intervention was judged as acceptable for pain management in the early recovery phase. Considering that the intervention has demonstrated positive effects on the pain experience in the first week after cardiac surgery, it seems logical to explore its potential impact after discharge on the transition to CPSP. |
url |
https://doi.org/10.1177/2377960818806270 |
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