Nurses’ Perspectives Toward Use of Intravenous Patient- Controlled Analgesia for the Management of Pain After Surgery: Content Analysis of Open-Ended Survey Questions
Abstract
Material and Methods: Data were collected from 270 registered nurses working in a university hospital in southern Thailand. The text data were interpreted using qualitative content analysis.
Results: Three themes emerged regarding nurses’ perceived barriers and facilitators to the use of IV-PCA treatment after surgery. Additionally, five main themes arose from the data pertaining to nurses’ roles and responsibilities. The development and enhancement of nurses’ knowledge and skills related to IV-PCA treatment included the following: the basic principles of IV-PCA treatment, proper patient selection, patient education, standardized and appropriate IV-PCA prescriptions, administration of opioid analgesics and management of side effects, setup of the PCA pump, preparation and change of the PCA syringe, safe nursing management of patients undergoing IV-PCA treatment, assessment and handling of opioid-induced over-sedation and respiratory depression, administration of naloxone, as well as IV-PCA documentation and the analysis and interpretation of that documentation.
Conclusion: To enhance the safety and effectiveness of IV-PCA treatment, nurses should undergo thorough education and a training program.
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