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Development and Evaluation of a Nurs...

O'Brien, Marie.

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Development and Evaluation of a Nurse-Practitioner Directed Telehealth Pain Coping Skills Training Program in a Community-Based Pain Management Practice.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Development and Evaluation of a Nurse-Practitioner Directed Telehealth Pain Coping Skills Training Program in a Community-Based Pain Management Practice./
Author:	O'Brien, Marie.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	117 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-05, Section: B.
Contained By:	Dissertations Abstracts International82-05B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28155097
ISBN:	9798691230448

Development and Evaluation of a Nurse-Practitioner Directed Telehealth Pain Coping Skills Training Program in a Community-Based Pain Management Practice.
O'Brien, Marie.

Development and Evaluation of a Nurse-Practitioner Directed Telehealth Pain Coping Skills Training Program in a Community-Based Pain Management Practice. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 117 p.

Source: Dissertations Abstracts International, Volume: 82-05, Section: B.

Thesis (D.N.P.)--Wilmington University (Delaware), 2020.

This item must not be sold to any third party vendors.

Background: Chronic pain is a national crisis requiring a multidisciplinary approach to engage patients in their care planning and treatment execution. The current biomedical model of pain care is inadequate due to the subjective and qualitative nature of pain. Current literature supports a biopsychosocial approach, empowering patients to explore self-care to enhance activities of daily living. Pain Coping Skills Training (PCST) delivers real-life strategies that improve quality of life and strengthen self-efficacy (Brodereck & Brunkenthal, 2018). Self-efficacy has been identified as a patient outcome measure that demonstrates improvement in patient-perceived function and quality of life despite pain intensity (Amtmann et al., 2019). Studies have shown nurse practitioners are well-positioned to provide PCST to chronic pain sufferers (Brodereck & Brunkenthal, 2018). At the time of project implementation, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 pandemic impeded pain care and challenged those with pain and providers. Methods: A pretest-posttest design was utilized for this project to enhance pain self-efficacy through an APRN-led community-based intervention. Intervention: Community-dwelling adults treated in a specialty pain management practice were self-selected to participate in a 6-week telehealth delivered PCST Program. This Nurse Practitioner delivered program presented basic pain neuroscience education and a broad range of evidence-based, nonpharmacologic, pain management, self-care interventions. The primary outcome was improved pain self-efficacy measured with the pain self-efficacy questionnaire (PSEQ) with secondary outcomes of improved perceived pain intensity and function measured with the pain, enjoyment, and general activity (PEG) scale tracked weekly. Results: Baseline PSEQ scores were obtained and compared to scores after the program. The PEG scale was completed weekly. Collateral data points included confidence in using complementary and alternative nonpharmacologic interventions, satisfaction with the program, and a qualitative patient statement regarding participation pre- and post-intervention. Data analysis: This project concluded that a Nurse Practitioner delivered PCST program via telehealth technology could provide community-dwelling adults with a program that improves pain self-efficacy, enhancing self-reported PEG measures, and meets the social distancing requirements that impacted all patients during the COVID-19 pandemic.

ISBN: 9798691230448Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Chronic pain

Development and Evaluation of a Nurse-Practitioner Directed Telehealth Pain Coping Skills Training Program in a Community-Based Pain Management Practice.
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520 $a Background: Chronic pain is a national crisis requiring a multidisciplinary approach to engage patients in their care planning and treatment execution. The current biomedical model of pain care is inadequate due to the subjective and qualitative nature of pain. Current literature supports a biopsychosocial approach, empowering patients to explore self-care to enhance activities of daily living. Pain Coping Skills Training (PCST) delivers real-life strategies that improve quality of life and strengthen self-efficacy (Brodereck & Brunkenthal, 2018). Self-efficacy has been identified as a patient outcome measure that demonstrates improvement in patient-perceived function and quality of life despite pain intensity (Amtmann et al., 2019). Studies have shown nurse practitioners are well-positioned to provide PCST to chronic pain sufferers (Brodereck & Brunkenthal, 2018). At the time of project implementation, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 pandemic impeded pain care and challenged those with pain and providers. Methods: A pretest-posttest design was utilized for this project to enhance pain self-efficacy through an APRN-led community-based intervention. Intervention: Community-dwelling adults treated in a specialty pain management practice were self-selected to participate in a 6-week telehealth delivered PCST Program. This Nurse Practitioner delivered program presented basic pain neuroscience education and a broad range of evidence-based, nonpharmacologic, pain management, self-care interventions. The primary outcome was improved pain self-efficacy measured with the pain self-efficacy questionnaire (PSEQ) with secondary outcomes of improved perceived pain intensity and function measured with the pain, enjoyment, and general activity (PEG) scale tracked weekly. Results: Baseline PSEQ scores were obtained and compared to scores after the program. The PEG scale was completed weekly. Collateral data points included confidence in using complementary and alternative nonpharmacologic interventions, satisfaction with the program, and a qualitative patient statement regarding participation pre- and post-intervention. Data analysis: This project concluded that a Nurse Practitioner delivered PCST program via telehealth technology could provide community-dwelling adults with a program that improves pain self-efficacy, enhancing self-reported PEG measures, and meets the social distancing requirements that impacted all patients during the COVID-19 pandemic.
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