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How to Use Research Findings
How to Include Dr. Johnson's Sensory
Information in Your Patient Teaching
Research Utilization:
- Identify the steps of the procedures or stressful event you are
interested in.
List what you perceive would have a sensory effect on the patient
(whatever relates to seeing, touching, smelling, tasting, hearing).
Ask present patients for their perceptions. For example: How did you
feel during the procedure?
Select the typical sensory experiences described by 50% to 60% of the
patients.
Choose several words to describe the sensations.
Use the patient’s words.
Give this sensory information to new patients in your preparing them
for the procedure.
Hit the high points, the things that almost everybody perceives.
Use the word "pain" sparingly. Instead say to patients
"some procedures may cause discomfort, But when sensations are
described by patients as painful, use the word "pain."
Some cautions:
- Remember that sensory
information should include the procedural information that is
typically given.
- If you are to perform the procedure yourself, repeat the sensory
information as you proceed.
- Use aids when feasible. For example, in the cast-remove study, a
recording of the sound of the saw was used.
- Share your knowledge with other nurses.
- Don’t try to describe how severe the "pain" might be or
how much sensation might be felt.
- Don’t substitute sensory information for procedural information or
instruction in exercises, ambulation, relaxation, or other patient
activities. Information about sensations complements other
instruction.
- Don’t describe sensations that patients only rarely associate with
a procedure.
- Don’t tell the patient that the sensory information you are giving
him is meant to reduce distress.
- Don’t try to teach the patient how to cope with the threatening
event.
- Don’t expect patients to rave about how easy the procedure was
because of the sensory information.
- Let your reward be a sense of evidence-based
practice.
Evaluation of Research Put into Practice or
Research Utilization
Let using research in your practice be your reward. Compare patients
who haven’t received sensory information with those who have on
outcomes. You’ll find that nurses have to spend less time with the
informed patients and you’ll see that these patients are more
comfortable and able to cooperate after the procedure. With surgical
patients, you can keep track of the postoperative course, amount of pain
medication needed, whether your patients are ambulating freely, whether
they seem less nervous than others and whether they are easier to take
care of.
Now read how other nurses have used Dr.
Johnson's research. |