Quantitative Annotated Bibliography: Management of Chronic Pain

Darnall, B. D., Krishnamurthy, P., Tsuei, J., & Minor, J. D. (2020). Self-administered skills-based virtual reality intervention for chronic pain: Randomized controlled pilot study. JMIR Formative Research, 4(7), e17293. https://doi.org/10.2196/17293

This study evaluates the feasibility and efficacy of a self-administered virtual reality (VR) program aimed at equipping individuals with skills for managing chronic pain. As chronic pain prevents people from living their normal lives, it calls for effectiveness and availability of options when treating this condition. Specifically, the study aims to elucidate if a non-pharmacological, self-administered, and guided VR intervention can affect pain intensity and pain-related experience: Quantitative Annotated Bibliography: Management of Chronic Pain.

The study was a randomized controlled pilot trial involving 21 adult participants with chronic pain. The participants were split into the experimental group, consisting of subjects undergoing the VR intervention and the control group, which is a waitlist control. The intervention was an 8-week program in which participants used self-administered VR at home to learn pain-coping skills through simulation.

Data were collected at three-time points: pretest, posttest, and two weeks after the intervention was implemented. The intensity and interference of pain were assessed using standard assessment instruments, including the Brief Pain Inventory.

Results revealed that participants in the VR intervention group experienced significant reductions in both pain intensity and pain interference compared to the control group. These results suggest that utilizing VR technology is a patient-oriented and effective method for treating chronic pain, decreasing the use of medication, and establishing the patients’ self-sufficiency.

The study’s limitations include a small sample size and a short follow-up period, which restrict the generalizability and long-term implications of the findings. Additionally, reliance on self-reported outcomes may introduce response bias.

The authors concluded that self-administered VR is an efficient treatment for chronic pain. They provided recommendations for larger-scale studies to confirm these findings as well as to document more on the subsequent effect of VR interventions.

This study is relevant to nursing practice in chronic pain management, as it provides evidence for incorporating innovative, non-pharmacological interventions like VR to enhance patient outcomes and support self-management strategies.

Innab, A., Alammar, K., Alqahtani, N., Aldawood, F., Kerari, A., & Alenezi, A. (2022). The impact of a 12-hour educational program on nurses’ knowledge and attitudes regarding pain management: A quasi-experimental study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-01028-4

This quasi-experimental study investigates the impact of a 12-hour structured educational program on improving nurses’ knowledge and attitudes toward pain management. Chronic pain management requires competent and well-informed nurses who can provide patient-centered care. The study aims to address gaps in nurses’ education and foster evidence-based pain management practices.

The study was conducted with 89 nurses working in a healthcare setting. Participants completed a 12-hour continuing education and professional development program training in pain management that included content areas, comprehensive pain assessment, evidence-based interventions, and patient-centered care. The researchers employed the pre- and post-intervention design, as the title suggests, and changes in knowledge and attitudes were assessed using scales, such as Pain Knowledge and Attitudes Survey. The gathered data were used to evaluate the efficacy of the applied intervention on outcomes.

The findings demonstrated a significant improvement in nurses’ knowledge and attitudes following the educational program. These findings underscore the need for the forging and maintenance of a professional nursing development program to build up the competencies for delivering better patient care outcomes in chronic pain management. Results revealed that only formal educational activities outlined how knowledge-based, evidence-driven patient care struck the right chord with staff nurse experiences.

The study lacks a control group, making it difficult to attribute improvements solely to the educational program. Additionally, the study was done in one facility, meaning that other settings could differ in several ways and that could affect the outcome of the study. To evaluate the durability of the perceived changes, follow-up was not performed in the long term.

The authors conclude that continuing education, as delivered through workshops and seminars, facilitates changes in nurses’ knowledge and attitudes toward pain management. They support the thrust for more training to enhance the ability of nurses to manage patients with chronic pains.

This study supports the critical role of nursing education in chronic pain management. Knowledge deficits and positive attitudes regarding organized training programs enhance the capacity of nurses to provide better care, giving special attention to pain management principles.

References

Darnall, B. D., Krishnamurthy, P., Tsuei, J., & Minor, J. D. (2020). Self-administered skills-based virtual reality intervention for chronic pain: Randomized controlled pilot study. JMIR Formative Research, 4(7), e17293. https://doi.org/10.2196/17293

Innab, A., Alammar, K., Alqahtani, N., Aldawood, F., Kerari, A., & Alenezi, A. (2022). The impact of a 12-hour educational program on nurses’ knowledge and attitudes regarding pain management: A quasi-experimental study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-01028-4

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Quantitative Annotated Bibliography
In this week’s discussion question you were asked to consider a potential problem (appropriate to your role option) that you would like to investigate through nursing research. For this assignment you will review current research from Online Library and provide a critical evaluation on that research through annotated bibliography.

An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: Purdue Online.

Writing lab
A total of two annotated bibliographies are to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable.

Quantitative Annotated Bibliography: Management of Chronic Pain

Each annotation must address the following critical elements:

• Explanation of the main purpose and scope of the cited work
• Brief description of the research conducted
• Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
• Possible shortcomings or bias in the work
• Conclusions or observations reached by the author
• Summary as to why this research lends evidence to support the potential problem identified specific to your role option