Peer Response on Nursing

Peer Post 1

Hello Peer,

As a nurse leader, I appreciate the attention you have placed in applying acupuncture modality to treating chronic lower back pain. Acupuncture reduces pain and improves function in chronic patients, which aligns with your goal. Incorporating acupuncture in your plan is a systematic way to identify a qualified acupuncturist, and utilizing standard pain scaling for measurements lends to problem-solving and goal-setting in a very methodical manner in health care. Increased levels of pain need to be documented using a standardized pain score prior to and following each treatment. Acupuncture efficiently decreases pain intensity and improves physical function among patients experiencing chronic pain (Vickers et al., 2018). This presents the evidence-based approach of critical concern to nurse leaders in encouraging and instituting alternative therapies within healthcare environments.

The Study element of your Plan Do Study Act (PDSA) model has been well developed and will allow an in-depth review of outcomes. Measurement of pain using the Visual Analog Scale (VAS), both pre-and post-session, will produce measurable data that you can use to evaluate the effectiveness of your intervention. The notable pain reduction noted in your research also aligns with Vickers et al. (2018) meta-analysis, where it's argued that acupuncture intervention eventually promotes a subsided pain intensity experienced along with increment physical function in cases of chronic pain sufferers. This review of evidence-based literature is imperative for nurse leaders to use in real healthcare settings to promote and implement the use of alternative therapies.

From a nurse leadership perspective, your PDSA model schemata illustrate a robust application of process improvement principles. By systematically planning, executing, and studying the intervention, you provide a compelling case for integrating acupuncture into chronic pain management protocols. The alignment of your findings with existing scholarly research further validates the intervention's effectiveness, demonstrating the importance of evidence-based practice in nursing leadership.

Can you elaborate comprehensively on how you would implement the meditation and mindfulness interventions in inpatient and outpatient situations?

Peer Post 2

Hello Peer

Your Plan phase articulates the problem of chronic lower back pain and its relief without solely depending on medication. As a nurse leader, I commend your strategic decision to choose acupuncture. As emphasized by Vickers et al. (2018), effectiveness in decreasing pain and improving function in patients with chronic pain was well executed. It explained how the plan will be realized in detail, where weekly sessions are applied for three months in a systematic, organized way of implementing this non-conventional modality.

In your study phase, your assessment of acupuncture's effectiveness is methodical and thoughtful. Observing the treatment to reduce pain and improve mobility is supported by the Cherkin et al. (2009) research, which reports significant gains in treating participants with chronic lower back pain. Your firsthand experience of the gradual reduction of pain and increased free movement of the body thereby reinforces the positive benefit of the treatment. This stage underlines the importance of reviewing and basing practice on research about alternative therapeutic approaches.

As a nurse leader, your Plan Do Study Act (PDSA) schemata expresses the principles of process improvement well. Your systematic approach ensures the complete flow of each phase toward the comprehensive evaluation of acupuncture's role in pain management. You balanced and made informed decisions by synthesizing evidence from scholarship and experience.

What are potential difficulties in implementing such approaches into traditional healthcare settings, and how would you overcome them as a nurse?

References

Cherkin, D. C., Sherman, K. J., Avins, A. L., Erro, J. H., Ichikawa, L., Barlow, W. E., Delaney, K., Hawkes, R., Hamilton, L., Pressman, A., Khalsa, P. S., & Deyo, R. A. (2009). A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain. Archives of Internal Medicine, 169(9), 858. https://doi.org/10.1001/archinternmed.2009.65

Vickers, A., Donnelly, J. P., Moore, J. X., Barnum, S. R., Schein, T. N., & Wang, H. E. (2018). Epidemiology of lumbar punctures in hospitalized patients in the United States. PLoS ONE, 13(12). https://doi.org/10.1371/journal.pone.0208622

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