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Rapid induction analgesia for acute burn pain: A clinical trial and implementation project

James, Kathryn (2021) Rapid induction analgesia for acute burn pain: A clinical trial and implementation project. PhD thesis, Murdoch University.

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Abstract

Despite much evidence for the use of rapid induction analgesia (RIA) hypnotic approach to burn wound dressing pain, it has not been implemented as standard practice on burns units. The researchers conceived that creating a recording of this induction and asking nurses to administer it could make this treatment accessible to patients.

In an experimental study an RIA practice group, RIA in-session group and a control group were given a simulated burn and their pain experience was assessed. Participants in the practice group were found to be most relaxed during stimulation of their burn, followed by the in-session group, followed by the control group. There were no differences between the groups in terms of pain intensity.

A clinical trial was designed for the Western Australia State Burns Service. Patients in an RIA group were given the recording and a control group received treatment as usual. The RIA group experienced greater pain and anxiety reductions compared to the control group. Practice was found to enhance the benefits.

Having patients listen to the recording prior to burn care was implemented as standard practice on the ward. Audits revealed that approximately half of the eligible patients were being offered the recording and, of these, approximately one quarter accepted and used the recording during dressing changes. Barriers and facilitators to implementation are considered in terms of the PARIHS framework and the development of a grounded theory.

Item Type: Thesis (PhD)
Murdoch Affiliation(s): Psychology, Counselling, Exercise Science and Chiropractic
United Nations SDGs: Goal 3: Good Health and Well-Being
Supervisor(s): Drummond, Peter
URI: http://researchrepository.murdoch.edu.au/id/eprint/61825
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