Doctoral Project Defense: Jodi Rowlett
Candidate Name: Jodi Rowlett
Major: Nursing Practice
Advisor: Jane Fall-Dickson, Ph.D.
Title: Knowledge, Attitudes, and Perceptions of Advanced Practice Providers Regarding Use of Buffered vs. Non-Buffered Lidocaine Hydrochloride 1% for Interventional Procedural Pain Management in Adults
Problem and Purpose: The purpose of this study was to examine: a) knowledge, attitudes, and perceptions of advanced practice providers (APPs) - nurse practitioners (NP) and physician assistants (PA)- regarding use of buffered vs. non-buffered lidocaine hydrochloride 1% for interventional procedural pain management in adults; and b) relationships among sociodemographic variables and knowledge, attitudes, and perceptions of APPs regarding use of buffered vs. non-buffered 1% lidocaine hydrochloride in this clinical setting. Evidence/Background: Procedural pain management by APPs requires adequate knowledge regarding appropriate choice of local anesthetic agent, including buffered versus non-buffered lidocaine hydrochloride 1%. Although non-buffered 1% lidocaine hydrochloride pH is more acidic than human tissue pH, it is often used by APPs. Methods: This descriptive study used a survey design. Inclusion criteria: a) APPs ≥ 18 years of age; b) administer local anesthetics for interventional procedural pain management; c) employed by study site; d) DEA license, and board certified; d) computer access; and e) active e-mail address. Purposive sampling was utilized. Setting was e-survey. The investigator-created 40-item survey had 4 sections – sociodemographics, knowledge, attitudes, and perceptions - and used Likert-type scales and 2 open-ended questions. After IRB approval, study staff administered the survey via SurveyMonkeyTM. Descriptive statistics and SPSS version 24 (2016) were utilized for data analysis. Results/Outcomes to date: Twenty-nine participants out of N=53 returned completed surveys; 54.7% response rate. Mean knowledge score for interventional pain management in adults was 2.8 (2=”moderate knowledge“; 3=“good knowledge”) (SD=1.0). Although most (68.9%) agreed buffered 1% lidocaine hydrochloride was effective, only 44.8% reported it more effective than non-buffered formulation. Education level, years of experience, and age had no relationship with knowledge levels. 72.4% of participants reported needing more pain management education. Conclusions to date: Knowledge deficit regarding appropriate use of buffered lidocaine hydrochloride 1% in this setting is an important finding.
Friday, November 16, 2018 at 9:00am to 10:30am
St. Mary's Hall, 110
3700 Reservoir Road, N.W., Washington