Scratching the Surface: Bringing EBP to the Bedside
- Identify the pathophysiologic mechanisms of opioid-induced pruritis post C-Section and the pharmacologic rationale for treatment.
- Apply the evidence based practice process in resolving the clinical problem of opioid-induced pruritis post C-Section.
- Critique the associated outcomes of practice change.
Proposed change: To change current ineffective practice for the relief of opioid-induced pruritis to evidence-based intervention.
Implementation, outcomes and evaluation: A nursing team from the Birthplace utilized an evidence-based practice model to identify the most effective intervention for opioid-induced pruritis post C-Section. This was a unique practice project since the goal was to change anesthesia’s practice. After review, the physicians decided to change the current orders for Diphenhydramine to Naloxone. Current data on follow up of Naloxone usage in the unit will be provided.
Implications for nursing practice: Evidence-based practice models are critical to improve patient care outcomes. While typically construed to address nursing practice, interdisciplinary communication can foster evidence-based changes across practice disciplines.
Keywords: opioid-induced pruritis, evidence based practice, naloxone, diphenhydramine
