IngentaConnect Patient-controlled analgesia: patient and nurse satisfaction with...

Abstract:

Objective: To compare patient and nurse satisfaction with intravenous patient-controlled analgesia (IV-PCA) to their prospective satisfaction with patient-controlled transdermal delivery system (PCTS) technology.

Methods: Nationwide samples of 301 nurses (200 medical-surgical, 101 post-anesthesia care units) and 500 surgery patients (192 abdominal, 119 gynecological, 189 orthopedic) completed self-administered, Internet-based questionnaires. Respondents indicated satisfaction with attributes of IV-PCA and, after reading a description of PCTS, indicated prospective satisfaction with comparable attributes. Within patient and nurse samples, half rated IV-PCA first (and later re-rated overall satisfaction) and half rated PCTS first. Paired comparison t-tests were used to determine significant differences in satisfaction for IV-PCA and PCTS attributes.

Results: Nurses reported significantly higher satisfaction with PCTS for patient and nurse ease of use, safety, and tolerability (p < 0.001 for all); and higher satisfaction with IV-PCA for the ability to vary drugs (p < 0.001) and doses (p < 0.001), deliver basal doses (p < 0.001), and dose tracking accessibility (p = 0.003) and quality (p = 0.002). Patients reported significantly higher satisfaction with PCTS for pain relief (p < 0.001), safety (p = 0.027), self-control (p < 0.001), and patient (p < 0.001) and nurse ease of use (p < 0.001); and higher satisfaction with IV-PCA for correct set-up and programming (p = 0.002). Overall satisfaction did not differ significantly among nurses, but among patients satisfaction with IV-PCA declined after considering PCTS (p < 0.001). Nurses placed greater importance on safety to their overall satisfaction than patients did.

Limitations: Only respondents with Internet access were included. PCTS satisfaction is hypothetical and may not reflect true product satisfaction.

Conclusion: PCTS is a novel delivery system for postoperative pain and has the potential to improve patient and nurse satisfaction over IV-PCA.

Keywords: IV-PCA; NURSE SATISFACTION; PATIENT-CONTROLLED ANALGESIA (PCA); PATIENT SATISFACTION; TRANSDERMAL DELIVERY SYSTEM

Document Type: Research article

DOI: 10.1185/030079907X233188

Affiliations: 1: Duke University, Durham, NC, USA 2: University of Wisconsin, Madison, WI, USA 3: Consumer Health Sciences, Princeton, NJ, USA

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Patient-controlled analgesia: patient and nurse satisfaction with intravenous delivery systems and expected satisfaction with transdermal delivery systems