Project Management:

In-Service for Pain

Distraction Kit
Kaitlyn Baldwin
Ferris State University
NURS 495
RN to BSN

Project Overview
The project implemented and organized for the Interventional
Radiology department was an educational in-service to teach
how to use distraction, as a tool to manage pain. Caregivers,
doctors, nurses and radiology technologists will be able to use
the distraction kit with patients of all ages and developmental
levels when they receive a potentially painful test or needle
poke. This type of proposal has been studied and according to
MacLaren et al. Pain is a common and potentially debilitating
condition. Although several effective and developmentally
appropriate cognitive-behavioral techniques for pain
management exist, results of curriculum evaluations and
knowledge surveys reveal a lack of awareness of these
strategies in health care professionals. As a result, the
development and evaluation of pain management training
programs is an important endeavor (2008, p. 358). This study
supported the need to train the staff in IR on distraction.

Project Goals and Objectives

O

Provide education and resources

regarding the success of distraction
techniques in research.
O
O

Create distraction kit that is appropriate

to use on a wide range of ages.
Create a resource flash drive for future
reference.

Create assessment surveys to be

used before and after the educational
in-service.
O

Assess the knowledge base that IR

nurses and radiology technicians have
regarding pain management using
distraction.

Educate, Nurses and Radiology

Technicians, about how to use distraction kit
during painful or anxiety producing tests.
Improve IR patients experience and
implemented care.
O IR patients are vulnerable and many
require multiple tests which expose
them frequent potentially painful stimuli.
Over time needle phobia occurs.
Needle phobia is a formal medical
condition affecting approximately 10%
of the world population and
characterized within the American
Psychiatric Association Diagnostics and
Statistical Manual of Mental Disorders
(DSM-IV) by the presence of fear and
the occurrence of avoidance behavior(
Sokolowski, Giovannitti, Boynes, 2010).

Quality Assurance Process (QA)

Quality Improvement Process (OI)

Goal

To develop an in-service to educate the

nursing and radiology technician staff
about the use of distraction as a tool to
reduce pain and anxiety for patients
who are receiving a potentially painful
or anxiety producing procedure.

To improve the quality of the care

delivered and reduce the psychological
impact that pain or anxiety can cause in
the healthcare setting.

Focus

Focus on the use of tools and toys and

age appropriate tactics to deliver
distraction.

Major tasks
Quality Team
Outcomes

Identify where there is a knowledge deficit

with the use of the pre and post surveys.
This will give feedback about the baseline
knowledge that the staff has and give us a
starting point to work from.
Complete the surveys for pre and post Review the surveys and the staff post inin-service. Create the distraction Kit.
service. Analyze the surveys and give the
Deliver the education at the in-service
staff the feedback from the results. Have
with a short PowerPoint and also
the distraction kit readily available. Have
familiarize the staff with the toys and
the reference flash drive for staff reference
tools in the kit. Create the reference
when there are process questions or need
flash drive.
for review.
Collaboration from the nurse manager, Motivate and empower the team with the
the staff educator, the head Radiology action plan. Communicate the survey
Technician, and I are a multidisciplinary results and reorganize the in-service as
team.
appropriate. Consider having the inservice annually for new employees and a
review for the existing staff members
based on the survey results.
Improved patient care process.
Incorporation of the distraction kit for all
Improved patient outcomes. Reduced
patients including special needs adults.
emotional response to procedures
during patient care.

Kaitlyn
Baldwin RN

Team
Manager

Nurse
Manager

G.W. & E.M.

K.B. - C.D. H.I.

Charge
Nurse

Medical
Assistant

Staff
Educator

Radiology
Technician

O
O

O
O
O
O
O
O
O
O
O
O
O
O

Progress

Have data collected to support the education of staff by 9/14/14

Recruit team members and share information from research and introduce
them to the distraction kit on 9/16/14.
Meeting with team members to discuss delegation of tasks 9/22/14.
Make post education survey for measurement of effective teaching by
9/30/14.
Make power point to be used during the educational in-service by 9/28/14.
Meet with Pediatric Resource clinician 10/07/14
Contact Buzzy Bee company to negotiate a discount 10/07/14
Contact Poly toys for kit contents negotiate a discount 10/07/14
Create budget 10/14/14
Compile the kit contents 10/23/14
Create resource flash drive 10/29/14
Meeting with team to evaluate power point and surveys 11/10/14
Host employee in-service in November 18, 2014
Evaluation of the implementation of employee education and distraction kit
in-service on 11/19/14

Lessons Learned

Ethical

Professional

O Compassion

O Interdisciplinary

O Primacy of the patients

Collaboration
O Goal Synchronizing
O Culture Development

interest
O Collaboration
O Professional
Boundaries
O Standards and Review

References
Agency for Healthcare Research and Quality . (2008, April). Patient safety and quality. Retrieved from
http://www.ahrq.gov/professionals/cliniciansproviders/resources/nursing/resources/nurseshdbk/index.html#patientsafety
Baldwin, K.M., (2014). Journal 1 (Unpublished Journal). Ferris State University, Big Rapids Mi
Heldman, K. (2011). Project Management Jump Start (Third ed., p. 19). Indianapolis, IN: Wiley Publishing, Inc.

MacLaren, J.E., Cohen, L.L., Larkin, K.T., Shelton, E.N. (2008). Training nursing students in evidence-based
techniques for cognitive-behavioral pediatric pain management. Journal of Nursing
Education.47(8), 351-358.
Nursing: scope and standards of practice. (2nd ed.). (2010). Silver Spring, Md.: American Nurses Association
Sokolowski, C.J., Giovannitti, J.A., Boynes, S.G. (2010). Needle phobia: etiology, adverse consequences, and
patient management. Dental Clinics of North America. 54(4), 731-744.
Yoder-Wise, P. S. (2014). Leading and managing in nursing. (5th ed.) St Louis, MO: Mosby.