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Nudging to Promote the Use of Transcutaneous Electrical Nerve Stimulation for Postoperative Pain Relief

Nudging (Influencing Behavior and Decisions) to Promote the Use of Transcutaneous Electrical Nerve Stimulation for Postoperative Pain Relief

Sponsor

Pether Jildenstal

Enrollment

500 participants

Start Date

Dec 10, 2024

Study Type

OBSERVATIONAL

Conditions

Acute Postoperative Pain in Urological SurgeryPain Management in Postoperative Care (Including Opioid-Sparing Approaches)

Summary

This study aims to increase the use of transcutaneous electrical nerve stimulation (TENS) for acute postoperative pain relief. TENS, a non-pharmacological treatment using electrical impulses, can enhance pain relief, reduce opioid use, and minimize side effects. Despite its benefits, TENS is underused in healthcare. This project will provide TENS education, support from experienced "superusers," and nudging techniques to encourage staff to adopt TENS, ultimately improving pain management and recovery for postoperative patients.

Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • All staff working in the department where the study will be conducted.
  • Patients scheduled for urological procedures under anesthesia who are 18 years of age or older.

Exclusion Criteria9

  • Does not give consent.
  • Ongoing pregnancy.
  • Unable to speak or understand Swedish.
  • Presence of electronic implants (e.g., pacemaker, implantable - defibrillator/ICD).
  • Regular preoperative use of opioids.
  • Chronic pain condition.
  • Known substance abuse.
  • Reduced sensation at the site for TENS application.
  • Severe untreated psychiatric disorder.

Interventions

BEHAVIORALEducational Intervention on TENS Usage

Educational sessions on TENS usage and support from designated "superusers" to increase knowledge and skills related to TENS for postoperative pain management.

BEHAVIORALNudging Intervention to Promote TENS Usage

Healthcare staff exposed to nudging strategies designed to enhance the use of TENS, which involves visual prompts, reminders, and environmental cues aimed at making TENS more salient and encouraging its use for postoperative pain management.

Locations(5)

Sahlgrenska university hospital

Gothenburg, VGR, Sweden

Sahlgrenska university hospital

Gothenburg, VGR, Sweden

Sahlgrenska university hospital

Gotborg, Sweden

Sahlgrenska University Hospital

Gothenburg, Sweden

Sahlgrenska university hospital

Gothenburg, Sweden

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NCT06696430