Implementation of a Nonpharmacological Pain Management Bundle to Improve Postoperative Recovery Outcomes in the PACU: A Pre/Post Quasi-Experimental Study.

BACKGROUND

Postoperative pain following laparoscopic procedures can delay recovery and reduce patient satisfaction. Nonpharmacological methods (NPM) provide a low-risk adjunct to pain management.

PURPOSE: This study examined the implementation of a standardized NPM bundle on postoperative pain, opioid utilization, and PACU length of stay among adults undergoing same-day laparoscopic procedures and evaluated bundle adherence.

METHODS

A pre-post quasi-experimental evaluation was conducted. The bundle included aromatherapy, music therapy, relaxation, positioning, heat/cold therapy, and early ambulation. Implementation included staff education and workflow integration.

RESULTS

Pain outcomes improved with reduced severe pain and increased low pain scores. Implementation fidelity was supported through the education of 25 PACU team members and 95% adherence to intervention implementation. Length of stay decreased from 85 to 68 minutes without increased opioid use.

CONCLUSION

A nurse-led NPM bundle was associated with improved postoperative recovery outcomes.