Date Approved


Graduate Degree Type


Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing

First Advisor

Dr, Donna Rinker

Second Advisor

Dr, Karen Burritt

Academic Year



Background: The increase in opioid use disorder identified the need for revisions of the enhanced recovery after surgery (ERAS) pathway on the lumbar spinal fusion patients.

Objectives: To decrease pain scores, length of stay (LOS), and morphine milliequivalent (MME) use.

Methods: Pre/Post mixed methods quality improvement study with a non-VR group sample size of n = 50, and a VR group sample size of n = 11.

Results: No statistically significant change in pain scores, LOS, or MME. Patient satisfaction survey noted that patients were satisfied using for pain and would use it again for pain control.

Conclusion/Implications: The variables measured resulted in no change, but there was a large depiction of patient satisfaction with using VR giving implication for further study.

Keywords: pain management, virtual reality, lumbar fusion, neurosurgical