Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Dr. Dianne Conrad DNP, RN, FNP-BC, FNAP

Second Advisor

Dr. Barbara Hooper DNP, MSN, RN, CHSE, NE-BC

Third Advisor

Dr. Tanya Rowerdink DNP, RN, NP-C, CCD


Background: Patients with sickle cell disease experience can experience acute episodes of severe pain that require prompt pain medication. Treating uncomplicated, acute sickle cell disease pain in the emergency department setting has been shown to be costly and lead to higher rates of hospitalization than similar care in a dedicated outpatient setting.

Objectives: The aim of this article is to outline the program development efforts undertaken to apply current literature findings and evidence-based practice guidelines to create a program development toolkit and business plan for a sickle cell disease acute pain management program in an outpatient hematology practice.

Methods: A review of recent literature, application of implementation frameworks, and an organizational assessment guided the creation of the program development toolkit.

Findings: The proposed business plan with cost-savings analysis demonstrated the need for this organization to create financial partnerships with payers to sustain the acute pain management program. The business plan showed significant cost-savings by treating pain in the outpatient setting and preventing emergency department visits and hospitalization.

Available for download on Monday, May 06, 2024