Nastasia Pereira completed the St. Jude 15-month International EBP Nursing Fellowship program and EBP project utilizing the expertise of St. Jude Global Nursing and the nursing team at St. Jude Children’s Research Hospital. The program strengthened her evidence-based practice competencies as a pediatric oncology nurse from a low- and middle-income country, developing her as a change agent who has positively impacted patient care and the work environment.

Nastasia's project Aim was to determine the effectiveness of the buzzy technique on pain during intravenous cannulation among pediatric oncology patients in a tertiary care setting in India. The device’s cool vibration treatment reduced pain levels in children who underwent needle procedures. It is non-invasive, easy to use, and takes about 30 seconds to complete cannulation.

Child pain scores improved dramatically using the device during canulation for the intervention group, as it did for the intervention parents. In the control group (no buzzy), 65 reports were collected from children aged 5-12 years (undergoing IV cannulations) and their parents reporting pain scores using the Wong Bakers pain scale. The control group data was collected from November 2023- February 2024. The buzzy device was used from 1st March 2024- until June 2024. There was a difference in the score of the childs' report of pain control v/s intervention group. Control group mean childs' pain scale 5.1 and SD +/- 1.7.

The intervention group (N=?) mean child pain score was 2.7 and SD+/-1.1. Control group mean parents pain report was 4.3 and SD +/- 1.2 and intervention group parents pain report 3 and SD +/- 1.1. There were no reports of severe or very severe pain in the intervention group. The buzzy device was effective during IV cannulation and may be considered for use during IV cannulation. All the nurses in the unit understand the outcome and hence are urged daily to use the device in order to reduce pain and enhance nursing care during IV cannulation