Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Evaluating the Feasibility and Effect of Using a Hospital-Wide Coordinated Approach to Introduce Evidence-Based Changes for Pain Management

    Access Status
    Fulltext not available
    Authors
    Williams, Anne
    Toye, Christine
    Deas, Kathleen
    Fairclough, D.
    Curro, K.
    Oldham, Marylynn
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Williams, Anne and Toye, Christine and Deas, Kathleen and Fairclough, Denise and Curro, Kathryn and Oldham, Marylynn. 2011. Evaluating the Feasibility and Effect of Using a Hospital-Wide Coordinated Approach to Introduce Evidence-Based Changes for Pain Management. Pain Management Nursing. (In Press)
    Source Title
    Pain Management Nursing
    DOI
    10.1016/j.pmn.2010.08.001
    ISSN
    1524-9042
    School
    WA Centre for Cancer and Palliative Care (WACCPC)
    URI
    http://hdl.handle.net/20.500.11937/22372
    Collection
    • Curtin Research Publications
    Abstract

    This action research project explored the feasibility and effect ofimplementing a hospital-wide coordinated approach to improve themanagement of pain. The project used a previously developedmodel to introduce three evidence-based changes in pain management.Part of this model included the introduction of 30 pain resourcenurses (PRNs) to act as clinical champions for pain at a locallevel. Both quantitative and qualitative measures were used to assessthe feasibility and effect of the changes introduced. Quantitativedata were gathered through a hospital-wide document review andassessment of the knowledge and attitude of the PRNs at two timepoints: time 1 before the introduction of the PRNs and time 2 nearcompletion of the project (11 months later). A statistically significantimprovement in the documentation of pain scores on admissionand each nursing shift was apparent. However, no differencewas found in the percentage of patients who had been prescribedopioids for regular pain relief that had also been prescribed anddispensed a laxative/aperient. Neither were any statistically significantdecreases in patient pain scores observed. An assessment of theknowledge and attitudes of the PRNs showed an improvement fromtime 1 to time 2 that was statistically significant. The qualitative datarevealed that despite the barriers encountered, the role was satisfyingfor the PRNs and valued by other hospital staff. Overall, theresults revealed that the new model of change incorporating PRNswas a useful and effective method for introducing and sustainingevidence-based organizational change.

    Related items

    Showing items related by title, author, creator and subject.

    • Revisiting the Pain Resource Nurse Role in Sustaining Evidence-Based Practice Changes for Pain Assessment and Management
      Allen, E.; Williams, A.; Jennings, D.; Stomski, N.; Goucke, R.; Toye, Christine; Slatyer, Susan; Clarke, T.; McCullough, K. (2018)
      © 2018 Sigma Theta Tau International Background: Effective pain management is unlikely to occur without consistent and timely assessments. To improve assessment and management of pain, ward-based pain resource nurses were ...
    • The development of a multidimensional pain assessment scale for critically ill preverbal children
      Ramelet, Anne-Sylvie (2006)
      Adequate pain assessment is a pre-requisite for appropriate pain management. If pain remains untreated in critically ill young children, it can have dramatic short- and long-term consequences on their health and development. ...
    • Nursing management of postoperative pain: perceived care and actual practice
      Rees, Nancy Wylie (2000)
      Postoperative pain management is a major responsibility of nurses who provide care for patients recovering from surgery. In the postsurgical environment, the nurse has a pivotal role in assessing the patient with pain, ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.