OCR Text |
Show 58 Taylor Patterson college of nursing Pain is a prevalent problem for hospitalized patients which is capable of contributing to symptoms such as depression, insomnia, fatigue, as well as decreasing function and quality of life. Pain can also affect recov-ery time and immune function. Significant levels of pain demonstrated in hospitalized patients presents a problem which needs to be addressed. However, efforts have been limited due to factors such as, lack of pain quality indicators and measurement tools, and lack of strategies to implement recommended clinical practice guidelines into daily practice. The study was broken down into two phases, phase 1 and phase 2. Phase 1 consisted of gathering baseline pain data. 325 hospitals and 1577 nursing units were recruited of which 22,293 patients were screened and pain quality improvement data from 12,314 patients was collected. The distribution of hospitals and patients can be seen in Table 1. Pertinent findings include: an average pain score of 6 (on a 0-10 scale), 72% relief reported by patients receiving pain medication, and 28.5% of patients reporting frequent or constant severe pain. Other areas found to be in need of improvement included discussing alternatives to pain medication and discussing side effects of pain medication (Table 2). Phase 2 of the pain quality improvement study will be the evaluation of implementing multi-faceted implementation strategies and evaluating the impact of disseminating and implementing pain quality indicators using an audit and feedback process. Units were required to create pain quality teams and units were assigned to one of three groups with varying levels of intervention. Group 1 is a comparison group with the unit only receiving their baseline pain data. Group 2 receives access to a toolkit providing re-sources to improve pain management as well as their baseline pain data. Group 3 is granted access to the toolkit, receives their baseline pain data, and are invited to participate in community of practice calls with a nurse involved in the pain improvement study. The effectiveness of the multi-faceted implementation strategies will be evaluated by collecting a secondary set of pain data in November of 2011. DISSEMINATION AND IMPLEMENTATION OF EVIDENCE-BASED METHODS TO MEASURE AND IMPROVE PAIN OUTCOMES Taylor Patterson (Susan Beck) Health Promotion and Education College of Nursing University of Utah UNDERGRADUATE RESEARCH ABSTRACTS Susan Beck |