Changing nurses' pain assessment practice: a collaborative research utilization approach*

Abstract

It is not uncommon for a decade to pass between the time a research problem is identified and the time that research-based solutions are translated into standards for care. This quasi-experimental study demonstrated the effectiveness of a collaborative research utilization model directed towards the transfer of specific research-based knowledge (pain assessment) into practice for the purpose of helping to solve pain management problems. At the same time, nurses who participated in the model significantly improved their competency in research utilization and their attitudes towards research when compared to a control group who did not participate in the model.

Examining the use of facilitation within guideline dissemination and implementation studies in nursing

“…Dufault et al 29 decided to include a graduate student and a clinical nurse specialist on the study team to overcome barriers to using research that clinicians Intervention consisted of multiple educational modalities, involved entire clinical communities, and used community opinion leader clinicians (physicians, nurses, pharmacists, social workers, and clergy; pg. 192) 30 Opinion leaders selected by willingness to participate and by peer recommendation.…”

Reliability and Validity of the Face, Legs, Activity, Cry, Consolability Behavioral Tool in Assessing Acute Pain in Critically Ill Patients

“…Several characteristics affect the clinical usefulness of an assessment tool, including the tool's relative advantage compared with other tools, its compatibility (how similar the instrument is to other tools already used in the setting), and its complexity (ease of use). 23,24 Furthermore, the ability to use a single tool in different populations of patients may improve the clinical usefulness of the tool. 25 Many observational pain scales lack these qualities.…”

Pain Management Knowledge of Registered Nurses Practicing in Acute-Care Hospitals in The Bahamas

“…The American Pain Association (APS) and Agency for Health Care Policy and Research (AHCPR) state that the patient is in authority of his or her pain management, and self-report is paramount for accurate pain assessment and adequate management (Ben David & Musgrave, 1996;Bowman, 1994;Calvillo & Flaskerud, 1993;Camp & O'Sullivan, 1987;Dalton, 1989;Dufault et al, 1995;Gujol, 1994;Herr & Mobily, 1993;Ignatavicius et al, 1999;Nash, Edwards & Nebauer, 1992;Rutledge & Donaldson, 1998a, Rutledge & Donaldson, 1998bWhite, 1999). In an attempt to objectify the patient's subjective experience of pain, many types of pain-rating tools were developed.…”

“…The main barriers to adequate pain management are nurses' lack of knowledge concerning the types of pain and pain medications, including effects and side effects, and their belief system regarding pain (Bowman, 1994;Camp & O'Sullivan, 1987;Dalton, 1989;Dufault, Bielecki, Collins & Willey, 1995;Gujol, 1994;Harrison, 1991;Herr & Mobily, 1993;Rutledge & Donaldson, 1998a;Rutledge & Donaldson, 1998b;Simons & Malabar, 1995;Wells, 1984;Willson, 2000). Consequently, these barriers result in under medication or over medication of patients' pain and a decrease in their quality of life.…”