Effects of a nursing pain programme on patient outcomes

Francké, Anneke L.; Garssen, Bart; Luiken, J. Bart; Schepper, A.M.E. de; Grypdonck, Mieke; Abu‐Saad, Huda Huijer

doi:10.1002/(sici)1099-1611(199712)6:4<302::aid-pon284>3.0.co;2-d

Cited by 13 publications

(20 citation statements)

References 19 publications

(28 reference statements)

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“…The articles were published during the years 1997-2010. Of the eleven studies included, nine are randomized controlled trials (24,(29)(30)(31)(32)(33)(34)(35)(36)(37)(38) and two are quasi experiments with control groups (39,40).…”

Section: Resultsmentioning

confidence: 99%

“…The patient populations involved in the studies varied and included adult cancer patients (24,29,(33)(34)(35), adult surgical patients (32,(36)(37)(38), adult patients with mixed diagnosis (31,40), adult patients with mixed diagnosis (39), and one trial was conducted in a pediatric hospital (30). The settings also varied and included hospitals (30)(31)(32)(35)(36)(37)(38)(39), clinics (29), home care (33,34), and communities (including various settings) (24,40). The trials were conducted in numerous countries, including the USA (24,29,33,34,39), Canada (30), China (31), Greece (35) the Netherlands (36)(37)(38), France (32) and Sweden (40).…”

Section: Patient Populations and Settingsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review of Interventions Aimed at Nurses to Improve Pain Management

Gunnarsdóttir¹,

Grétarsdóttir²

2011

Nordic Journal of Nursing Research

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Section: Resultsmentioning

confidence: 99%

Section: Patient Populations and Settingsmentioning

confidence: 99%

Systematic Review of Interventions Aimed at Nurses to Improve Pain Management

Gunnarsdóttir¹,

Grétarsdóttir²

2011

Nordic Journal of Nursing Research

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“…It was not possible to conduct a formal evaluation after this time, but one year later ward staff informally reported that they were still documenting pain assessment and patients were receiving the information sheet. Studies evaluating the effect of education on nurses' assessment of pain education and patient outcomes have measured the effect of interventions 3 weeks later (Wallace et al ., 1997) 3 months (Dahlman et al ., 1999), and 3 and 6 months afterwards (Francke et al ., 1997). It appears that the evaluation of change 4 months after its introduction was appropriate.…”

Section: Discussionmentioning

confidence: 99%

Refusing analgesics: using continuous improvement to improve pain management on a surgical ward

Carr

2002

Journal of Clinical Nursing

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Despite advances in pain control many patients experience moderate to severe pain whilst in hospital. Contributory factors include inadequate assessment and documentation of pain, as well as patient and professional misconceptions. A 28-bedded surgical ward in a District General Hospital in the South of England was the setting for the project. A small preliminary audit of pain on this ward indicated that some patients experienced postoperative pain, which was not effectively controlled. A 'continuous improvement' framework was used to increase understanding of the problem and identify an aim for the project, which was to reduce the number of patients refusing analgesics when offered by nurses. An audit to ascertain how many patients refused analgesia revealed that, of 133 patients offered, 93 (70%) refused. Using the 'Model for Improvement' (Langley et al., 1996) a number of changes were introduced, including a patient information sheet, regular documented pain assessment and an innovative staff education programme. To evaluate if the changes in practice had been successful, further audit data were collected from 167 patients. Sixty-three (44%) accepted analgesics, indicating a significant decrease in the number refusing (P = 0.005). This small project demonstrated that continuous improvement methodology can improve the management of pain and quality of care for patients. Such an approach brings practitioner and patient into meaningful understanding and offers solutions which are realistic, achievable and sustainable over time. Despite finite resources and increased pressure on staff it is possible to motivate people when they feel they have ownership and change is meaningful. Continuous improvement methods offer an exciting, feasible, patient-centred approach to improving care.

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“…It would be reasonable to suggest that interprofessional pain education that benefits patients might lead to them experiencing lower pain scores. Franke et al . (1997) conducted a large study to investigate the effects of a continuing education pain programme on pain intensity and a variety of patient outcomes over time.…”

Section: Methodsmentioning

confidence: 99%

Improving pain management through interprofessional education: evaluation of a pilot project

Carr

Brockbank

Barrett

2003

Learn Health Soc Care

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A collaborative project between a district hospital and a local university resulted in a senior lecturer being seconded 2 days per week to facilitate the continued improvement in pain management. The rationale for this collaboration was to explore the utilization of innovative teaching methods to deliver education in practice and to develop further research in relation to pain management. An interprofessional pain steering group (IPSG) was established with representation from several services (acute pain, chronic pain, palliative care, physiotherapy, etc.). This group identified several objectives, one of which related to the improvement of pain management through interprofessional education based on the findings from previous audit work. This paper reports on the provision of interprofessional education in pain management and on the evaluation of the impact of this on patient outcomes and practitioner learning. The successes and challenges of this endeavour are discussed.

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Effects of a nursing pain programme on patient outcomes

Cited by 13 publications

References 19 publications

Systematic Review of Interventions Aimed at Nurses to Improve Pain Management

Systematic Review of Interventions Aimed at Nurses to Improve Pain Management

Refusing analgesics: using continuous improvement to improve pain management on a surgical ward

Improving pain management through interprofessional education: evaluation of a pilot project

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