Improvements in Pain Outcomes in a Canadian Pediatric Teaching Hospital Following Implementation of a Multifaceted, Knowledge Translation Initiative

Zhu, Lisa; Stinson, Jennifer; Palozzi, Lori; Weingarten, K; Hogan, Mary‐Ellen; Duong, Silvia; Carbajal, Ricardo; Campbell, Fiona; Taddio, Anna

doi:10.1155/2012/586589

Cited by 49 publications

(37 citation statements)

References 28 publications

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“…The 63% adherence rate among participating nurses is comparable to rates reported for the documentation of pain assessment in hospitalized patients, which ranges from 63% to 83% in published studies. 21–25 The study most closely comparable to ours, in that it examined pain ratings on nurse-completed admission forms in a general adult hospital population, reported a rise in documentation from approximately 56% to 63% after the introduction of a year-long pain care improvement program. 24 …”

Section: Discussionsupporting

confidence: 63%

Routine Dyspnea Assessment on Unit Admission

Baker¹,

Barsamian²,

Leone³

et al. 2013

AJN, American Journal of Nursing

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OVERVIEW Dyspnea assessment is valuable in diagnosis, prognosis, symptom management, and targeted intervention, and in the allotment and management of patient care resources. The assessment of dyspnea, like that of pain, depends on patient self-report. Expert consensus panels have called for dyspnea to be measured quantitatively and documented on a routine basis, as is the practice with pain. But little information is available on how to measure and record dyspnea ratings systematically. Consequently, the prevalence of dyspnea in hospital settings may be greater than is generally recognized, and dyspnea may be insufficiently managed. This article describes a pilot study that sought to test the feasibility of measuring dyspnea as part of the initial patient assessment performed by nurses within several inpatient units of a large urban hospital.

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Section: Discussionsupporting

confidence: 63%

Routine Dyspnea Assessment on Unit Admission

Baker¹,

Barsamian²,

Leone³

et al. 2013

AJN, American Journal of Nursing

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“…HCPs' correct answer rate to questions related to this group of patients was the lowest. Likewise other studies described the ill preparation of HCPs to assess and manage children's pain [15, 16, 27, 50, 54, 55]. …”

Section: Discussionmentioning

confidence: 99%

“…Aghaei Hashjin et al reported an improvement in the performances of hospitals in Iran following implementation of a performance measuring program [57]. Moreover, auditing and monitoring coupled with education improved pain assessment and management in Canadian paediatric hospital [55]. In addition, public hospitals are larger, with higher patient traffic and a more stressful environment, which reflects the need to create and implement adequate clinical training courses in these hospitals.…”

Section: Discussionmentioning

confidence: 99%

Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Nuseir

Kassab

Almomani

2016

Pain Research and Management

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Context. Despite improvement in pain management and availability of clinical treatment guidelines, patients in Jordan are still suffering from pain. Negative consequences of undertreated pain are being recognized as a reason for further illnesses and poor quality of life. Healthcare providers (HCPs) are responsible for relieving pain of their patients. Objective. To evaluate the knowledge and attitudes of HCPs toward pain management in Jordan. Methods. A 16-item questionnaire with agree or disagree options was given to 662 HCPs in seven hospitals in Jordan who volunteered to participate in the study. Following data collection, the responses were coded and entered into SPSS. Results. There was a statistically significant difference (p < 0.004) in percentage scores between physicians (36%) and pharmacists (36%) versus nurses (24%). The level of knowledge was the best among physicians, followed by pharmacists specifically in the area of cancer pain management. Nurses scored the lowest for knowledge of pain assessment and management among HCPs. However, HCPs overall scores indicated insufficient knowledge specifically in relation to pain assessment and management among children.

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“…It is possible that the documentation of nonpharmacological interventions may be underestimated (Zhu et al . , Harrison et al . ).…”

Section: Discussionmentioning

confidence: 99%