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Increasing the Frequency and Timeliness of Pain Assessment and Management in Long-Term Care: Knowledge Transfer and Sustained Implementation


Affiliations
1 Department of Psychology & Centre on Aging and Health, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2
2 Centre on Aging and Health, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada
3 School of Nursing,McMaster University, 1280 Main Street West,HSC 3N25F, Hamilton, ON, L8S 4K1, Canada
4 Department of Psychology, St. Thomas More College, University of Saskatchewan, 1437 College Dr, Saskatoon, SK, S7N 0W6, Canada
5 Strategic Affairs, Ste. Anne’s Hospital, 305 Boulevard des Anciens -Combattants, Sainte-Anne-de-Bellevue, QC, H9X 1Y9, Canada
6 University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada
 

Background: Although feasible protocols for pain assessment and management in long-termcare (LTC) have been developed, these have not been implemented on a large-scale basis. Objective: To implement a program of regular pain assessment in two LTC facilities, using implementation science principles, and to evaluate the process and success of doing so. Methods: The implementation protocol included a pain assessment workshop and the establishment of a nurse Pain Champion. Quality indicators were tracked before and after implementation. Focus groups and interviews with staffwere also conducted. Results:The implementation effortwas successful in increasing and regularizing pain assessments.This was sustained during the follow-up period. Staffmembers reported enthusiasm about the protocol at baseline and positive results following its implementation. Despite the success in increasing assessments, we did not identify changes in the percentages of patients reported as havingmoderate-to-severe pain. Discussion. It is our hope that our feasibility demonstration will encouragemore facilities to improve their pain assessment/management practices. Conclusions: It is feasible to implement regular and systematic pain assessment in LTC. Future research should focus on ensuring effective clinical practices in response to assessment results, and determination of longer-term sustainability.
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  • Increasing the Frequency and Timeliness of Pain Assessment and Management in Long-Term Care: Knowledge Transfer and Sustained Implementation

Abstract Views: 78  |  PDF Views: 0

Authors

Thomas Hadjistavropoulos
Department of Psychology & Centre on Aging and Health, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2
Jaime Williams
Centre on Aging and Health, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada
Sharon Kaasalainen
School of Nursing,McMaster University, 1280 Main Street West,HSC 3N25F, Hamilton, ON, L8S 4K1, Canada
Paulette V. Hunter
Department of Psychology, St. Thomas More College, University of Saskatchewan, 1437 College Dr, Saskatoon, SK, S7N 0W6, Canada
Maryse L. Savoie
Strategic Affairs, Ste. Anne’s Hospital, 305 Boulevard des Anciens -Combattants, Sainte-Anne-de-Bellevue, QC, H9X 1Y9, Canada
Abigail Wickson-Griffiths
University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada

Abstract


Background: Although feasible protocols for pain assessment and management in long-termcare (LTC) have been developed, these have not been implemented on a large-scale basis. Objective: To implement a program of regular pain assessment in two LTC facilities, using implementation science principles, and to evaluate the process and success of doing so. Methods: The implementation protocol included a pain assessment workshop and the establishment of a nurse Pain Champion. Quality indicators were tracked before and after implementation. Focus groups and interviews with staffwere also conducted. Results:The implementation effortwas successful in increasing and regularizing pain assessments.This was sustained during the follow-up period. Staffmembers reported enthusiasm about the protocol at baseline and positive results following its implementation. Despite the success in increasing assessments, we did not identify changes in the percentages of patients reported as havingmoderate-to-severe pain. Discussion. It is our hope that our feasibility demonstration will encouragemore facilities to improve their pain assessment/management practices. Conclusions: It is feasible to implement regular and systematic pain assessment in LTC. Future research should focus on ensuring effective clinical practices in response to assessment results, and determination of longer-term sustainability.