2.50
Hdl Handle:
http://hdl.handle.net/10755/161638
Type:
Presentation
Title:
Effectiveness of Evidence-Based Pain Management Protocols
Abstract:
Effectiveness of Evidence-Based Pain Management Protocols
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Floyd, Judith, PhD
P.I. Institution Name:Wayne State University
Title:Associate Professor
Contact Address:College of Nursing, 300 Cohn, 5557 Cass Avenue, Detroit, MI, 48202, USA
Contact Telephone:313.577.4383
The purpose of this systematic review of research was to determine the magnitude of improvement in patients' experience with pain when pain management protocols are research-based. The Quality Health Outcomes Model developed by an AACN Expert Panel was used as the organizing framework for the study. The model predicts that interventions affect and are affected by system and client characteristics in producing outcomes. The sample included all published research reports that described the evaluation of evidence-based pain management protocols. Studies were identified using MEDLINE and CINAHL searches supplemented by ancestry searches. Fifteen research reports were identified for review. The two authors coded studies independently with agreement rates over 90%. Differences were discussed and resolved. In addition to coding standard features of research reports, studies were coded for client and system characteristics as well as specific characteristics of the pain management protocol. Both system and client outcomes were coded. Three research reports were eliminated as duplicate reports or research in progress. For the 12 remaining studies, half were experiments or quasi-experiments; half used pre-test/post-test designs. The evidence-based pain management practices studied were based on recommendations originally published by AHCPR or similarly developed protocols from other expert groups in the United States and England. While 9 studies involved the providers in planning for implementation of evidence-based pain management protocols, none involved the clients. All studies examined client outcomes including pain levels, satisfaction with pain management, or quality of life. Nine also measured one or more system outcomes including changes in organizational outcomes or provider behavior. Although results for system outcomes were generally positive, client outcomes were mixed suggesting provider and client involvement levels may interact with the intervention to influence outcomes. Too few studies included the statistical information needed to estimate an average magnitude of change in any of the outcome variables.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffectiveness of Evidence-Based Pain Management Protocolsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161638-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effectiveness of Evidence-Based Pain Management Protocols</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Floyd, Judith, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Wayne State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 300 Cohn, 5557 Cass Avenue, Detroit, MI, 48202, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">313.577.4383</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">judith.floyd@wayne.edu</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this systematic review of research was to determine the magnitude of improvement in patients' experience with pain when pain management protocols are research-based. The Quality Health Outcomes Model developed by an AACN Expert Panel was used as the organizing framework for the study. The model predicts that interventions affect and are affected by system and client characteristics in producing outcomes. The sample included all published research reports that described the evaluation of evidence-based pain management protocols. Studies were identified using MEDLINE and CINAHL searches supplemented by ancestry searches. Fifteen research reports were identified for review. The two authors coded studies independently with agreement rates over 90%. Differences were discussed and resolved. In addition to coding standard features of research reports, studies were coded for client and system characteristics as well as specific characteristics of the pain management protocol. Both system and client outcomes were coded. Three research reports were eliminated as duplicate reports or research in progress. For the 12 remaining studies, half were experiments or quasi-experiments; half used pre-test/post-test designs. The evidence-based pain management practices studied were based on recommendations originally published by AHCPR or similarly developed protocols from other expert groups in the United States and England. While 9 studies involved the providers in planning for implementation of evidence-based pain management protocols, none involved the clients. All studies examined client outcomes including pain levels, satisfaction with pain management, or quality of life. Nine also measured one or more system outcomes including changes in organizational outcomes or provider behavior. Although results for system outcomes were generally positive, client outcomes were mixed suggesting provider and client involvement levels may interact with the intervention to influence outcomes. Too few studies included the statistical information needed to estimate an average magnitude of change in any of the outcome variables.</td></tr></table>en_GB
dc.date.available2011-10-26T23:24:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:24:42Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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