Translating Evidence-Based, Best Practices in Non-Drug Pain Management in a Magnet Community Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/163320
Category:
Abstract
Type:
Presentation
Title:
Translating Evidence-Based, Best Practices in Non-Drug Pain Management in a Magnet Community Hospital
Author(s):
Dufault, Marlene; Willey-Temkin, Cynthia; Kogut, Stephen; Rossi, Susan; Tracy, Susanne M.; Martin, Valerie
Author Details:
Marlene Dufault, PhD, RN, University of Rhode Island, Narragansett, RI, USA, email: Marlened@uri.edu; Cynthia Willey-Temkin, PhD; Stephen Kogut, MBA, PhD; Susan Rossi, PhD, RN; Susanne M. Tracy, PhD, RN, University of New Hampshire; Valerie Martin, MS, RN, CNA, BS, Newport Hospital
Abstract:
Purpose: To translate and test three non-drug, evidence-based protocols for enhancing pain management in older (> 60) adults undergoing joint replacement surgery (N=137) in a Magnet community hospital. Specific aims were to: (1) pilot test the protocol's efficacy for decreasing pain intensity, lessening pain's interference with functional abilities, and improving satisfaction with pain management; (2) determine usefulness and feasibility of the protocols; and (3) generate a sample size for larger RCT's. Theoretical Framework: The Collaborative Research Utilization Model and Roger's Diffusion of Innovations Theory formed the guiding framework. Methods (Design, Sample, Setting, Measures, Analysis): A six-step 'translating-research-into-practice' model was used in this translational research design to develop and evaluate protocols for music, guided-imagery, and massage. Univariate descriptive statistics determined feasibility and usefulness. For efficacy outcomes, Brief Pain Inventory (BPI) experimental group scores were compared to controls. Using change score transformations and ANCOVA, groups were compared at each of three points (admission, day 3, and discharge day) along the care trajectory. Results: Mean treatment group pain intensity decreased (p< .01) from baseline to day 3 to discharge. Average interference of pain with all functional abilities decreased (p< .01) from baseline to day 3 to discharge. Average satisfaction with non-drug methods increased from day 1 to day 3, t (30) = -3.03, p< .01. Average satisfaction with caregiver responsiveness to pain increased significantly from 83% at baseline, to 95.5% (day 3), and declined slightly to 94% at discharge. Mean use scores increased significantly by 27% from pre-op to day 1 post-op by 31% on post-op day 3, with average total use of 30.96 times from day 1 to day 3 in the treatment group. Conclusions and Implications: Findings suggest the efficacy, feasibility, and usefulness of the model in translating best non-drug practices, and in changing clinician practice and sustaining organizational change where the evidence-base is strong but underused in practice. Further testing in a randomized controlled trial is warranted.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTranslating Evidence-Based, Best Practices in Non-Drug Pain Management in a Magnet Community Hospitalen_GB
dc.contributor.authorDufault, Marleneen_US
dc.contributor.authorWilley-Temkin, Cynthiaen_US
dc.contributor.authorKogut, Stephenen_US
dc.contributor.authorRossi, Susanen_US
dc.contributor.authorTracy, Susanne M.en_US
dc.contributor.authorMartin, Valerieen_US
dc.author.detailsMarlene Dufault, PhD, RN, University of Rhode Island, Narragansett, RI, USA, email: Marlened@uri.edu; Cynthia Willey-Temkin, PhD; Stephen Kogut, MBA, PhD; Susan Rossi, PhD, RN; Susanne M. Tracy, PhD, RN, University of New Hampshire; Valerie Martin, MS, RN, CNA, BS, Newport Hospitalen_US
dc.identifier.urihttp://hdl.handle.net/10755/163320-
dc.description.abstractPurpose: To translate and test three non-drug, evidence-based protocols for enhancing pain management in older (> 60) adults undergoing joint replacement surgery (N=137) in a Magnet community hospital. Specific aims were to: (1) pilot test the protocol's efficacy for decreasing pain intensity, lessening pain's interference with functional abilities, and improving satisfaction with pain management; (2) determine usefulness and feasibility of the protocols; and (3) generate a sample size for larger RCT's. Theoretical Framework: The Collaborative Research Utilization Model and Roger's Diffusion of Innovations Theory formed the guiding framework. Methods (Design, Sample, Setting, Measures, Analysis): A six-step 'translating-research-into-practice' model was used in this translational research design to develop and evaluate protocols for music, guided-imagery, and massage. Univariate descriptive statistics determined feasibility and usefulness. For efficacy outcomes, Brief Pain Inventory (BPI) experimental group scores were compared to controls. Using change score transformations and ANCOVA, groups were compared at each of three points (admission, day 3, and discharge day) along the care trajectory. Results: Mean treatment group pain intensity decreased (p< .01) from baseline to day 3 to discharge. Average interference of pain with all functional abilities decreased (p< .01) from baseline to day 3 to discharge. Average satisfaction with non-drug methods increased from day 1 to day 3, t (30) = -3.03, p< .01. Average satisfaction with caregiver responsiveness to pain increased significantly from 83% at baseline, to 95.5% (day 3), and declined slightly to 94% at discharge. Mean use scores increased significantly by 27% from pre-op to day 1 post-op by 31% on post-op day 3, with average total use of 30.96 times from day 1 to day 3 in the treatment group. Conclusions and Implications: Findings suggest the efficacy, feasibility, and usefulness of the model in translating best non-drug practices, and in changing clinician practice and sustaining organizational change where the evidence-base is strong but underused in practice. Further testing in a randomized controlled trial is warranted.en_GB
dc.date.available2011-10-27T11:05:23Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:05:23Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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