2.50
Hdl Handle:
http://hdl.handle.net/10755/203172
Type:
Presentation
Title:
Nurse Pain Champions: Changing an Organizational Culture Related to Pain Management
Abstract:
(Summer Institute) Problem: In 2009, data from patient surveys, comments from The Joint Commission, and data from an open medical record review indicated that patient pain management and practices related to nursing assessment and documentation of pain needed to be improved. Evidence: In reviewing the interdisciplinary literature and position statements by professional organizations, evidence was available from all levels to indicate the importance of the patient’s self-report of pain, comprehensive assessment of pain, and nursing and physician leadership to promote best practices. Strategy: The interdisciplinary pain committee compared current data to appraisal of the evidence, and determined that the organizational goals were not met and that the hospital did not compare favorable to benchmark organizations in terms of pain management. It was clear that dissemination of best practices and a change in organizational culture related to patient pain management was needed. Practice Change: The Nurse Pain Champion Program was created with representatives from each clinical unit. The goal of the program is to educate direct care nurses, change the culture of the organization related to pain management, and to utilize evidenced based practices related to pain management. Meetings include lectures, case studies, and discussion related to pain management. The position statement of The American Society for Pain Management Nursing regarding management of pain in patients with acute presentations was adopted by the group and recommended to nursing leadership for adoption throughout the organization. The Evidence Based Practice Committee combined forces with the Nurse Pain Champions for 2011 in order to lend support to the initiatives. Evaluation (Design and Indicators/outcomes measured): Patient satisfaction surveys. Survey to assess nurse’s knowledge and practice. Results: Patient satisfaction scores and nurse knowledge scores have improved. Recommendations: Use of Nurse Pain Champions are a valuable asset to changing organizational culture. Lessons Learned: Focusing the efforts of individuals with diverse and complimentary expertise has created momentum to successfully change the culture of the organization related to pain management. Bibliography: Campbell, J. (2008). The effect of nurse champions on compliance with keystone intensive care unit sepsis-screening protocol. Critical Care Nurse Quarterly, 31, 251-269. Ploeg, J. Skelly, J., Rowan, M., Edwards, N. Davies, B., Grinspun, D., et al. (2010). The role of nursing best practice champions in diffusing practice guidelines: a mixed methods study. Worldviews of Evidence-based Nursing, 238-251. Plost, G., Nelson, D. (2007). Empowering critical care nurses to improve compliance with protocols in the intensive care unit. American Journal of Critical Care, 16, 152-156. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]
Keywords:
Culture; Pain Management
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Summer Institute

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNurse Pain Champions: Changing an Organizational Culture Related to Pain Managementen_GB
dc.identifier.urihttp://hdl.handle.net/10755/203172-
dc.description.abstract(Summer Institute) Problem: In 2009, data from patient surveys, comments from The Joint Commission, and data from an open medical record review indicated that patient pain management and practices related to nursing assessment and documentation of pain needed to be improved. Evidence: In reviewing the interdisciplinary literature and position statements by professional organizations, evidence was available from all levels to indicate the importance of the patient’s self-report of pain, comprehensive assessment of pain, and nursing and physician leadership to promote best practices. Strategy: The interdisciplinary pain committee compared current data to appraisal of the evidence, and determined that the organizational goals were not met and that the hospital did not compare favorable to benchmark organizations in terms of pain management. It was clear that dissemination of best practices and a change in organizational culture related to patient pain management was needed. Practice Change: The Nurse Pain Champion Program was created with representatives from each clinical unit. The goal of the program is to educate direct care nurses, change the culture of the organization related to pain management, and to utilize evidenced based practices related to pain management. Meetings include lectures, case studies, and discussion related to pain management. The position statement of The American Society for Pain Management Nursing regarding management of pain in patients with acute presentations was adopted by the group and recommended to nursing leadership for adoption throughout the organization. The Evidence Based Practice Committee combined forces with the Nurse Pain Champions for 2011 in order to lend support to the initiatives. Evaluation (Design and Indicators/outcomes measured): Patient satisfaction surveys. Survey to assess nurse’s knowledge and practice. Results: Patient satisfaction scores and nurse knowledge scores have improved. Recommendations: Use of Nurse Pain Champions are a valuable asset to changing organizational culture. Lessons Learned: Focusing the efforts of individuals with diverse and complimentary expertise has created momentum to successfully change the culture of the organization related to pain management. Bibliography: Campbell, J. (2008). The effect of nurse champions on compliance with keystone intensive care unit sepsis-screening protocol. Critical Care Nurse Quarterly, 31, 251-269. Ploeg, J. Skelly, J., Rowan, M., Edwards, N. Davies, B., Grinspun, D., et al. (2010). The role of nursing best practice champions in diffusing practice guidelines: a mixed methods study. Worldviews of Evidence-based Nursing, 238-251. Plost, G., Nelson, D. (2007). Empowering critical care nurses to improve compliance with protocols in the intensive care unit. American Journal of Critical Care, 16, 152-156. [© Academic Center for Evidence-Based Practice, 2011. http://www.acestar.uthscsa.edu]en_GB
dc.subjectCultureen_GB
dc.subjectPain Managementen_GB
dc.date.available2012-01-16T11:01:22Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T11:01:22Z-
dc.description.sponsorshipUTHSCSA Summer Instituteen_GB
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