Nurse Practitioner Adherence to National Guidelines on the Management of Persistent Pain in Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/303933
Category:
Full-text
Type:
Presentation
Title:
Nurse Practitioner Adherence to National Guidelines on the Management of Persistent Pain in Older Adults
Author(s):
Smith, George Byron; Duffy, Evelyn
Lead Author STTI Affiliation:
Alpha Mu
Author Details:
George Byron Smith, DNP, ARNP, gbsmith@southuniversity.edu; Evelyn Duffy, DNP, FAANP;
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: To describe nurse practitioners' (NPs) knowledge and adherence to national practice guidelines on the pharmacological management of persistent pain in older adults

Methods: This is a cross-sectional descriptive correlational study which included a convenience sample of 424 NPs attending a national NP conference. The study describes NPs knowledge and adherence to clinical guidelines on the pharmacological management of persistent pain in older adults.''NPs knowledge and adherence were compared with recommendations from the AGS (2009) guideline titled Pharmacological Management of Persistent Pain in Older Persons. The instruments used in this study were a background data questionnaire and the Pharmacological Management of Persistent Pain in Older Adults Survey.

Results: The findings revealed NPs' prescribing practices adhered to current recommendations to a greater extent than did having knowledge of specific recommendations. The majority of NP participants relied on NSAIDs/COX-2 and opioid analgesics equally. NPs with full prescriptive authority (M = 27.83, SD = 3.30) were more likely to adhere to guideline recommendations than those without controlled substances prescribing privileges (M = 26.84, SD = 3.49); t(408) = 2.40, p = .02. NPs who reported attending continuing education on the management of pain in older adults were more knowledgeable and adherent to the clinical practice guidelines.

'Conclusion: NP participants' knowledge and prescribing practices in the management of persistent pain in older adults and evidenced based practice guidelines may be narrowing. Tremendous opportunities exist in graduate nursing education to expand NPs' competencies in the management and prescribing of analgesics in the treatment of persistent pain in older adults. As primary providers, NPs advocate for older adults who suffer from persistent pain and must ensure that they receive the best type of analgesic regardless of the author of the prescription.

Keywords:
pain; practice guideline; opioid
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleNurse Practitioner Adherence to National Guidelines on the Management of Persistent Pain in Older Adultsen
dc.contributor.authorSmith, George Byronen
dc.contributor.authorDuffy, Evelynen
dc.contributor.departmentAlpha Muen
dc.author.detailsGeorge Byron Smith, DNP, ARNP, gbsmith@southuniversity.edu; Evelyn Duffy, DNP, FAANP;en
dc.identifier.urihttp://hdl.handle.net/10755/303933-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b>To describe nurse practitioners' (NPs) knowledge and adherence to national practice guidelines on the pharmacological management of persistent pain in older adults <p><b>Methods: </b>This is a cross-sectional descriptive correlational study which included a convenience sample of 424 NPs attending a national NP conference. The study describes NPs knowledge and adherence to clinical guidelines on the pharmacological management of persistent pain in older adults.''NPs knowledge and adherence were compared with recommendations from the AGS (2009) guideline titled <i>Pharmacological Management of Persistent Pain in Older Persons</i>. The instruments used in this study were a background data questionnaire and the <i>Pharmacological Management of Persistent Pain in Older Adults Survey</i>. <p><b>Results: </b>The findings revealed NPs' prescribing practices adhered to current recommendations to a greater extent than did having knowledge of specific recommendations. The majority of NP participants relied on NSAIDs/COX-2 and opioid analgesics equally. NPs with full prescriptive authority (M = 27.83, SD = 3.30) were more likely to adhere to guideline recommendations than those without controlled substances prescribing privileges (M = 26.84, SD = 3.49); <i>t</i>(408) = 2.40, p = .02. NPs who reported attending continuing education on the management of pain in older adults were more knowledgeable and adherent to the clinical practice guidelines. <p>'<b>Conclusion: </b>NP participants' knowledge and prescribing practices in the management of persistent pain in older adults and evidenced based practice guidelines may be narrowing. Tremendous opportunities exist in graduate nursing education to expand NPs' competencies in the management and prescribing of analgesics in the treatment of persistent pain in older adults. As primary providers, NPs advocate for older adults who suffer from persistent pain and must ensure that they receive the best type of analgesic regardless of the author of the prescription.en
dc.subjectpainen
dc.subjectpractice guidelineen
dc.subjectopioiden
dc.date.available2013-10-22T20:26:10Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:26:10Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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