Journal
JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING
Volume 12, Issue 4, Pages 264-277Publisher
BLACKWELL PUBLISHING
DOI: 10.1111/j.1744-6155.2007.00121.x
Keywords
best practice pain management; Ottawa Model of Research Use; pain management; pediatrics; program evaluation; program implementation
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PURPOSE. This study aims to evaluate the implementation of a comprehensive program to improve pain management practices in a pediatric hospital. METHODS. The pretest posttest design used questionnaires, patient record audits, and postimplementation focus groups with 366 nurses and 8 physicians. RESULTS. Positive changes occurred in the use of pain scales and in valuing good pain management. The program was less effective in improving procedural pain management and pain documentation. PRACTICE IMPLICATIONS. Important program strengths were the local champions (Pain Resource Nurses) and the ongoing support and expertise of the pain committee. Systematic evaluation was important to document successes as well as areas requiring further focus.
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