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Using a collaborative research utilization model to develop and test the effects of clinical pathways for pain
1College of Nursing, University of Rhode Island, Kingston, USA.
Journal of Nursing Care Quality
|May 20, 1999
Summary
This study improved patient pain and satisfaction using collaborative pain management pathways. However, these benefits decreased after hospital discharge, highlighting the need for continued support.
Area of Science:
- Pain Management
- Clinical Pathways
- Healthcare Research
Background:
- A significant gap exists between pain management research findings and clinical practice.
- Multidisciplinary collaboration is crucial for effective healthcare interventions.
- Bridging the research-to-practice gap requires innovative approaches.
Purpose of the Study:
- To evaluate a collaborative, multidisciplinary research utilization model for pain management.
- To develop and assess the effectiveness of 14 pain management clinical pathways.
- To reduce the research-to-practice gap in pain management.
Main Methods:
- A collaborative research utilization model paired academic scientists and students with clinical practitioners.
- Three partnerships were formed, including nursing, medicine, social work, pastoral care, and physical therapy.
- 14 pain management clinical pathways were developed and evaluated.
Main Results:
- Patients using the clinical pathways experienced reduced pain during their hospital stay.
- Pain interference with quality of life indicators decreased significantly.
- Patient satisfaction with caregiver responsiveness to pain increased.
- These positive outcomes reversed after patient discharge.
Conclusions:
- The multidisciplinary collaborative model effectively improved in-hospital pain management.
- Clinical pathways demonstrated success in reducing pain and enhancing patient satisfaction.
- The transient nature of the benefits post-discharge indicates a need for ongoing interventions.