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Managing pain: the fifth vital sign
1Neurology and Pain Clinical Nurse Specialist, Center for Advanced Nursing Practice, BryanLGH Medical Center, Lincoln, NE 68506-1299, USA.
The Nursing Clinics of North America
|June 29, 2000
Summary
This study highlights the evolution of a comprehensive pain management program, emphasizing a multidisciplinary approach and continuous quality improvement. These strategies enhance patient outcomes across the care continuum.
Area of Science:
- Nursing Practice
- Healthcare Management
- Quality Improvement
Background:
- Comprehensive pain management programs evolved from early 1990s initiatives.
- Programs initially included assessment, education, interventions, and reassessment.
Purpose of the Study:
- To retool and update a pain management program based on study findings and national recommendations.
- To integrate a multidisciplinary team approach, Total Quality Improvement, and outcomes management.
Main Methods:
- Utilized the Center for Advanced Nursing Practice's Evidence-Based Practice Model.
- Employed leadership from clinical nurse specialists for organization-wide initiatives.
- Incorporated principles of continuous quality improvement.
Main Results:
- Organization-wide initiatives led to improved pain management practices.
- The program aims for positive patient outcomes across the care continuum.
- Two merged healthcare organizations will adopt the model and continuous quality improvement principles.
Conclusions:
- A dynamic, comprehensive pain management program is crucial for optimal patient care.
- Multidisciplinary teams and continuous quality improvement are key to assuring best practices.
- Evidence-based practice models guide the enhancement of healthcare services.