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Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
Nurses' reflections on pain management in a nursing home setting
Lauren Clark1, Regina Fink, Karen Pennington
1University of Colorado at Denver and Health Sciences Center School of Nursing, 4200 East Ninth Avenue, Denver, CO 80262, USA. lauren.clark@uchsc.edu
Summary
Nursing home staff reported improved pain knowledge and practices after a multifaceted intervention. Key suggestions include internal pain teams and involving nursing assistants in care planning for better pain management.
Area of Science:
- Gerontology
- Nursing
- Health Services Research
Background:
- Pain management in nursing homes presents significant challenges for healthcare providers.
- Conducting clinical process improvement research in nursing home settings is complicated by unique environmental factors.
Purpose of the Study:
- To explore nursing home staff perceptions of a multifaceted pain management intervention.
- To identify factors influencing the implementation and effectiveness of pain management strategies in nursing homes.
Main Methods:
- Qualitative study utilizing semistructured interviews with 103 staff from Colorado nursing homes.
- Interviews were audiotaped and subjected to content analysis to identify themes.
Main Results:
- Staff reported enhanced knowledge and attitude shifts regarding pain assessment and management.
- Participants suggested forming internal pain teams and integrating nursing assistants into care planning.
Conclusions:
- Participatory research approaches can facilitate quality improvement in nursing homes.
- Strategies should accommodate nursing home specific circumstances to build capacity for self-monitoring and improvement.
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