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Association Between Modifiable Structural and Process Factors and the Quality Indicator Pain in Nursing Home
Simone Baumgartner-Violand1, Thekla Brunkert2, Sinéad Cassidy1
1Institute of Nursing Science, University of Basel, Switzerland.
Aim(S):
The aim of this study is to examine the association between modifiable structural and process factors and self-reported as well as observed pain in Swiss residential long-term care residents.
Design:
Sub-study of a multicentre cross-sectional survey.
Methods:
Institution, unit, and staff data were collected from September 2018 to October 2019 in 118 residential long-term care institutions in Switzerland's German- and French-speaking regions using paper questionnaires. Resident data were exported during the same period from routine data sets.
Results:
In this study, 6213 residents from 86 residential long-term care institutions were included. Modifiable structural factors such as institutions having access to geriatricians, nursing experts and a palliative care team, the presence of a pain guideline on the unit and good teamwork among care workers were associated to less pain in residents.
Conclusion:
It is possible for residential long-term care institutions to improve pain in residents and to optimise the quality of care by providing access to geriatricians, nursing experts and a palliative care team, working with a pain guideline and fostering teamwork.
Implication For The Profession And/Or Patient Care:
Residential long-term care institutions can modify and implement modifiable structural factors which can reduce pain in residents to optimise residents' quality of life and quality of care.
Impact:
Improved pain management in residential long-term care institutions can lead to optimised quality of care and quality of life for individual residents.
Reporting Method:
STROBE checklist.
Patient Or Public Contribution:
No patient or public contribution.
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