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Mapping the Adult Comfort Promise.

Laura J Kennedy1, Jennifer Spencer2, Janet Curran1

  • 1IWK Health, Halifax, Nova Scotia, Canada; School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|October 1, 2025
PubMed
Summary

This study used Intervention Mapping to develop the Adult Comfort Promise, an intervention to improve pain management during gynecological procedures. The findings offer strategies for creating supportive environments and enhancing patient comfort.

Keywords:
Gynecological proceduresPain carePain managementPatient safetyWomen’s health

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Area of Science:

  • Gynecological care
  • Pain management
  • Healthcare intervention development

Background:

  • Procedural pain is a significant barrier to completing gynecological procedures.
  • Current best practices include pharmacotherapy and trauma-informed assessment.
  • Non-pharmacological interventions show promise but require further implementation research.

Purpose of the Study:

  • To map a pain management intervention for gynecological services.
  • To enhance understanding of creating supportive environments for pain management and patient safety.
  • To guide the development and implementation of the Adult Comfort Promise intervention.

Main Methods:

  • Intervention Mapping framework applied across six steps.
  • Informant conversations with healthcare providers (pain champions).
  • Barriers and facilitators assessment using the Inside out socioecological model.
  • Member checking for accuracy.

Main Results:

  • An intervention (Adult Comfort Promise) was designed and implemented in an Ambulatory Care Clinic.
  • Key factors for supportive environments include policies, pain champions, monitoring, and leadership support.
  • Future research will focus on intervention effectiveness, acceptability, and fidelity.

Conclusions:

  • Intervention Mapping facilitated patient empowerment and implementation strategies for the Adult Comfort Promise.
  • Findings are potentially transferable to other procedures and clinical settings.
  • Intervention Mapping provides a guide for designing and implementing pain management interventions, particularly for nurses.