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Exploring the Implementation and Impacts of the Adult Comfort Promise: A Study Protocol.
Laura J Kennedy1, Janet Curran1, Jennifer Spencer2
1School of Nursing, Dalhousie University, Nova Scotia, Canada.
Summary
This study explores the Adult Comfort Promise, a pain management intervention for gynecological procedures. Findings will help healthcare professionals implement best practices and bridge the gap between evidence and patient care.
Area of Science:
- Implementation Science
- Women's Health
- Pain Management
Background:
- Pain significantly hinders gynecological procedures, despite established best practices.
- A persistent gap exists between recommended pain management strategies and their clinical implementation.
- Further research is needed to effectively implement pain management interventions in gynecological care.
Purpose of the Study:
- To explore the implementation and impacts of the multicomponent Adult Comfort Promise intervention.
- To improve pain management for women and gender-diverse adults undergoing gynecological procedures.
- To address the gap between evidence-based pain management and clinical practice.
Main Methods:
- An explanatory mixed-methods study design across three phases.
- Quantitative data collection via chart reviews and patient/provider surveys.
- Qualitative data collection through semi-structured interviews with patients and providers.
- Data integration and co-design of implementation strategies with stakeholders.
- Analysis of quantitative data using descriptive statistics and ANOVA; qualitative data using directed content analysis, incorporating sex and gender considerations.
Main Results:
- The study will compare the effectiveness of intervention components (e.g., distraction vs. pharmacotherapy) on pain management outcomes.
- Analysis will examine the impact of the intervention on specific procedures like intrauterine device insertion and endometrial biopsy.
- Findings will quantify patient and provider experiences with the Adult Comfort Promise.
Conclusions:
- This research supports healthcare professionals, particularly nurses, in delivering optimal pain management.
- Findings will inform knowledge-to-action strategies for implementing pain management interventions in practice.
- The study contributes to the evidence base for pain management in women's health and can inform strategies in tertiary care settings and beyond.
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