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An institutional commitment to pain management

B R Ferrell1, G E Dean, M Grant

  • 1Department of Nursing Research and Education, City of Hope National Medical Center, Duarte, CA 91010, USA.

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
|September 1, 1995
PubMed
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This study evaluated the "Institutional Commitment to Pain Management" program, showing its potential to improve institutional pain management practices. The program aims to overcome barriers to effective pain relief through organizational commitment.

Area of Science:

  • Healthcare Management
  • Pain Management Research
  • Organizational Psychology

Background:

  • Pain management is a critical aspect of patient care.
  • Organizational factors significantly influence the effectiveness of pain management strategies.
  • Existing barriers hinder optimal pain relief for patients.

Purpose of the Study:

  • To develop, implement, and evaluate the "An Institutional Commitment to Pain Management" program.
  • To explore the impact of organizational influence on pain management practices.
  • To foster institutional commitment to enhancing patient pain relief.

Main Methods:

  • Disseminated a pain education model to 32 physician/nurse teams across California.
  • Assessed knowledge and attitudes regarding pain using a 39-item survey.

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  • Utilized the Pain Audit Tool (PAT) for institutional-level pain management assessment.
  • Main Results:

    • Collected data from 272 physicians and 629 nurses on knowledge and attitudes.
    • Received 154 Pain Audit Tool submissions, reflecting institutional practices.
    • Evaluated program activities, barriers, and benefits 8 months post-completion.

    Conclusions:

    • The "Institutional Commitment to Pain Management" program serves as an evolving model.
    • The program aims to surmount obstacles to effective pain management.
    • Securing institutional commitment is key to improving patient pain relief.