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Implementation of the AHCPR pain guidelines for children
K Schmidt1, D Holida, C Kleiber
1Pediatric Hematology-Oncology, Endocrine and Renal Unit, University of Iowa Hospitals and Clinics, Iowa City.
Insights
Implementing Agency for Health Care Policy and Research (AHCPR) acute pain guidelines in pediatrics requires institutional commitment and teamwork. A nursing committee led this process, assessing practices and planning quality improvements for better child pain management.
Area of Science:
- Pediatric Nursing
- Clinical Practice Guidelines
- Healthcare Quality Improvement
Background:
- Successful implementation of clinical practice guidelines necessitates institutional support and interdisciplinary collaboration.
- The Agency for Health Care Policy and Research (AHCPR) developed guidelines for acute pain management in children.
Purpose of the Study:
- To describe the process of implementing AHCPR acute pain guidelines in a pediatric setting.
- To highlight the leadership role of a pediatric nursing research committee in practice change.
Main Methods:
- Assessment of current pediatric pain management practices.
- Identification of nursing and interdisciplinary interventions.
- Development of an evaluation plan utilizing institutional quality assessment and improvement programs.
Main Results:
- A structured approach was taken to implement the AHCPR acute pain guidelines.
- Nursing and interdisciplinary teams were involved in the implementation process.
- Evaluation of practice changes was integrated into the quality improvement framework.
Conclusions:
- Pediatric nursing committees can effectively lead the implementation of clinical practice guidelines.
- Interdisciplinary collaboration is crucial for successful guideline adoption and practice change.
- Integrating evaluation into quality improvement ensures sustained practice improvements in pediatric pain management.
Abstract:
Successful implementation of Agency for Health Care Policy and Research (AHCPR) clinical practice guidelines must involve an institutional commitment and an interdisciplinary effort. This article describes how a pediatric nursing research committee took the leadership role in implementing the AHCPR acute pain guidelines for children. Steps toward implementation included assessment of current practice methods, nursing interventions, interdisciplinary interventions, and plans for evaluating the practice change through the institutional quality assessment and improvement program.