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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.
Journal of Nursing Care Quality
|April 1, 1994
Summary
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.