Implementation of the AHCPR pain guidelines for children

Schmidt, Kaye; Holida, Denise; Kleiber, Charmaine; Petersen, Mary; Phearman, Laura

doi:10.1097/00001786-199404000-00010

Cited by 10 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, to put the guidelines into practice it needs both changes in structure quality and in health care professionals’ knowledge. Future research needs to explore which specific quality improvement strategies are necessary to achieve changes in the area of major painful procedures (Schmidt et al, 1994; Schmidt et al, 1996).…”

Section: Discussionmentioning

confidence: 99%

“…Based on published recommendations (Schmidt et al, 1994(Schmidt et al, , 1996American Pain Society, 1995;Campese, 1996;Rischer and Childress, 1996;Joyce, 1999;Comley and DeMeyer, 2001) and clinical experience, we defined three indicators for high-performance paediatric pain control:…”

Section: Definition Of Quality Indicatorsmentioning

confidence: 99%

“…In paediatrics, there are publications on both the implementation of the AHCPR recommendations on pain control (Schmidt et al, 1994) and on the numerous efforts to introduce paediatric pain rating, or documentation tools or standards for pain management into clinical practice (Stevens, 1990;Howell et al, 1996;Pederson, 1996;Boughton et al, 1998;Sepponen et al, 1998;Joyce et al, 1999;Knoblauch and Wilson, 1999;Treadwell et al, 2002;Huth et al, 2003). However, nearly all QI efforts focused on paediatric postoperative pain control (Stevens, 1990;Boughton et al, 1998;Sepponen et al, 1998;Joyce et al, 1999;Knoblauch and Wilson, 1999).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Stop the pain! A nation‐wide quality improvement programme in paediatric oncology pain control

Zernikow

Hasan

Hechler

et al. 2008

European Journal of Pain

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Definition Of Quality Indicatorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Stop the pain! A nation‐wide quality improvement programme in paediatric oncology pain control

Zernikow

Hasan

Hechler

et al. 2008

European Journal of Pain

View full text Add to dashboard Cite

show abstract

“…We were encouraged to note AORN's “Perioperative nurse translation of the AHCPR clinical practice guidelines,” which was published in the 1995 edition of AORN Standards and Recommended Practices 9 . We believe our program aligns closely with AORN's translation of the AHCPR guidelines.…”

Section: Methodsmentioning

confidence: 98%

Development and Implementation of a Pain Management Program

Campese

1996

AORN Journal

View full text Add to dashboard Cite

Perioperative nurses at St Mary's Health Care System, Inc (St Mary's), in Athens, Ga, recognized that some of their postoperative patients did not have an acceptable level of pain control. Based on the Agency for Health Care Policy and Research acute pain management guidelines, they developed and implemented a pain management program. This quality improvement program led to a multidisciplinary effort to maintain each postoperative patient's pain at a level acceptable to that individual. Using a pain level scale, patients are taught to self-report their levels of pain so that medication can be administered appropriately and on a timely basis. A quality improvement team is studying compiled data and anticipates making recommendations about best practices with regard to medication utilization. In September 1995, St Mary's underwent a mock Joint Commission on Accreditation of Healthcare Organizations survey. The surveyors were impressed with the quality and content of the pain management program. Suggestions for other facilities that wish to establish pain management programs are included.

show abstract

“…Previous research indicates pain rating scales for children are not widely used (Jacob & Puntillo, 1999;Margolius, Hudson, & Michel, 1995;Schmidt, Holiday, Kleiber, Peterson, & Phearman, 1994), and that pain scores appeared to represent nurses' intuition of a child's pain with no clear parameters of how pain intensity was assessed (Byrne et al, 2001;Twycross, 2007a).…”

Section: Nurses' Intuitionmentioning

confidence: 99%

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

View full text Add to dashboard Cite

Rationale for the Study: Despite the exponential growth in pharmacological and nonpharmacological methods for the treatment of pediatric procedural pain there remains a gap between available interventions and actual practice in the emergency department clinical setting. Researchers have recommended the examination of unit culture since culture is proposed to be a major factor that affects the implementation of pain management practices. Method:Ethnography was employed to gain access to the beliefs and practices of healthcare participants in a Northeastern non-pediatric emergency department. Data were collected for 5 months with over 100 hours of observation. Six key informants were interviewed and 44 pediatric procedural interactions with 27 healthcare providers during the treatment of children two to eight years of age undergoing procedures were observed.Other information gathered included documents from the institution, and pain related information from the patient's medical record. All interviews were recorded and transcribed verbatim. Data were managed using the Ethnograph 6.0 and analyzed using the procedure developed by Leininger and McFarland (2006). Results:Seven major themes with categories were discovered that included assessment, ii procedural pain, treatment of pain, communication related to comfort, fragmentation of care in the emergency department, healthcare provider attitudes, and environmental issues and policies. Conclusion:The results of this study suggest that practice environment of the emergency department and organizational culture exerted a significant degree of influence over healthcare providers' pediatric pain management practices. Nurses' did not use pain measurement tools as they were intended to be used and instead improvised measurement by observing the child's behavior. The management of children during painful procedures consisted of an array of behaviors and practices. The use of physical restraint during painful procedures was a common practice. Participants continue to hold many assumptions and misconceptions about pediatric pain assessment and management. The findings of this study provide insight to the everyday practice of emergency department healthcare providers for pediatric pain in a non-pediatric setting.iii Acknowledgments and Dedication

show abstract

Implementation of the AHCPR pain guidelines for children

Cited by 10 publications

References 0 publications

Stop the pain! A nation‐wide quality improvement programme in paediatric oncology pain control

Stop the pain! A nation‐wide quality improvement programme in paediatric oncology pain control

Development and Implementation of a Pain Management Program

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Contact Info

Product

Resources

About