Pain Management Best Practice with Older Adults: Effects of Training on Staff Knowledge, Attitudes, and Patient Outcomes

Klassen, Bonnie; Liu, Huan; Warren, Sharon

doi:10.1080/02703180802448049

Cited by 11 publications

(9 citation statements)

References 20 publications

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“…Pretraining, the FIM scores improved from 82 (n = 12) to 97.6 (n = 18) and post-training the FIM scores improved from 82.6 (n = 17) to 100.3 (n = 17). Results of this study demonstrated an improvement in accuracy of staff knowledge and attitudes toward pain management; the likelihood of staff assessing and documenting pain management assessments, reassessments, and interventions also improved (Klassen et al, 2009).…”

Section: Nurses' Role In Pain Managementmentioning

confidence: 81%

“…In research completed by Klassen, Liu, & Warren (2009), 75 staff members of a rehabilitation hospital in Canada, including RNs, licensed practical nurses, physical therapists, and occupational therapists, were provided with training regarding best practices in pain management. The study's purpose was to determine how this training affected staff knowledge and attitudes about pain management, specifically in the older adult, and how it affected patients' length of stay and functional outcomes.…”

Section: Nurses' Role In Pain Managementmentioning

confidence: 99%

“…Three staff training videos were provided for viewing by staff on all shifts over a three-month period. The training provided education on topics including older adults' experience of pain, pain assessment and management for this population, managing persistent pain, and clinical practice guidelines for pain management in older adults (Klassen et al, 2009). Researchers provided a questionnaire before and after training took place, the Barriers to the Assessment and Treatment of Pain by McCaffery and Pasero (1999), which assessed staff knowledge and attitudes toward pain management.…”

Section: Nurses' Role In Pain Managementmentioning

confidence: 99%

See 2 more Smart Citations

Nurses' Perceptions of the Barriers to Using Nonpharmacological Methods to Relieve Patients' Pain in the Adult Care Setting

Ethier¹

2019

Preprint

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Managing patients’ pain is a challenge that many caregivers face as they balance adequate pain management with minimal drug side effects. Nonpharmacological pain management techniques exist that literature has shown to be effective. Although caregivers may be aware that nonpharmacological pain relief options exist, pharmacological pain management still remains the primary, and often the sole form of pain intervention. The purpose of this project was to identify nurses’ perceptions of barriers to using nonpharmacological methods to manage their patients’ pain in the inpatient hospital setting. A modified survey was created using the Nurses’ Perceived Obstacles to Pain Assessment and Management Practices questionnaire by Coker et al (2010). The modified survey included 19 questions that were relevant to nonpharmacological pain management of an adult patient in the hospital setting. The participants’ years of nursing experience was also collected with this tool. A total of 19 nurses that work in the Intensive Care Unit of Newport Hospital, a 129-bed community hospital in Newport, RI were surveyed. The results of the survey showed that over half of all respondents perceived they had inadequate time to educate their patients on the use of nonpharmacological pain management and that their institution did not have clear policies or guidelines of best practices regarding nonpharmacological pain management. Over 45% of all respondents found a lack of system support and education and patient attitude to be barriers. This project identified that both nurses and patients would benefit from further guidance by the institution with the use of guidelines and policies to enhance their knowledge, confidence, efficiency, and skills to manage their patients’ pain with nonpharmacological options.

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Section: Nurses' Role In Pain Managementmentioning

confidence: 81%

Section: Nurses' Role In Pain Managementmentioning

confidence: 99%

Section: Nurses' Role In Pain Managementmentioning

confidence: 99%

See 1 more Smart Citation

Nurses' Perceptions of the Barriers to Using Nonpharmacological Methods to Relieve Patients' Pain in the Adult Care Setting

Ethier¹

2019

Preprint

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“…On further classification, 3 of the 15 were determined to be efficiency studies (Bendixen, Levy, Olive, Kobb, & Mann, 2009;Stefano, 2009), yielding 12 articles on effectiveness. Six articles (50%) were published in occupational therapy journals (Clemson et al, 2010;Greene, Sample, & Fruhauf, 2009;Hasegawa et al, 2010;Klassen, Liu, & Warren, 2009;Petersson, Kottorp, Bergström, & Lilja, 2009;Stark, Landsbaum, Palmer, Somerville, & Morris 2009). Of the 6 articles, 2 were on home modification interventions, 2 were on pain management interventions, and 2 were on fall prevention.…”

Section: Resultsmentioning

confidence: 99%

Update on Geriatric Research in Productive Aging

Murphy

2011

The American Journal of Occupational Therapy

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The American Occupational Therapy Association's Centennial Vision articulates the strategic goals for the profession to be science driven and evidence based in major practice areas. In the practice area of productive aging, a previous review of research published in the American Journal of Occupational Therapy (AJOT) found mostly basic research with far fewer effectiveness studies. The current review article is divided into two parts. Part 1 provides an update on the types of research published on productive aging in AJOT in the past 2 yr (2009-2010). Part 2 examines the range and scope of occupational therapy effectiveness research on productive aging published in a similar time frame in other occupational therapy journals and outside of the discipline.

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“…Despite the availability of state-of-the-art pain assessment practices, educational gaps among health professionals have been documented [ 19 ], and front-line staff working in LTC facilities frequently report that they are inadequately trained to assess pain among LTC residents with dementia [ 20 – 24 ]. Although pain-related knowledge gained from continuing education for LTC staff appears to improve the assessment of pain among residents in the short term [ 23 , 25 – 28 ], this improvement in knowledge about pain needs to be accompanied by implementation science methodologies—for example, by using the Consolidated Framework for Implementation Research (CFIR [ 29 , 30 ];) to guide data collection, analysis, and interpretation—so that long-term changes in pain assessment practices can be achieved [ 9 , 31 ]. For example, previous research that makes use of the CFIR has demonstrated that the use of implementation science methodologies in combination with in-person pain assessment training within the LTC facility can result in an increased frequency of pain assessments using a standardized tool [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Development, evaluation, and implementation of an online pain assessment training program for staff in rural long-term care facilities: a case series approach

et al. 2022

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Background Pain among long-term care (LTC) residents, and especially residents with dementia, is often underassessed and this underassessment has been attributed, in part, to gaps in front-line staff education. Furthermore, although evidence-based clinical guidelines for pain assessment in LTC are available, pain assessment protocols are often inconsistently implemented and, when they are implemented, it is usually within urban LTC facilities located in large metropolitan centers. Implementation science methodologies are needed so that changes in pain assessment practices can be integrated in rural facilities. Thus, our purpose was to evaluate an online pain assessment training program and implement a standardized pain assessment protocol in rural LTC environments. Methods During the baseline and implementation periods, we obtained facility-wide pain-related quality indicators from seven rural LTC homes. Prior to implementing the protocol, front-line staff completed the online training program. Front-line staff also completed a set of self-report questionnaires and semi-structured interviews prior to and following completion of the online training program. Results Results indicated that knowledge about pain assessment significantly increased following completion of the online training program. Implementation of the standardized protocol resulted in more frequent pain assessments on admission and on a weekly basis, although improvements in the timeliness of follow-up assessments for those identified as having moderate to severe pain were not as consistent. Directed content analysis of semi-structured interviews revealed that the online training program and standardized protocol were well-received despite a few barriers to effective implementation. Conclusions In conclusion, we demonstrated the feasibility of the remote delivery of an online training program and implementation of a standardized protocol to address the underassessment of pain in rural LTC facilities.

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Pain Management Best Practice with Older Adults: Effects of Training on Staff Knowledge, Attitudes, and Patient Outcomes

Cited by 11 publications

References 20 publications

Nurses' Perceptions of the Barriers to Using Nonpharmacological Methods to Relieve Patients' Pain in the Adult Care Setting

Nurses' Perceptions of the Barriers to Using Nonpharmacological Methods to Relieve Patients' Pain in the Adult Care Setting

Update on Geriatric Research in Productive Aging

Development, evaluation, and implementation of an online pain assessment training program for staff in rural long-term care facilities: a case series approach

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