Translating Research into Practice Intervention Improves Management of Acute Pain in Older Hip Fracture Patients

Titler, Marita G.; Herr, Keela; Brooks, John M.; Xie, Xian Jin; Ardery, Gail; Schilling, Margo; Marsh, J. Lawrence; Everett, Linda Q.; Clarke, William R.

doi:10.1111/j.1475-6773.2008.00913.x

Cited by 48 publications

(54 citation statements)

References 69 publications

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“…A number of studies have shown that if effectively implemented, EBPs can improve patient outcomes and reduce the use of resources 17-18. Titler et al18 demonstrated that a Translating Research into Practice (TRIP) intervention, which assisted in implementing EBPs in pain management, had a measureable effect on nurse’s practices in an acute care setting.…”

Section: Discussionmentioning

confidence: 99%

The Cancer Pain Practice Index: A Measure of Evidence-Based Practice Adherence for Cancer Pain Management in Older Adults in Hospice Care

Fine

Herr

Titler

et al. 2010

Journal of Pain and Symptom Management

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Various clinical practice guidelines addressing pain assessment and management have been available for several years that pertain, at least to some extent, to older patients with cancer. Nonetheless, systematic evaluations or methodologically sound studies of adherence to pain management practice guidelines within Medicare-certified hospice programs are lacking. As part of a larger “translating research into practice” pain improvement study involving older patients with cancer in hospice programs, we recognized the need to create a valid and reliable tool that can facilitate critical evaluation of hospice medical records for nurse and physician adherence to pain management guidelines in order to create a consolidated score for comparative and quality improvement purposes. We report the process used to create this tool, named the Cancer Pain Practice Index, and a guide to its use.

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Section: Discussionmentioning

confidence: 99%

The Cancer Pain Practice Index: A Measure of Evidence-Based Practice Adherence for Cancer Pain Management in Older Adults in Hospice Care

Fine

Herr

Titler

et al. 2010

Journal of Pain and Symptom Management

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“…As a consequence, patients with the poorest prognosis for survival in the year after fracture also may be at greatest risk for inadequate treatment of pain in the acute setting. Improving the recognition and treatment of acute pain, potentially through use of regional anesthesia [8] or structured care pathways including pain-management protocols [18], represents a key opportunity to improve endof-life care in orthopaedics.…”

Section: Treatment Of Painmentioning

confidence: 99%

Editorial: Improving End of Life Care in Orthopaedics

Neuman

2011

Clinical Orthopaedics &Amp; Related Research

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“…23,31,32 Titler et al 23 utilized the model when developing strategies aimed at promoting EBP for management of acute hip pain in older patients with hip fracture. During the planning phase, each of the areas within the TRIP model was used to develop implementation strategies.…”

Section: Examples From Other Health-care Professionsmentioning

confidence: 99%

“…29 This model was selected as it has been shown to positively influence adoption of EBP when tested in other clinical environments. 23,[30][31][32] The model serves as a framework for developing strategies that promote implementation of EBP. It assumes that adoption of research is influenced by the characteristics of the EBP topic (type and strength of evidence; clinical relevance) and the manner in which it is communicated to users in a social system.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…12,[19][20][21] These models are typically grounded in organizational theory or adult learning and are most often multifaceted in their approach. 20 Examples include the following: Rogers' diffusion of innovation (DOI) model, 19,22,23 the decision-making framework, 24 the advancing research and clinical practice through close collaboration (ARCC) model, 25,26 and the promoting action on research implementation in health services (PARIHS) model. 27 A common element within each of the implementation models is the need to address both the individual and the organization.…”

Section: Introductionmentioning

confidence: 99%

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Translating research into prosthetic and orthotic practice

Ramstrand

2013

Prosthetics &Amp; Orthotics International

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Background: Evidence-based practice is commonly accepted as a means of improving patient outcomes; however, there is little understanding of the processes required to successfully implement it into prosthetic and orthotic practice. Objectives: To discuss factors affecting adoption of evidence-based practice and present a theoretical framework for its implementation into prosthetic and orthotic practice. Discussion: Numerous factors that affect adoption of evidence-based practice are discussed, ranging from individual factors to those that can be attributed to administrative and environmental issues. Specific factors are likely to be context specific and are influenced by the manner in which evidence-based practice is introduced into the working environment. It is argued that successful implementation of evidence-based practice requires consideration of numerous interrelated factors. A formal translating research into practice model is presented as a means of developing a strategic plan that considers all relevant factors and maximizes acceptance of evidence-based practice into prosthetics and orthotics clinical practice. Conclusions: The use of a theoretical model for implementation of evidence-based practice is likely to improve its adoption by prosthetic and orthotic clinicians. Clinical relevanceThe demand for prosthetists/orthotists to utilize evidence-based practice is increasing. Lack of strategic planning throughout the implementation phase is likely to compromise adoption of evidence-based practices by clinicians.

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Translating Research into Practice Intervention Improves Management of Acute Pain in Older Hip Fracture Patients

Abstract: The TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture.

Cited by 48 publications

References 69 publications

The Cancer Pain Practice Index: A Measure of Evidence-Based Practice Adherence for Cancer Pain Management in Older Adults in Hospice Care

The Cancer Pain Practice Index: A Measure of Evidence-Based Practice Adherence for Cancer Pain Management in Older Adults in Hospice Care

Editorial: Improving End of Life Care in Orthopaedics

Translating research into prosthetic and orthotic practice

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