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- Jacqueline A Ellis, Lynn McCleary, Renee Blouin, Karen Dube, Betty Rowley, Mary MacNeil, and Carol Cooke.
- School of Nursing, University of Ottawa, Ottawa, ON. jellis@uottawa.ca
- J Spec Pediatr Nurs. 2007 Oct 1;12(4):264-77.
PurposeThis study aims to evaluate the implementation of a comprehensive program to improve pain management practices in a pediatric hospital.MethodsThe pretest posttest design used questionnaires, patient record audits, and postimplementation focus groups with 366 nurses and 8 physicians.ResultsPositive changes occurred in the use of pain scales and in valuing good pain management. The program was less effective in improving procedural pain management and pain documentation.Practice ImplicationsImportant program strengths were the "local champions" (Pain Resource Nurses) and the ongoing support and expertise of the pain committee. Systematic evaluation was important to document successes as well as areas requiring further focus.
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