• Health services research · Feb 2009

    Randomized Controlled Trial Multicenter Study

    Translating research into practice intervention improves management of acute pain in older hip fracture patients.

    • Marita G Titler, Keela Herr, John M Brooks, Xian-Jin Xie, Gail Ardery, Margo L Schilling, J Lawrence Marsh, Linda Q Everett, and William R Clarke.
    • Research, Quality and Outcomes Management, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Room C529 GH, Iowa City, IA 52242, USA. Marita-titler@uiowa.edu
    • Health Serv Res. 2009 Feb 1;44(1):264-87.

    ObjectiveTo test an interdisciplinary, multifaceted, translating research into practice (TRIP) intervention to (a) promote adoption, by physicians and nurses, of evidence-based (EB) acute pain management practices in hospitalized older adults, (b) decrease barriers to use of EB acute pain management practices, and (c) decrease pain intensity of older hospitalized adults.Study DesignExperimental design with the hospital as the unit of randomization.Study SettingTwelve acute care hospitals in the Midwest.Data Sources(a) Medical records (MRs) of patients > or =65 years or older with a hip fracture admitted before and following implementation of the TRIP intervention and (b) physicians and nurses who care for those patients.Data CollectionData were abstracted from MRs and questions distributed to nurses and physicians.Principal FindingsThe Summative Index for Quality of Acute Pain Care (0-18 scale) was significantly higher for the experimental (10.1) than comparison group (8.4) at the end of the TRIP implementation phase. At the end of the TRIP implementation phase, patients in the experimental group had a lower mean pain intensity rating than those in the comparison group ( p<.0001).ConclusionThe TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture.

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