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; William R Clarke

doi:10.1111/j.1475-6773.2008.00913.x

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

Journal article

Peer reviewed

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

Health services research, Vol.44(1), pp.264-287

02/01/2009

DOI: 10.1111/j.1475-6773.2008.00913.x

PMID: 19146568

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Abstract

Objective. To 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 Design. Experimental design with the hospital as the unit of randomization. Study Setting. Twelve acute care hospitals in the Midwest. Data Sources. (a) Medical records (MRs) of patients ≥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 Collection. Data were abstracted from MRs and questions distributed to nurses and physicians. Principal Findings. The 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). Conclusion. The TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture.

Clinical Trials

Nursing

Hip Fractures -- Complications

Multidisciplinary Care Team

Pain -- Etiology

Pain -- Therapy

Acute Disease

Aged

Experimental Studies

Female

Hip Fractures -- Economics

Inpatients

Male

Medical Practice

Evidence-Based

Midwestern United States

Pain Measurement

Pain -- Economics

Questionnaires

Human

Details

Title: Subtitle: Translating research into practice intervention improves management of acute pain in older hip fracture patients
Creators: Marita G Titler
Keela Herr
John M Brooks
Xian-Jin Xie - The University of Texas Southwestern Medical Center
Gail Ardery
Margo L Schilling
J Lawrence Marsh
Linda Q Everett
William R Clarke
Resource Type: Journal article
Publication Details: Health services research, Vol.44(1), pp.264-287
DOI: 10.1111/j.1475-6773.2008.00913.x
PMID: 19146568
NLM abbreviation: Health Serv Res
ISSN: 0017-9124
Language: English
Date published: 02/01/2009
Academic Unit: Preventive and Community Dentistry; Biostatistics; Nursing; Dental Research
Record Identifier: 9983557618402771

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