Summative index: Acute pain management in older adults

Marita G Titler; Keela Herr; Xian-Jin Xie; John M Brooks; Margo L Schilling; J Lawrence Marsh

doi:10.1016/j.apnr.2008.03.002

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Summative index: Acute pain management in older adults

Journal article

Peer reviewed

Summative index: Acute pain management in older adults

Marita G Titler, Keela Herr, Xian-Jin Xie, John M Brooks, Margo L Schilling and J Lawrence Marsh

Applied nursing research, Vol.22(4), pp.264-273

11/2009

DOI: 10.1016/j.apnr.2008.03.002

PMID: 19875041

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Abstract

One of the challenges in measuring adoption of complex evidence-based practices (EBPs) such as acute pain management is determining what constitutes adherence to an EBP guideline. Traditionally, individual process indicators extrapolated from an EBP guideline are selected as dependent measures of guideline adoption. When using multiple indicators, the challenge is determining the number of indicators that must be met to define adherence to the EBP guideline. The primary goal of the study reported herein was to develop and test a summative index (SI) of guideline adherence for acute pain management of hospitalized older adults. Steps in formulating the initial index are described as well as refinement of this metric. Techniques used included factor analysis, discriminate validity, and split-half reliability. The resulting SI is composed of 18 indicators each scored as 0 (not present) or 1 (present), with a total SI score of 0 to 18.

Acute Disease

Aged

Evidence-Based Practice

Humans

Pain Management

Practice Guidelines as Topic

Details

Title: Subtitle: Summative index: Acute pain management in older adults
Creators: Marita G Titler - Research, Quality and Outcomes Management, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, IA 52242-1009, USA. marita-titler@uiowa.edu
Keela Herr
Xian-Jin Xie
John M Brooks
Margo L Schilling
J Lawrence Marsh
Resource Type: Journal article
Publication Details: Applied nursing research, Vol.22(4), pp.264-273
Publisher: United States
DOI: 10.1016/j.apnr.2008.03.002
PMID: 19875041
ISSN: 0897-1897
eISSN: 1532-8201
Language: English
Date published: 11/2009
Academic Unit: Preventive and Community Dentistry; Pharmacy; Nursing Administration and Gen; Biostatistics; Orthopedics and Rehabilitation; Family and Community Medicine; Nursing; Dental Research; Internal Medicine
Record Identifier: 9983917678702771

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