Journal article
Sustainability of Evidence-Based Acute Pain Management Practices for Hospitalized Older Adults
Western journal of nursing research, Vol.40(12), pp.1749-1764
12/2018
DOI: 10.1177/0193945917738781
PMCID: PMC5930152
PMID: 29103368
Abstract
Little is known regarding sustainability of evidence-based practices (EBPs) following implementation. This article reports sustainability of evidence-based acute pain management practices in hospitalized older adults following testing of a multifaceted Translating Research Into Practice (TRIP) implementation intervention. A cluster randomized trial with follow-up period was conducted in 12 Midwest U.S. hospitals (six experimental, six comparison). Use of evidence-based acute pain management practices and mean pain intensity were analyzed using generalized estimating equations across two time points (following implementation and 18 months later) to determine sustainability of TRIP intervention effects. Summative Index scores and six of seven practices were sustained. Experimental and comparison group differences for mean pain intensity over 72 hours following admission were sustained. Results revealed most evidence-based acute pain management practices were sustained for 18 months following implementation. Further work is needed to identify factors affecting sustainability of EBPs to guide development and testing of sustainability strategies.
Details
- Title: Subtitle
- Sustainability of Evidence-Based Acute Pain Management Practices for Hospitalized Older Adults
- Creators
- Clayton J Shuman - 1 University of Michigan School of Nursing, Ann Arbor, MI, USAXian-Jin Xie - 2 University of Texas Southwestern Medical Center, Dallas, TX, USAKeela A Herr - 3 University of Iowa College of Nursing, IA, USAMarita G Titler - 1 University of Michigan School of Nursing, Ann Arbor, MI, USA
- Resource Type
- Journal article
- Publication Details
- Western journal of nursing research, Vol.40(12), pp.1749-1764
- Publisher
- United States
- DOI
- 10.1177/0193945917738781
- PMID
- 29103368
- PMCID
- PMC5930152
- ISSN
- 0193-9459
- eISSN
- 1552-8456
- Grant note
- R01 HS010482 / AHRQ HHS
- Language
- English
- Date published
- 12/2018
- Academic Unit
- Preventive and Community Dentistry; Nursing Administration and Gen; Biostatistics; Nursing; Dental Research
- Record Identifier
- 9983917659502771
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