Evaluating the implementation of a pain management flow sheet.
This study evaluated the outcome of implementing a pain flow sheet, using protocols derived from the Agency for Health Care Policy and Research (AHCPR) guidelines for pain management, for children recovering from surgery. Findings indicated the flow sheet was not used as designed; thus, implementing the flow sheet did not result in increased documentation of pain assessments, interventions, and outcomes, except in the increased documentation of nonpharmacological interventions for pain management. Rogers' Diffusion of Innovation Theory gives insight as to why this occurred and provides rationale for more intensive in-service education when new innovations are implemented.
Joyce
B A
BA
Department of Family Health Nursing, Indiana University School of Nursing, Indianapolis 46202, USA.
Keck
J F
JF
Gerkensmeyer
J E
JE
D000700:Analgesics / Q000627:therapeutic use; D002675:Child, Preschool; D003258:Consumer Behavior; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement / Q000379:methods*; D010149:Postoperative Pain / Q000451:nursing* / Q000628:therapy; D012985:Software Design
D000700:Analgesics