Quality pain management outcomes: the power of place.
This study explores how an organization, as the context of care, influences nursing practice and a nursing-sensitive, quality health outcome-pain management. The results provide important insights into organizational patterns associated with favorable pain management-related outcomes as well as the congruence between and among subunits within the organization. Outcomes were most favorable on units where nurses had attitudes supportive of aggressive pain management and higher levels of coordination and discretion.
Wild
L R
LR
University of Washington Medical Center, 1959 NE Pacific Street, Box 356153, Seattle, WA 98195-6153, USA. lwild@u.washington.edu
Mitchell
P H
PH
D000328:Adult; D001291:Attitude of Health Personnel; D002140:California; D007722:Health Knowledge, Attitudes, Practice; D006764:Hospitals, Community; D006801:Humans; D008875:Middle Aged; D009732:Nursing Care / Q000379:methods* / Q000592:standards*; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology*; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D010146:Pain / Q000175:diagnosis / Q000451:nursing* / Q000517:prevention & control; D010147:Pain Measurement; D011209:Power, Psychological; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration*