title: A community hospital acute pain service.
abstract: This article provides readers with a guide to developing and implementing an acute pain service in a community hospital. Kanter's theory of innovative diffusion is used to frame the author's experiences as a lead nurse in two community hospital acute pain services. Health-care providers recognize the importance of quality pain assessment and management. One initiative for improving pain management has been the implementation of an acute pain service (APS). In Canada, most university-affiliated teaching hospitals have now developed an APS to improve pain management. Community hospitals, however, have only recently begun to adopt the concept. Improving pain management through an APS provides an excellent opportunity for nursing leadership at all levels. Nursing administration may take the lead in proposing the idea and benefits of acquiring an APS. An advanced practice nurse can provide leadership through the coordination and provision of enhanced pain management as a lead nurse in an APS. Staff nurses can provide leadership in improving pain management on a daily basis and ensuring that quality pain care reaches the bedside, Nursing practice is at the core of making a difference in pain management.
authors.affiliation: Acute Pain Service, Scarborough Hospital, Scarborough, Ontario.
authors.forename: Shirley L
authors.initials: SL
authors.lastname: Musclow
mesh_terms: D006764:Hospitals, Community / Q000458:organization & administration*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000458:organization & administration; D010146:Pain / Q000451:nursing / Q000517:prevention & control*; D018710:Pain Clinics / Q000458:organization & administration*; D010348:Patient Care Team