title: Implementing best practice pain management in a pediatric hospital.
abstract: OBJECTIVE
  This study aims to evaluate the implementation of a comprehensive program to improve pain management practices in a pediatric hospital.
  
  
  METHODS
  The pretest posttest design used questionnaires, patient record audits, and postimplementation focus groups with 366 nurses and 8 physicians.
  
  
  RESULTS
  Positive changes occurred in the use of pain scales and in valuing good pain management. The program was less effective in improving procedural pain management and pain documentation.
  
  
  CONCLUSIONS
  Important program strengths were the "local champions" (Pain Resource Nurses) and the ongoing support and expertise of the pain committee. Systematic evaluation was important to document successes as well as areas requiring further focus.
authors.affiliation: School of Nursing, University of Ottawa, Ottawa, ON. jellis@uottawa.ca
authors.forename: Jacqueline A
authors.initials: JA
authors.lastname: Ellis
authors.forename: Lynn
authors.initials: L
authors.lastname: McCleary
authors.forename: Renee
authors.initials: R
authors.lastname: Blouin
authors.forename: Karen
authors.initials: K
authors.lastname: Dube
authors.forename: Betty
authors.initials: B
authors.lastname: Rowley
authors.forename: Mary
authors.initials: M
authors.lastname: MacNeil
authors.forename: Carol
authors.initials: C
authors.lastname: Cooke
mesh_terms: D001291:Attitude of Health Personnel; D019985:Benchmarking / Q000458:organization & administration*; D002648:Child; D002983:Clinical Competence / Q000592:standards; D004282:Documentation / Q000592:standards; D004509:Education, Nursing, Continuing; D019317:Evidence-Based Medicine; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006776:Hospitals, Pediatric; D006801:Humans; D016294:Models, Nursing; D009730:Nursing Assessment / Q000592:standards; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D009737:Nursing Records / Q000592:standards; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D009864:Ontario; D010146:Pain / Q000175:diagnosis / Q000517:prevention & control; D010147:Pain Measurement / Q000451:nursing / Q000592:standards; D010371:Pediatric Nursing / Q000193:education / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D017749:Total Quality Management / Q000458:organization & administration