One-on-one coaching to improve pain assessment and management practices of pediatric nurses.
Pain in children is infrequently assessed and managed by nurses. One-on-one coaching based on audit with feedback and the use of opinion leaders have been effective in changing professional health care practices. Coaching by an opinion leader for changing pediatric nurses' pain practices was tested in a clustered randomized trial in six Canadian pediatric hospitals. The rate of pain assessments, nurses' knowledge, and nonpharmacological interventions increased in the coaching group. However, there were significant site differences that could not be attributed to the coaching but to factors inherent in the sites. The context in which interventions are implemented will influence the effectiveness of individualized interventions.
School of Nursing, McGill University, Montreal, Quebec, Canada. celeste.johnston@mcgill.ca
C Céleste
CC
Johnston
Anita
A
Gagnon
Janet
J
Rennick
Christina
C
Rosmus
Hélène
H
Patenaude
Jaqueline
J
Ellis
Carla
C
Shapiro
Françoise
F
Filion
Judith
J
Ritchie
Jasmine
J
Byron
D000328:Adult; D001291:Attitude of Health Personnel; D002170:Canada; D002648:Child; D002983:Clinical Competence / Q000592:standards*; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D030141:Feedback, Psychological; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007400:Interprofessional Relations; D024802:Nurse's Role / Q000523:psychology; D009730:Nursing Assessment / Q000592:standards; D009731:Nursing Audit; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology / Q000592:standards; D010146:Pain / Q000175:diagnosis / Q000451:nursing; D010147:Pain Measurement / Q000451:nursing / Q000592:standards; D010371:Pediatric Nursing / Q000193:education / Q000592:standards; D011231:Preceptorship / Q000458:organization & administration*; D016037:Single-Blind Method; D012944:Social Support; D017749:Total Quality Management