Translating research into practice intervention improves management of acute pain in older hip fracture patients.
OBJECTIVE
To test an interdisciplinary, multifaceted, translating research into practice (TRIP) intervention to (a) promote adoption, by physicians and nurses, of evidence-based (EB) acute pain management practices in hospitalized older adults, (b) decrease barriers to use of EB acute pain management practices, and (c) decrease pain intensity of older hospitalized adults.


METHODS
Experimental design with the hospital as the unit of randomization.


METHODS
Twelve acute care hospitals in the Midwest.


METHODS
(a) Medical records (MRs) of patients > or =65 years or older with a hip fracture admitted before and following implementation of the TRIP intervention and (b) physicians and nurses who care for those patients.


METHODS
Data were abstracted from MRs and questions distributed to nurses and physicians.


RESULTS
The Summative Index for Quality of Acute Pain Care (0-18 scale) was significantly higher for the experimental (10.1) than comparison group (8.4) at the end of the TRIP implementation phase. At the end of the TRIP implementation phase, patients in the experimental group had a lower mean pain intensity rating than those in the comparison group ( p<.0001).


CONCLUSIONS
The TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture.
Titler
Marita G
MG
Research, Quality and Outcomes Management, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Room C529 GH, Iowa City, IA 52242, USA. Marita-titler@uiowa.edu
Herr
Keela
K
Brooks
John M
JM
Xie
Xian-Jin
XJ
Ardery
Gail
G
Schilling
Margo L
ML
Marsh
J Lawrence
JL
Everett
Linda Q
LQ
Clarke
William R
WR
D000208:Acute Disease; D000368:Aged; D019317:Evidence-Based Medicine; D005260:Female; D006620:Hip Fractures / Q000150:complications* / Q000191:economics; D006801:Humans; D007297:Inpatients; D008297:Male; D015146:Midwestern United States; D010146:Pain / Q000191:economics / Q000209:etiology*; D059408:Pain Management; D010147:Pain Measurement; D010348:Patient Care Team; D011795:Surveys and Questionnaires