title: Implementation of a nursing home quality improvement project to reduce resident pain: a qualitative case study.
abstract: This article describes the experiences of staff members working within nursing homes that successfully implemented a quality improvement project aimed at reducing resident pain. Interviews were conducted with 24 nursing home employees from within 8 facilities participating in the quality improvement project. Findings were organized using the Consolidated Framework for Implementation Research. Interdisciplinary communication, supportive leadership, training, and nursing assistant participation facilitated implementation. Increased documentation, resistance to change, and difficulty measuring outcomes were perceived challenges.
authors.affiliation: Purdue University School of Nursing, West Lafayette, Indiana (Drs Abrahamson, DeCrane, and Arling); University of Minnesota School of Nursing, Minneapolis (Dr Mueller and Ms Davila).
authors.forename: Kathleen
authors.initials: K
authors.lastname: Abrahamson
authors.forename: Susan
authors.initials: S
authors.lastname: DeCrane
authors.forename: Christine
authors.initials: C
authors.lastname: Mueller
authors.forename: Heather Wood
authors.initials: HW
authors.lastname: Davila
authors.forename: Greg
authors.initials: G
authors.lastname: Arling
mesh_terms: D006284:Health Plan Implementation; D006801:Humans; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D007857:Leadership; D008910:Minnesota; D009735:Nursing Homes / Q000592:standards*; D009740:Nursing Staff / Q000193:education; D019982:Organizational Case Studies; D009936:Organizational Innovation; D059408:Pain Management / Q000379:methods* / Q000451:nursing; D010348:Patient Care Team; D036301:Qualitative Research; D058996:Quality Improvement