TY - JOUR
T1 - Creating organizational change through the pain resource nurse program
AU - Paice, Judith A.
AU - Barnard, Cynthia
AU - Creamer, Julie
AU - Omerod, Kathleen
N1 - Funding Information:
The authors thank the Glick Family Patients First Fund at the Northwestern Memorial Foundation for their support of this program, as well as Betty Ferrell (City of Hope Medical Center) and Debra Gordon (University of Wisconsin-Madison) for their gracious permission to share their materials and expertise. The authors also gratefully acknowledge the support provided by Barbara VanCura and Pamela Pfeifer from the Northwestern Memorial Hospital Academy in planning and conducting the courses. And, most importantly, we thank the PRNs for their tireless dedication and commitment to improving the state of pain management at NMH.
PY - 2006/1
Y1 - 2006/1
N2 - Background: Unrelieved pain remains a critical problem in health care. Barriers to improving the state of pain control include lack of education of health care professionals. Traditional quality improvement (QI) strategies directed toward educational interventions are rarely sufficient to change pain-related practice. Pain Resource Nurse (PRN) Program: The PRN program consists of a two-day course, quarterly in-services, regular newsletters, a listserv, individual meetings with PRNs and their managers to plan and conduct quality initiatives appropriate to their unit, as well as an optional clinical experience. Results: Significant improvements were seen in knowledge and attitude of the participants, along with reduced turnover, improved patient satisfaction with pain control, a reduction in the prevalence of pain, and a greater percentage of patients who remembered speaking with a doctor or nurse about their pain (93% versus 89%). Discussion: Establishing a PRN program entails conquering a number of management challenges common to any organizationwide QI project. The single most important step is building a shared priority among all those who must participate for success-in this case, nursing management. Summary: The PRN program is an effective strategy in creating organizational change to improve the state of pain control.
AB - Background: Unrelieved pain remains a critical problem in health care. Barriers to improving the state of pain control include lack of education of health care professionals. Traditional quality improvement (QI) strategies directed toward educational interventions are rarely sufficient to change pain-related practice. Pain Resource Nurse (PRN) Program: The PRN program consists of a two-day course, quarterly in-services, regular newsletters, a listserv, individual meetings with PRNs and their managers to plan and conduct quality initiatives appropriate to their unit, as well as an optional clinical experience. Results: Significant improvements were seen in knowledge and attitude of the participants, along with reduced turnover, improved patient satisfaction with pain control, a reduction in the prevalence of pain, and a greater percentage of patients who remembered speaking with a doctor or nurse about their pain (93% versus 89%). Discussion: Establishing a PRN program entails conquering a number of management challenges common to any organizationwide QI project. The single most important step is building a shared priority among all those who must participate for success-in this case, nursing management. Summary: The PRN program is an effective strategy in creating organizational change to improve the state of pain control.
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U2 - 10.1016/S1553-7250(06)32004-1
DO - 10.1016/S1553-7250(06)32004-1
M3 - Article
C2 - 16514936
AN - SCOPUS:33744471690
VL - 32
SP - 24
EP - 31
JO - Joint Commission Journal on Quality and Patient Safety
JF - Joint Commission Journal on Quality and Patient Safety
SN - 1553-7250
IS - 1
ER -