Achieving organizational change in pediatric pain management.

Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur
Stephanie DowdenGeorge Chalkiadis

Abstract

Pain in hospitalized children is often undertreated. Little information exists to guide the process of organizational change with a view to improving pain management practices. To describe the process and results of a hospital-wide review of pain management practices designed to identify deficiencies in service provision and recommend directions for change in a pediatric hospital. Prospective consultation of the clinical staff of a specialist pediatric hospital, using qualitative research methodology involving semistructured individual and group interviews. Recommendations based on the interview findings were made by a hospital-appointed working party. A total of 454 staff (27% of all clinical staff) from a variety of professional backgrounds, representing almost every hospital unit or department, were interviewed. Procedural and persistent (chronic) pain was identified as the area needing the most improvement. Barriers to improving pain management included variability in practice, outmoded beliefs and inadequate knowledge, factors which were seen to contribute to a culture of slow or no change. Recommendations of the working party and changes achieved after the review are described. The review process identified deficiencies i...Continue Reading

Citations

Jan 3, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Chiara Po'Caterina Agosto
Feb 3, 2018·Pain Reports·Jordi MiróGary A Walco
Aug 21, 2020·Anaesthesia and Intensive Care·Natalie AklDavid Sommerfield
Nov 24, 2017·Australian and New Zealand Journal of Public Health·Alice G MitchellAnna P Ralph
Mar 2, 2011·Qualitative Health Research·Bonnie StevensArne Ohlsson
Apr 9, 2014·Paediatric Anaesthesia·Janne RømsingSteen W Henneberg
Oct 17, 2017·Paediatric Anaesthesia·Caroline A WilsonBritta S von Ungern-Sternberg
Apr 8, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Bikis LiyewTilahun Kassew
Jun 27, 2012·Current Opinion in Pediatrics·Rachel E M Cramton, Nancy E Gruchala
Jan 29, 2011·Journal of Palliative Medicine·Tami BornemanBetty Ferrell

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