PMID: 16514936Mar 7, 2006Paper

Creating organizational change through the Pain Resource Nurse program

Joint Commission Journal on Quality and Patient Safety
Judith A PaiceKathleen Omerod

Abstract

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. 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%). 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. The PRN program is an effective strategy in creating orga...Continue Reading

References

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Citations

Sep 25, 2014·British Journal of Nursing : BJN·Niamh VickersAnthony Staines
Nov 9, 2010·Journal of Continuing Education in Nursing·Robin GemmillMarcia Grant
Nov 24, 2011·Pain Research and Treatment·Dawood NasirGary E Hill
Dec 4, 2015·Critical Care Nursing Quarterly·Cecelia L CrawfordEmma Cuenca
Apr 2, 2013·Pain Management·Jessica W GuiteSteven J Weisman
Aug 26, 2011·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Marcia GrantGwen Uman

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