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Showing content from https://pubmed.ncbi.nlm.nih.gov/19146568/ below:

Translating research into practice intervention improves management of acute pain in older hip fracture patients

Randomized Controlled Trial

Affiliations

• ¹ 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

• PMID: 19146568
• PMCID: PMC2669630
• DOI: 10.1111/j.1475-6773.2008.00913.x

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Randomized Controlled Trial

Marita G Titler et al. Health Serv Res. 2009 Feb.

• ¹ 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

• PMID: 19146568
• PMCID: PMC2669630
• DOI: 10.1111/j.1475-6773.2008.00913.x

Item in Clipboard

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.

Study design: Experimental design with the hospital as the unit of randomization.

Study setting: Twelve acute care hospitals in the Midwest.

Data sources: (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.

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

Principal findings: 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).

Conclusion: The TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture.

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Conceptual Model with Components of…

Conceptual Model with Components of Translating Research into Practice (TRIP) Intervention Italicized

Conceptual Model with Components of Translating Research into Practice (TRIP) Intervention Italicized

• Effect of evidence-based acute pain management practices on inpatient costs.

  Brooks JM, Titler MG, Ardery G, Herr K. Brooks JM, et al. Health Serv Res. 2009 Feb;44(1):245-63. doi: 10.1111/j.1475-6773.2008.00912.x. Health Serv Res. 2009. PMID: 19146567 Free PMC article. Clinical Trial.

• Sustainability of Evidence-Based Acute Pain Management Practices for Hospitalized Older Adults.

  Shuman CJ, Xie XJ, Herr KA, Titler MG. Shuman CJ, et al. West J Nurs Res. 2018 Dec;40(12):1749-1764. doi: 10.1177/0193945917738781. Epub 2017 Nov 6. West J Nurs Res. 2018. PMID: 29103368 Free PMC article. Clinical Trial.

• Acute pain assessment and pharmacological management practices for the older adult with a hip fracture: review of ED trends.

  Herr K, Titler M. Herr K, et al. J Emerg Nurs. 2009 Jul;35(4):312-20. doi: 10.1016/j.jen.2008.08.006. Epub 2008 Dec 20. J Emerg Nurs. 2009. PMID: 19591725

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  Ardery G, Herr K, Hannon BJ, Titler MG. Ardery G, et al. Geriatr Nurs. 2003 Nov-Dec;24(6):353-60. doi: 10.1016/j.gerinurse.2003.09.006. Geriatr Nurs. 2003. PMID: 14694324 Review.

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• Effect of evidence-based acute pain management practices on inpatient costs.

  Brooks JM, Titler MG, Ardery G, Herr K. Brooks JM, et al. Health Serv Res. 2009 Feb;44(1):245-63. doi: 10.1111/j.1475-6773.2008.00912.x. Health Serv Res. 2009. PMID: 19146567 Free PMC article. Clinical Trial.

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  Morton S, Wilson S, Inglis S, Ritchie K, Wales A. Morton S, et al. BMC Health Serv Res. 2018 Feb 21;18(1):133. doi: 10.1186/s12913-018-2930-3. BMC Health Serv Res. 2018. PMID: 29466994 Free PMC article.

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