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

Clayton J. Shuman, Xian Jin Xie, Keela A. Herr, Marita G. Titler

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Little is known regarding sustainability of evidence-based practices (EBPs) following implementation. This article reports sustainability of evidence-based acute pain management practices in hospitalized older adults following testing of a multifaceted Translating Research Into Practice (TRIP) implementation intervention. A cluster randomized trial with follow-up period was conducted in 12 Midwest U.S. hospitals (six experimental, six comparison). Use of evidence-based acute pain management practices and mean pain intensity were analyzed using generalized estimating equations across two time points (following implementation and 18 months later) to determine sustainability of TRIP intervention effects. Summative Index scores and six of seven practices were sustained. Experimental and comparison group differences for mean pain intensity over 72 hours following admission were sustained. Results revealed most evidence-based acute pain management practices were sustained for 18 months following implementation. Further work is needed to identify factors affecting sustainability of EBPs to guide development and testing of sustainability strategies.

Original languageEnglish (US)
Pages (from-to)1749-1764
Number of pages16
JournalWestern Journal of Nursing Research
Volume40
Issue number12
DOIs
StatePublished - Dec 1 2018

Keywords

  • acute pain management
  • evidence-based practice
  • implementation
  • older adults
  • sustainability

ASJC Scopus subject areas

  • Nursing(all)

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