Implementation of the Pain Management Toolkit in a Nursing Home
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-Summary
The overall aim of this research study is to implement and evaluate the toolkitinto the nursing home by using scientific methods, which is cut down in specific aims.
1. To assess the effectiveness of the toolbox on
1. staff outcomes
2. pain management practice
3. resident's outcomes
2. To identify potential barriers and facilitators of the implementation from the perspective of the staff
3. To investigate different outcomes of the implementation strategies
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+Arms and interventions
| Arm | Type | Interventions | Description |
|---|
| non-pharmcological interverntions to reduce pain | Experimental | Other: non-pharmacological interventions | non-pharmacological interventions will be administered in order to treat pain |
- non-pharmacological interventions (Other), also known as Empathic attention and communication, Physical exercise, Relaxation techniques, Self-hypnosis and fantasy journeys, Relieving pressure on affected body parts/positioning, Distraction, Promoting sleep, Psychological support, Cold application, Heat application, Wraps and compresses, Laughter therapy, Massage, Music, Aromatherapy: massage with essential oils, Aromatherapy: gargling with essential oils, Aromatherapy: inhalation of essential oils, Aromatherapy: lymphatic drainage with essential oils, Mindfulness exercises: Care staff collaborate with residents to select the most suitable non-pharmacological intervention from the designated toolkit to reduce pain. It is imperative to pay attention to the resident's preferences and to ascertain which intervention they would like to attempt.
+Outcome measures
Primary outcomes
- Nursing staff self-efficacy in pain management (self-efficacy in pain management scale) [1 year]: The self-efficacy from the nursing staff with regard to pain management will be assessed by the self-efficacy in pain management scale developed by Brunkert et al. in 2019.
- Pain management process indicator: number of non-pharmacological measures [1 year]: This data will be collected from the nursing home resident's record - the last 7 days will be assessed.
- Pain management process indicator: number/dosage of pain medication [1 year]: This data will be collected from the nursing home resident's record - the last 7 days will be assessed.
- Resident's outcome indicator: frequency of pain [1 year]: The frecquency of documented pain in the last 7 days will be assessed, by going through the nursing home resident's records.
- Resident's outcome indicators: pain intensity [1 year]: Pain intensity will be assessed by the documented pain in the nursing home resident's records. The most recent pain intensity score will be used.
- Resident's outcome indicators: pain impairment (PEG scale) [1 year]: The pain impairment will be assessed by using the PEG scale developed by Wander et al. in 2022.
- Resident's outcome indicators: quality of life (VAS scale) [1 year]: The EQ-5D VAS is an internationally well-known, valid and reliable instrument to assess quality of life in adults in will be used to assess health related quality of life.
Secondary outcomes
- Staff's perception about implementation barriers (pCAT) [1 year]: To assess staff's perception about implementaiton barrieres, the pCAT questionnaire will be used.
- Staff's perception about implementation facilitators (pCAT) [1 year]: To assess staff's perception about implemenation facilitators, the pCAT questionnaire will be used.
Other outcomes
- Staff's perception about the appropriateness of the toolkit (IAM scale) [1 year]: The Intervention Appropriateness Measure (IAM) scale will be used.
- Staff's perception about the feasibility of the toolkit (IAM scale) [1 year]: The Intervention Appropriateness Measure (IAM) scale will be used to assess staff's perception about the feasibility of the toolkit.
- Penetration of the toolkit (FIM scale) [1 year]: The Feasibility of intervention measure (FIM) scale will be used to assess the penetration of the toolkit.
+Eligibility
Sex: All, ages: 18 Years to any
Inclusion Criteria:
* presence of pain
* living in the collaborating nursing home
+Locations (1)
| Facility | City | Country | Status |
|---|
| Medical University of Graz | Graz, Styria | Austria | |