Dissemination and Implementation of Evidence-Based Methods to Measure and Improve Pain Outcomes: Part 1

Research briefs from the Robert Wood Johnson Foundation (RWJF) Nursing Research Network identify specific ways nurses affect patient care quality and outcomes. Since 2005, the Interdisciplinary Nursing Quality Research Initiative (INQRI) program has supported interdisciplinary teams that involved nursing scholars and scholars from other disciplines in research projects—from the conceptual study design to the adoption in practice of new measures of standards of care.

This research brief is the first of two, to evaluate the impact of disseminating and implementing pain quality indicators using an audit and feedback process.

Key Findings

  • With the initial patient group, the average rating of pain over the past 24 hours was 6.02 on a 0 to 10 scale. Twenty-eight and a half percent of patients reported severe pain frequently or constantly. Only 54.4 percent had pain relief greater than 70 percent. There was little change in pain findings with the second patient group.

  • Higher pain scores were associated with being younger, African American or American Indian, female, and having chronic pain. Postpartum patients and those hospitalized for surgery reported less pain than those hospitalized for other reasons.

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To support interdisciplinary studies that address critical knowledge gaps regarding causal linkages between nursing and health care quality and to synthesize, translate, and disseminate major findings to key stakeholders.

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