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AHCPR clinical practice guideline on surgical pain management: Adoption and outcomes
Author(s) -
Devine Elizabeth C.,
Bevsek Sue Ann,
Brubakken Karen,
Johnson Beth P.,
Ryan Polly,
Sliefert Maxine K.,
Rodgers Beth
Publication year - 1999
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/(sici)1098-240x(199904)22:2<119::aid-nur4>3.0.co;2-w
Subject(s) - medicine , guideline , pain management , acute pain , physical therapy , rating scale , health care , pain assessment , patient satisfaction , medline , agency (philosophy) , emergency medicine , nursing , anesthesia , psychology , developmental psychology , philosophy , epistemology , pathology , economic growth , political science , law , economics
Pain management practices and short‐term patient outcomes in nine acute care hospitals in Milwaukee, Wisconsin, were studied at two points in time. One‐and‐a‐half years after the Agency for Health Care Policy and Research's (AHCPR) Clinical Practice Guideline on Acute Pain Management was published, data from 330 adult surgical patients were collected (Time I). These data were contrasted with data from 373 adult surgical patients collected 2 years later (Time II). There were significant increases in the percentage of patients who reported being taught how to report pain using a pain rating scale and about setting a pain goal preoperatively; in the percentage of patient hospital records with at least one documented numeric pain rating; and in the percentage of patients who received analgesics by intravenous administration. However, pain management practices continued to differ from recommendations in the AHCPR guideline. No significant improvement was noted in the short‐term outcomes of patient‐rated pain or patient satisfaction with pain management. Availability of well‐published guidelines alone may be insufficient to ensure comprehensive adoption of guidelines that are multidimensional in nature and to obtain improvements in patient outcome. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22:119–130, 1999