Desirri L Arneson, Darla C Coss, Lisa P Rovick, Patricia Finch Guthrie
{"title":"An Interprofessional Pain Diary in Transitional Care: A Feasibility Project.","authors":"Desirri L Arneson, Darla C Coss, Lisa P Rovick, Patricia Finch Guthrie","doi":"10.1891/JDNP-D-19-00075","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Understanding pain perceptions in older adults is important for pain management. An interprofessional team conducted a feasibility project to examine whether a pain diary designed for older adults in a transitional care unit offered a more holistic description of the pain experience.</p><p><strong>Objectives: </strong>The project was designed to: (a) Develop a pain diary, (b) Examine patient usability, (c) Determine feasibility of the diary in workflow, and (d) Examine outcomes of diary entries and satisfaction surveys.</p><p><strong>Methods: </strong>Three rapid change cycles assisted in developing and implementing the diary.</p><p><strong>Results: </strong>Five patients followed for 32 days during implementation wrote simple narratives and rated their pain (<i>M = 2-5.3)</i> on 11-point pain rating scales. Themes from narrative responses were <i>medicated relief and alternative methods, finding a balance between motion and activity, emotional burden of pain</i>, and the <i>importance of feeling supported by the health-care team</i>. Patients and staff completed satisfaction questionnaires indicating enhanced communication.</p><p><strong>Conclusions: </strong>The diary was feasible for patients and staff to use and has potential as an effective interprofessional tool for pain management.</p><p><strong>Implications for nursing: </strong>The pain diary provides the interprofessional team an opportunity to understand the patient experience and provide holistic care.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Doctoral Nursing Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1891/JDNP-D-19-00075","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 1
Abstract
Background: Understanding pain perceptions in older adults is important for pain management. An interprofessional team conducted a feasibility project to examine whether a pain diary designed for older adults in a transitional care unit offered a more holistic description of the pain experience.
Objectives: The project was designed to: (a) Develop a pain diary, (b) Examine patient usability, (c) Determine feasibility of the diary in workflow, and (d) Examine outcomes of diary entries and satisfaction surveys.
Methods: Three rapid change cycles assisted in developing and implementing the diary.
Results: Five patients followed for 32 days during implementation wrote simple narratives and rated their pain (M = 2-5.3) on 11-point pain rating scales. Themes from narrative responses were medicated relief and alternative methods, finding a balance between motion and activity, emotional burden of pain, and the importance of feeling supported by the health-care team. Patients and staff completed satisfaction questionnaires indicating enhanced communication.
Conclusions: The diary was feasible for patients and staff to use and has potential as an effective interprofessional tool for pain management.
Implications for nursing: The pain diary provides the interprofessional team an opportunity to understand the patient experience and provide holistic care.