Pain Management Nursing最新文献

{"title":"ASPMN: Reaching the Summit in Pain Management","authors":"Laura Habighorst BSN, RN, CAPA, CGRN, NPD-BC, PMGT-BC","doi":"10.1016/j.pmn.2026.01.070","DOIUrl":"10.1016/j.pmn.2026.01.070","url":null,"abstract":"<div><div>ASPMN leads the field in pain management nursing. For members, understanding the organization's leadership, committees, and chapters is crucial for its success. This poster will delve into the various management levels within the organization, as well as its mission, strategic goals, and areas of influence across the country. Join us in advancing pain management nursing by getting involved and making a difference today!</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Pages e242-e243"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Nurse Navigators to Improve Pain Management for Adults in Medically-Underserved Communities","authors":"Elizabeth Feustel BSN, MHP, RN","doi":"10.1016/j.pmn.2026.01.074","DOIUrl":"10.1016/j.pmn.2026.01.074","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;Design and pilot a Nurse Navigator role for adults living with persistent pain in community settings, aiming to improve management options and outcomes. Informed by qualitative feedback from healthcare professionals with expertise in Nurse Navigation, care coordination, and case management, we will engage with Registered Nurses to plan and implement the Pain Nurse Navigator role.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Problem Statement&lt;/h3&gt;&lt;div&gt;Prior research by our team and others has underscored key areas for improving care among individuals with poorly managed pain, specifically: consistent interprofessional communication, reliable access to evidence-based treatment modalities, and timely care coordination. Despite these identified needs, an officially defined and widely implemented Pain Nurse Navigator (PNN) role has yet to be developed for adults living with persistent pain in community settings. This project aimed to address gaps in care by pilot-testing a Nurse Navigator role that supports individuals in establishing pain self-management goals, facilitating access to resources, and ultimately enhancing pain-related outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method of Evaluation&lt;/h3&gt;&lt;div&gt;The Pain Nurse Navigator Pilot Trial was launched in September 2024 and concluded in June 2025, spanning a 10-month implementation period. Initially, a group of healthcare practitioners with experience in Nurse Navigation, care coordination, and case management participated in two focus groups. The project team used the collected information to develop the PNN position further before it was piloted. The pilot project further developed the PNN process to support individuals seeking care by conducting comprehensive pain assessments, developing individualized pain management plans, tracking referrals to alternative therapies, and adapting holistic strategies to the participants’ unique needs. The principal investigator was responsible for screening potential participants and referring eligible individuals to the PNN for an initial assessment. This assessment involved a one-hour consultation via phone or Zoom, incorporating the McCaffery Initial Pain Assessment Tool, the numeric pain scale, and a detailed pain medication inventory. Additionally, the participant and PNN set one to two SMART goals to guide self-management, which were revisited in a follow-up session scheduled within 7 to 14 days. During the follow-up consultation, the PNN reviewed progress, connected participants with relevant resources, and generated a written pain report to facilitate communication with current and future healthcare providers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Relevance to Pain Management&lt;/h3&gt;&lt;div&gt;Nurses are well-positioned to offer non-pharmacological, evidence-based complementary therapies (e.g., mindfulness, massage, yoga, acupuncture), providing holistic care and potentially reducing opioid and pharmacological reliance. This pilot study emphasized nurses leading community-based, holistic care ","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Page e244"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RELIEF Resources and Innovations to Improve Pain Management while Reducing Opioid Risks","authors":"Marian Wilson PhD, MPH, RN, PMGT-BC","doi":"10.1016/j.pmn.2026.01.023","DOIUrl":"10.1016/j.pmn.2026.01.023","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The purpose of this project was to address pain care inequities by building an online open access resource for people with pain, healthcare students, professionals, and community members.&lt;/div&gt;&lt;div&gt;Synthesis of evidence: Previous research indicates gaps in pain care and education. Particularly lacking are holistic assessments and treatment that follow a biopsychosocial-spiritual model of care. Useful resources and information can be found online; however, our team's previous research determined that people with pain desire resources that are vetted, trustworthy and easily accessible. Therefore, our project team submitted a proposal targeting state opioid settlement funds to create resources to improve pain care while reducing opioid risks. The interdisciplinary RELIEF project team was funded and began to create and test resources in November 2023.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;The purpose of this project was to address pain care inequities by building an online open access resource for people with pain, healthcare students, professionals, and community members.&lt;/div&gt;&lt;div&gt;Synthesis of evidence: Previous research indicates gaps in pain care and education. Particularly lacking are holistic assessments and treatment that follow a biopsychosocial-spiritual model of care. Useful resources and information can be found online; however, our team's previous research determined that people with pain desire resources that are vetted, trustworthy and easily accessible. Therefore, our project team submitted a proposal targeting state opioid settlement funds to create resources to improve pain care while reducing opioid risks. The interdisciplinary RELIEF project team was funded and began to create and test resources in November 2023.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method of Evaluation&lt;/h3&gt;&lt;div&gt;We pilot tested new resources including 1) online case-based health science education modules using pretest/posttest assessments, 2) an online pain management resource repository using website feedback forms, and 3) strategies to engage people with online resources using pain and symptom surveys and website use data.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;We pilot tested new resources including 1) online case-based health science education modules using pretest/posttest assessments, 2) an online pain management resource repository using website feedback forms, and 3) strategies to engage people with online resources using pain and symptom surveys and website use data.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Student pretest-posttests indicated significant increases in knowledge and confidence regarding pain assessment, pain treatment, and opioid risk reduction. Website user feedback was compiled for iterative improvements in content and site flow. Engagement measurements are underway and will be summarized.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Student pretest-posttests indicated significant increases in knowledge and confidence regarding pain assessment, pain treatment, and opioid risk reduction. Website user feedback was compil","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Page e227"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposures Reported to US Poison Centers Involving Buprenorphine Products for Analgesia Compared to Other Opioid Medications","authors":"Jody Green PhD,&nbsp;Kaitlin Hartlage MPH,&nbsp;Taryn Dailey-Govoni MPH","doi":"10.1016/j.pmn.2026.01.068","DOIUrl":"10.1016/j.pmn.2026.01.068","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Use of buprenorphine (BUP) for the treatment of pain in the United States is increasing. While BUP still has risk of abuse, it is unknown if the risk is different than that associated with a full-agonist opioid. The National Poison Data System (NPDS) is a data repository for America’s Poison Centers and is often used to evaluate risk profiles of medications.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To compare real-world data from NPDS to evaluate the risk profiles of opioid medications used to treat pain: (1) BUP buccal film, (2) BUP transdermal patch, (3) full-agonist immediate-release opioid formulations (FA-IR; solid oral dosages of IR formulations containing hydrocodone, oxycodone, hydromorphone, oxymorphone, tapentadol), and (4) full-agonist extended-release opioid formulations (FA-ER; solid oral dosages of ER formulations containing hydrocodone, oxycodone, hydromorphone, oxymorphone, tapentadol).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;NPDS cases from January 2020-December 2023 were retrieved; proportion of intentional exposures, severity of clinical outcome, and level of healthcare required were evaluated. Intentional exposures included cases documented as intentional misuse, intentional abuse, or intentional unknown. Clinical outcomes used standard definitions: Moderate Effect, Major Effect, or Death.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;During the study period, 276 exposures involved BUP buccal film, 134 involved BUP transdermal patch, 43,322 involved FA-IR products, and 2,453 involved FA-ER products. The proportion of intentional exposures were higher for FA-IR (19.9%) and FA-ER (27.1%) than for BUP buccal film (14.9%) and BUP transdermal patch (14.2%). Of the 276 BUP buccal film exposures, 206 (74.6%) reported no significant medical outcomes, 70 (25.4%) reported moderate (n=40) or major (n=9) effects or were unable to be followed but judged as potentially toxic (n=21). A higher proportion of cases in the other study groups reported significant medical outcomes: BUP transdermal patch (38.8%), FA-IR (41.8%), and FA-ER (51.0%) opioids. Deaths were reported for FA-IR (n=230), FA-ER (n=9), and BUP transdermal patch (n=1). The proportion of cases resulting in hospital admission was lowest for the BUP buccal film group (n=49, 17.8%), and BUP transdermal film (n=29, 21.6%). The proportion of FA-IR (n=17,473, 40.3%) and FA-ER (n=847, 34.5%) cases resulting in hospital admission was higher than the BUP study groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion/Implications for Nursing&lt;/h3&gt;&lt;div&gt;BUP cases were less likely to involve intentional exposures, significant medical outcomes, or hospital admission than cases involving FA-IR or FA-ER opioid medications, characteristics to consider when prescribing pain medications. Limitations of this study include that the NPDS data are self-reported although recorded and vetted by a healthcare professional. NPDS data include only what is reported to poison centers and does not capture all exposur","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Page e242"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Don't let Post Stroke Syndrome Steal Your SPARKLE! The Benefits of Gabapentin","authors":"LaTanya Kennedy DNP, ACNS-BC, APRN, PMGT-BC, CRRN","doi":"10.1016/j.pmn.2026.01.028","DOIUrl":"10.1016/j.pmn.2026.01.028","url":null,"abstract":"<div><div>Pain is one of the most troublesome sequelae of stroke. Often resulting from brain lesions and can be a significant challenge. Early recognition of central post-stroke pain (CPSP) is crucial for effective management and recovery enhancement. CPSP is common among stroke survivors, affecting up to 55% of them. This pain can be unpredictable, sometimes matching the stroke lesion, other times not. CPSP often presents a diagnostic challenge for clinicians because it can appear suddenly or develop gradually in stroke survivors. The variability of clinical symptoms among patients complicates accurate diagnosis. Therefore, healthcare professionals frequently rule out other conditions first, which can lead to misdiagnoses and subsequently delay proper treatment. While universally accepted guidelines for managing CPSP are lacking, several pharmacotherapeutic approaches have shown promise in reducing patient pain experiences, such as GABAergic drugs with potential calcium channel-blocking effects, such as gabapentin. Gabapentin has demonstrated efficacy in various neuropathic syndromes, though its impact on CPSP remains unconfirmed. A personal perspective along with evidence-based literature, may offer valuable insights into its effects on individuals with CPSP. Moreover, healthcare professionals should consider non-medication alternatives alongside GABAergic drugs to manage CPSP. Options like acupuncture, transcranial direct current stimulation, implanted electrical brain stimulation, physical therapy, and massages can significantly boost wellness. While researchers are exploring treatments for CPSP, hearing from people using gabapentin could add valuable insights to the larger body of knowledge.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Pages e228-e229"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Postoperative Pain Management in Cardiopulmonary Bypass Heart Surgery Patients: A Study on Nursing Intervention Informed by Behavior Change Theory","authors":"Youwei Zhao B.S,&nbsp;Wei Wei B.S,&nbsp;Zhenyu Su M.S,&nbsp;Yanbo Dong M.S,&nbsp;Zhiyuan Wang M.S,&nbsp;Shichao Guo M.S","doi":"10.1016/j.pmn.2025.08.009","DOIUrl":"10.1016/j.pmn.2025.08.009","url":null,"abstract":"<div><h3>Background</h3><div>A majority of adults undergoing heart surgery involving cardiopulmonary bypass (CPB) will experience acute pain.</div></div><div><h3>Aims</h3><div>To explore the effects of nursing interventions based on behavior change theory (BCT) on pain severity, pain interference, sleep quality, perceived control, quality of life, and self-care abilities.</div></div><div><h3>Methods</h3><div>A total of 53 patients undergoing CPB heart surgery in one hospital were enrolled. The patients were divided into Behavior Change Theory (BCT) group (n = 33) and Usual Care (UC) group (n = 20), among whom patients in the UC group received routine nursing intervention, while patients in the BCT group received nursing intervention based on BCT. Patients were evaluated for pain, sleep, perceived control, quality of life, self-care abilities, Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD) questionnaires at baseline and after the intervention.</div></div><div><h3>Results</h3><div>Individuals in the BCT group demonstrated reduced pain levels, improved quality of life, enhanced self-care abilities, and lower scores of the HAMA and HAMD scales compared to those in the UC group (all <em>p &lt; .</em>05). Implementation of BCT resulted in improvements in perceptual control (<em>p &lt; .</em>001), reductions in pain interference (<em>p = .</em>02), and pain severity (<em>p = .</em>03). Group effects remained significant in terms of perceived control and pain interference (both <em>p &lt; .</em>05), with trends observed in pain severity after adjusting baseline difference variables (<em>p &lt; .</em>10). Sleep quality, assessed by PSQI, did not differ significantly between groups (<em>p = .</em>288).</div></div><div><h3>Conclusion</h3><div>Nursing interventions rooted in BCT holds the potential to augment patients’ perception of control, elevate quality of life, enhance self-care abilities, and alleviate pain after CPB heart surgery.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Pages 139-147"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shoulder Pain, Disability, Health-Related Quality of Life, and Stress","authors":"Sunghee Kim RN, PhD ,&nbsp;Jihyun Oh RN, PhD","doi":"10.1016/j.pmn.2025.09.001","DOIUrl":"10.1016/j.pmn.2025.09.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the relationships among shoulder pain, functional disability, perceived stress, and health-related quality of life (HRQOL), as well as to assess the educational needs related to shoulder pain prevention among middle-aged Korean women.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>This study included middle-aged Korean women recruited between November 27 and December 28, 2022. Data were collected using the Shoulder Pain and Disability Index (SPADI), the 12-item Short-Form Health Survey (SF-12) for HRQOL, the Perceived Stress Scale, and a structured questionnaire assessing educational needs related to shoulder pain prevention. Descriptive and frequency analyses were conducted to examine the general characteristics of participants. Chi-square tests were conducted to compare sociodemographic and behavioral variables by SPADI severity. Differences in HRQOL, shoulder pain, disability, and perceived stress based on educational needs were analyzed. Pearson’s correlation analysis was conducted to examine the relationships among variables, and stepwise multiple regression was employed to identify factors influencing HRQOL.</div></div><div><h3>Results</h3><div>Participants with moderate-to-severe shoulder pain (SPADI ≥30) reported significantly higher levels of work-related physical burden, lower educational attainment, and greater willingness to participate in shoulder pain prevention education than those with milder symptoms. Perceived stress levels were also significantly higher among participants in the moderate-to-severe SPADI group compared to those with lower scores. Additionally, significant differences in physical and mental health were observed based on the educational demand for cause and symptom management of participants. Mental health and perceived stress also differed significantly according to demand for posture education. Stress levels varied significantly by demand in indoor home training and proper desk and chair positioning for shoulder pain prevention. Increased shoulder pain was positively correlated with greater disability and perceived stress, alongside declines in physical and mental HRQOL.</div></div><div><h3>Conclusions</h3><div>Most participants sought education focused on shoulder pain causes, management, stress relief, and psychological support.</div></div><div><h3>Clinical Implications</h3><div>A mobile app-based educational intervention is recommended to alleviate shoulder pain and stress while offering information on its causes, symptoms, and management.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Pages e113-e122"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To Join or Not to Join: A Nurse’s Story of “Why”","authors":"June Oliver A.P.R.N./C.N.S., C.C.N.S, P.G.M.T.-B.C, A.P.-P.M.N.","doi":"10.1016/j.pmn.2026.02.009","DOIUrl":"10.1016/j.pmn.2026.02.009","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Pages 103-104"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results from the ERA Study: A National Randomized Controlled Trial Evaluating ASPMN Nurse Delivered Empowered Relief","authors":"Holly Watson PhD, ANP-BC ,&nbsp;Megan Filormao MSN, APRN-BC, PGMT-BC, AP-PMN, IHWNC-B, Nurse Coach","doi":"10.1016/j.pmn.2026.01.041","DOIUrl":"10.1016/j.pmn.2026.01.041","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Effective management of chronic pain has been shown to be positively impacted when patients are able to participate in evidence-based, pain-related psychoeducational programs. Successful programs often utilize a cognitive behavioral therapeutic (CBT) approach to provide neuroscience-based pain education and instruction in self-care therapies that can empower those living with persistent pain to engage in their own healing process. However, access to these kinds of programs can be challenging and often interventions are provided by psychologists who may have limited capacity to provide programs at scale to meet patient needs. Barriers include cost, time commitment, and program-instructor availability. Empowered Relief (ER) is a 2-hr, single-session, self-care program for people living with persistent pain that employs a cognitive-behavioral approach and incorporates pain education, self-regulatory skills, and mindfulness practice. ER has been shown to be non-inferior to 8-weeks of CBT across a range of patient-reported outcome measures including pain catastrophizing, pain intensity and pain interference, and these findings were sustained at 6 months follow up. Nurses may hold the key to making ER accessible to more patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The ERA study aimed to address lack of patient access to evidence-based, pain-related psychoeducation management skills by training a cohort of ASPMN nurses to deliver and test ER in a live-online, randomized controlled trial (RCT). Design and Methods: People with self-reported chronic pain were randomized to online ER vs. waitlist control (WLC). All participants had an opportunity to receive ER training. Validated pain-related measurements of interest were collected using online surveys and analyzed using mixed model regression analysis. Insights from ER nurse instructors about their ER training and ERA program experiences were collected via semi-structured interviews and analyzed for themes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;150 participants enrolled and 74 were randomized to the ER group. The primary outcome was significantly improved, clinically meaningful pain catastrophizing at 4-weeks post intervention. Secondary outcomes included significantly improved pain intensity, depressio, pain self-efficacy, anxiety and fatigue at 8-weeks post intervention. Nursing instructor (N=9) insights include suggestions for program enhancements.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion and implications for Nursing&lt;/h3&gt;&lt;div&gt;Empowered Relief can be effectively delivered by trained nurse instructors and result in clinically meaningful improvements for adults living with chronic pain. Nurses can consider ways they might individually or collectively incorporate opportunities for patients to benefit within their nursing practice.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Future research&lt;/h3&gt;&lt;div&gt;Additional research is needed to explore strategies by which patient access to psychoeducational care could be fur","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Page e233"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Different Paths, Same Goal: Journey to Institutional Commitment to Improving Pediatric Pain Management","authors":"Katie Bookout MSN, RN, CPN ,&nbsp;Elizabeth Pasternak MS, RN, CHPPN, C.S. ,&nbsp;Nicholette Andrews MS, APRN, PCNS-BC ,&nbsp;Debra Bruene MA, RN, PMGT-BC","doi":"10.1016/j.pmn.2026.01.042","DOIUrl":"10.1016/j.pmn.2026.01.042","url":null,"abstract":"<div><div>Over the past 25 years, the long-term biological, psychological, and social consequences of under-treated pain in children have become increasingly evident. Despite major advances in our understanding of pain recognition, prevention, and treatment, consistent application remains a challenge—even within the same institution—leading to preventable suffering. Research shows that pain management strategies have limited success and sustainability unless embedded as core institutional values, similar to safety and confidentiality. ChildKind International is a nonprofit organization whose mission is to improve the quality of pediatric pain care around the world. It offers a flexible, principle-based framework that guides institutions, regardless of their size or resources, through a process of self-assessment and improvement. Its five core principles focused on organizational commitment, staff education, developmentally appropriate assessment, evidence-informed treatment, and continuous quality improvement—help institutions identify gaps between current practices and ideal outcomes, and provide structure for sustainable change.While certification is a meaningful recognition of excellence, the application process itself is a valuable journey. It encourages reflection, gap analysis, and shared ownership of pain care priorities. Recognizing and supporting initiatives to reduce pain in children is critical to improving recovery, development, and long-term outcomes, while also reducing the risk of chronic pain or post-traumatic stress. The certification process often takes months to years, but every step contributes to safer, more compassionate care.This session will feature the journeys of three diverse hospitals, including Dell Children’s Medical Center, a free-standing pediatric hospital in Austin, TX; Shirley Ryan AbilityLab, a rehabilitation hospital in Chicago, IL; and C.S. Mott Children’s Hospital (Mott), a pediatric hospital within the University of Michigan’s academic medical center that achieved ChildKind certification through creative, resource-conscious approaches. In addition, Stead Family Children’s Hospital, University of Iowa Health Care, a non-certified institution, will join in the discussion to help foster open participation among all attendees, regardless of where they are on their journey. The session will include an interactive activity to help participants reflect on their institution’s current pain management practices and begin a structured gap analysis using ChildKind’s five principles. Attendees will leave with practical tools and renewed momentum to elevate pediatric pain care within their own organizations—united by a shared mission to reduce suffering and improve outcomes for children around the world.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"27 2","pages":"Page e233"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}