Pain Management
Conditions
Keywords
Nursing Home
Brief summary
This study aims to improve pain management in Swiss nursing homes by addressing behavior change of the care workers with a multilevel intervention
Detailed description
Pain management in nursing homes often is inadequate despite the availability of evidence- based pain management guidelines. Barriers to pain management in nursing homes occur on several levels including lack of knowledge and negative beliefs towards pain of care workers. For this embedded mixed-methods pilot study a convenience sample of maximum six nursing homes will be recruited. The planned intervention comprises the implementation of pain management policies, training of all care workers in pain assessment and management as well as training and introduction of a facility pain champion. Quantitative outcomes assessed at baseline, after three and six months include self-efficacy and attitudes to pain of care workers, functional interference from pain and pain intensity in residents. Feasibility and acceptability of the intervention and potential barriers to its implementation will be explored in focus groups and interviews.
Interventions
OTHERProQuaS 2 Intervention
Training and implementation of facility pain champions, comprehensive training of all care workers in pain assessment and management, implementation of pain management policies
Sponsors
Senevita AG
University of Basel
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
non- randomized incomplete stepped-wedge design
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Care workers: * Registered nurses, licensed practical nurses/certified caregivers, nursing assistants, nurse aides and other care workers from the participating nursing home * Working in direct resident care * Participating care workers have to be employed for at least one month at the data collection * Students, apprentices and interns have to be employed at least six months in total * Speak and understand German * Older than 16 years Residents: * All residents living in a participating nursing home, older than 64 years * Written informed consent to participate in data collection signed by the resident or in case of severe cognitive impairment by his/her legally acceptable representative
Exclusion criteria
Care workers: * Temporary employment for less than six months Residents: * Critical current health status or terminal life situation * Known life expectancy less than 3 months * Short term residents (length of stay \<6 months)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self- efficacy in pain management | Change from baseline to 6 months | Care workers' self-efficacy in pain management scale * investigator-developed scale based on guide for constructing self-efficacy scales (Bandura 2006) * numeric rating scale ranging from 0 =not confident at all to 100=highly confident * total score will be computed by calculating a mean over single item scores (range: 0-100, higher scores indicating better self-efficacy) |
Countries
Switzerland
Outcome results
None listed