One-on-one coaching to improve pain assessment and management practices of pediatric nurses.

Full Abstract

Pain in children is infrequently assessed and managed by nurses. One-on-one coaching based on audit with feedback and the use of opinion leaders have been effective in changing professional health care practices. Coaching by an opinion leader for changing pediatric nurses' pain practices was tested in a clustered randomized trial in six Canadian pediatric hospitals. The rate of pain assessments, nurses' knowledge, and nonpharmacological interventions increased in the coaching group. However, there were significant site differences that could not be attributed to the coaching but to factors inherent in the sites. The context in which interventions are implemented will influence the effectiveness of individualized interventions.

Author information

Author/s: Johnston, C Céleste (CC); Gagnon, Anita (A); Rennick, Janet (J); Rosmus, Christina (C); Patenaude, Hélène (H); Ellis, Jaqueline (J); Shapiro, Carla (C); Filion, Françoise (F); Ritchie, Judith (J); Byron, Jasmine (J);

Affiliation: School of Nursing, McGill University, Montreal, Quebec, Canada. celeste.johnston(-atsign-)mcgill.ca

Journal and publication information

Publication Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: Journal of pediatric nursing (J Pediatr Nurs), published in United States. (Language: eng)

Reference: 2007-Dec; vol 22 (issue 6) : pp 467-78

Dates: Created 2007/11/26; Completed 2008/02/21;

PMID: 18036467, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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