One-on-One Coaching to Improve Pain Assessment and Management Practices of Pediatric Nurses

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 te...

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Bibliographic Details
Published in:Journal of pediatric nursing 2007-12, Vol.22 (6), p.467-478
Main Authors: Johnston, C. Céleste, Gagnon, Anita, Rennick, Janet, Rosmus, Christina, Patenaude, Hélène, Ellis, Jaqueline, Shapiro, Carla, Filion, Françoise, Ritchie, Judith, Byron, Jasmine
Format: Article
Language:English
Subjects:
Adult
Attitude of Health Personnel
Canada
Child
Children & youth
Clinical Competence - standards
Clinical trials
Education, Nursing, Continuing - organization & administration
Feedback, Psychological
Health Knowledge, Attitudes, Practice
Humans
Interprofessional Relations
Nurse's Role - psychology
Nurses
Nursing
Nursing Assessment - standards
Nursing Audit
Nursing Education Research
Nursing Evaluation Research
Nursing Staff, Hospital - education
Nursing Staff, Hospital - psychology
Nursing Staff, Hospital - standards
Pain - diagnosis
Pain - nursing
Pain management
Pain Measurement - nursing
Pain Measurement - standards
Pediatric Nursing - education
Pediatric Nursing - standards
Pediatrics
Preceptorship - organization & administration
Single-Blind Method
Social Support
Total Quality Management
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Summary: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.
ISSN:0882-5963
1532-8449
DOI:10.1016/j.pedn.2007.07.004