Theory-informed approaches to translating pain evidence into practice

2013 ◽  
pp. 633-641
Author(s):  
Janet Yamada ◽  
Alison M. Hutchinson
Keyword(s):  
Chronic Pain ◽  
Pain Assessment ◽  
Organizational Context ◽  
Management Practices ◽  
Management Strategies ◽  
Practice Change ◽  
Evidence Based ◽  
Individual Behaviour ◽  
Practice Gap ◽  
Implementing Strategies

Despite great strides in evidence-based pain assessment and management strategies, infants and children still experience acute pain (including multiple painful procedures) and chronic pain during hospitalization. Translating best evidence on pain assessment and management into clinical practice remains a challenge. The knowledge- or evidence-to-practice gap in pain in children can be addressed by implementing strategies, underpinned by knowledge translation theories, frameworks, and models, to promote and sustain practice change. A range of factors related to the organizational context and individual behaviour play a role in the adoption of new pain assessment and management practices.

Theory-informed approaches to translating pain evidence into practice

2021 ◽  
pp. 607-616
Author(s):  
Janet Yamada ◽  
Alison M. Hutchinson ◽  
Shelly-Anne Li
Keyword(s):  
Chronic Pain ◽  
Clinical Practice ◽  
Pain Assessment ◽  
Organizational Context ◽  
Management Practices ◽  
Management Strategies ◽  
Practice Change ◽  
Evidence Based ◽  
Practice Gap ◽  
Implementing Strategies

Despite great strides in evidence-based pain assessment and management strategies, infants and children still experience acute pain (including multiple painful procedures) and chronic pain during hospitalization. Translating best evidence on pain assessment and management into clinical practice remains a challenge. The knowledge- or evidence-to-practice gap in pain in children can be addressed by implementing strategies, underpinned by knowledge translation theories, frameworks, and models, to promote and sustain practice change. A range of factors related to the organizational context and individual behavior play a role in the adoption of new pain assessment and management practices.

scholarly journals Exploring the impact of a decision support algorithm to improve clinicians’ chemotherapy-induced peripheral neuropathy assessment and management practices: a two-phase, longitudinal study

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Robert Knoerl ◽  
Emanuele Mazzola ◽  
Fangxin Hong ◽  
Elahe Salehi ◽  
Nadine McCleary ◽  
...  
Keyword(s):  
Decision Support ◽  
Peripheral Neuropathy ◽  
Management Practices ◽  
Management Strategies ◽  
Clinic Visit ◽  
Evidence Based ◽  
Two Phase ◽  
Assessment Index ◽  
Patient Reported ◽  
The Impact

Abstract Background Chemotherapy-induced peripheral neuropathy (CIPN) negatively affects physical function and chemotherapy dosing, yet, clinicians infrequently document CIPN assessment and/or adhere to evidence-based CIPN management in practice. The primary aims of this two-phase, pre-posttest study were to explore the impact of a CIPN clinician decision support algorithm on clinicians’ frequency of CIPN assessment documentation and adherence to evidence-based management. Methods One hundred sixty-two patients receiving neurotoxic chemotherapy (e.g., taxanes, platinums, or bortezomib) answered patient-reported outcome measures on CIPN severity and interference prior to three clinic visits at breast, gastrointestinal, or multiple myeloma outpatient clinics (n = 81 usual care phase [UCP], n = 81 algorithm phase [AP]). During the AP, study staff delivered a copy of the CIPN assessment and management algorithm to clinicians (N = 53) prior to each clinic visit. Changes in clinicians’ CIPN assessment documentation (i.e., index of numbness, tingling, and/or CIPN pain documentation) and adherence to evidence-based management at the third clinic visit were compared between the AP and UCP using Pearson’s chi-squared test. Results Clinicians’ frequency of adherence to evidence-based CIPN management was higher in the AP (29/52 [56%]) than the UCP (20/46 [43%]), but the change was not statistically significant (p = 0.31). There were no improvements in clinicians’ CIPN assessment frequency during the AP (assessment index = 0.5440) in comparison to during the UCP (assessment index = 0.6468). Conclusions Implementation of a clinician-decision support algorithm did not significantly improve clinicians’ CIPN assessment documentation or adherence to evidence-based management. Further research is needed to develop theory-based implementation interventions to bolster the frequency of CIPN assessment and use of evidence-based management strategies in practice. Trial registration ClinicalTrials.Gov, NCT03514680. Registered 21 April 2018.

scholarly journals A Self-Led Approach to Improving Classroom Management Practices Using Video Analysis

2020 ◽  
Vol 53 (1) ◽  
pp. 24-32
Author(s):  
Sarah A. Nagro ◽  
Shanna E. Hirsch ◽  
Michael J. Kennedy
Keyword(s):  
Classroom Management ◽  
Students With Disabilities ◽  
Video Analysis ◽  
Teacher Educators ◽  
Management Practices ◽  
Management Strategies ◽  
Evidence Based ◽  
Self Reflection ◽  
Classroom Management Strategies ◽  
Analysis Process

Strong classroom management may be the key to finding success as a new teacher. Yet many teachers seek additional professional development in managing classrooms that include students with disabilities. The purpose of this article is to provide new teachers and teacher educators with a prescriptive yet self-led approach to systematically improving classroom management practices using a sequential video analysis process. This article outlines an easy-to-follow four-step process that teachers can use to record, review, reflect on, and revise their instruction. A checklist of evidence-based classroom management strategies with video exemplar links, a free online observation tool called the Classroom Teaching Scan, and a guide for self-reflection called the Reflection Matrix are all explained. Through this highly structured yet self-led approach, teachers can independently engage in noticing elements of teaching, identify their own areas of strength and weakness, reflect in a meaningful way, and implement evidence-based classroom management practices.

scholarly journals Pain Prevalence in a Pediatric Hospital: Raising Awareness during Pain Awareness Week

2014 ◽  
Vol 19 (1) ◽  
pp. e24-e30 ◽  
Author(s):  
Denise Harrison ◽  
Cynthia Joly ◽  
Christine Chretien ◽  
Sarah Cochrane ◽  
Jacqueline Ellis ◽  
...  
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Management Practices ◽  
Management Strategies ◽  
Cross Sectional Study ◽  
Infants And Children ◽  
Assessment Tools ◽  
Pediatric Hospital ◽  
Cross Sectional ◽  
Pain Scores

BACKGROUND: Despite the evidence and availability of numerous validated pain assessment tools and pain management strategies for infants and children, their use remains inconsistent in clinical practice.OBJECTIVES: To describe the prevalence of pain, pain assessment and pain management practices at a tertiary pediatric hospital in Canada.METHODS: The cross-sectional study design involved a combination of interviews with children and/or caregivers, and chart audits in five inpatient units. Information regarding pain intensity, painful procedures and pain management strategies was obtained from children and/or caregivers by interview. Patient charts were reviewed for information regarding pain assessment, pain scores, and pharmacological and nonpharmacological interventions.RESULTS: Sixty-two children (four days to 17 years of age) participated. Most children or their caregivers (n=51 [84%]) reported that pain was experienced during their hospitalization, with 40 (66%) reporting their worst pain as moderate or severe. Almost one-half reported analgesics were administered before or during their most recent painful procedure. Nineteen (32%) reported sucrose, topical anesthetics or nonpharmacological interventions were used; however, they were documented in only 17% of charts. Pain scores were documented in 34 (55%) charts in the previous 24 h. The majority of the children or their caregiver (n=44 [71%]) were satisfied with pain management at the study hospital.CONCLUSIONS: Most infants and children had experienced moderate or severe pain during their hospitalization. Analgesics were frequently used, and although nonpharmacological strategies were reported to be used, they were rarely documented. Most parents and children were satisfied with their pain management.

scholarly journals Clinical Challenges and Considerations in Management of Chronic Pain Patients During a COVID-19 Pandemic

2020 ◽  
Vol 49 (9) ◽  
pp. 669-673
Author(s):  
Diana XH Chan ◽  
Xu Feng Lin ◽  
Jane Mary George ◽  
Christopher W Liu
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Management Practices ◽  
Management Strategies ◽  
Chronic Pain Patient ◽  
Control Measures ◽  
Pain Patient ◽  
Chronic Pain Patients ◽  
Pain Patients

Since the coronavirus disease 2019 (COVID-19) was deemed a pandemic on 11 March 2020, we have seen exponential increases in the number of cases and deaths worldwide. The rapidly evolving COVID-19 situation requires revisions to clinical practice to defer non-essential clinical services to allocate scarce medical resources to the care of the COVID-19 patient and reduce risk to healthcare workers. Chronic pain patients require long-term multidisciplinary management even during a pandemic. Fear of abandonment, anxiety and depression may increase during this period of social isolation and aggravate pain conditions.Whilst physical consults for chronic pain patients were reduced, considerations including continuity of support and analgesia, telemedicine, allied health support and prioritising necessary pain services and interventions, were also taken to ensure biopsychosocial care for them. Chronic pain patients are mostly elderly with multiple comorbidities, and are more susceptible to morbidity and mortality from COVID-19. It is imperative to review pain management practices during the COVID-19 era with respect to infection control measures, re-allocation of healthcare resources, community collaborations, and analgesic use and pain interventions. The chronic pain patient faces a potential risk of functional and emotional decline during a pandemic, increasing healthcare burden in the long term. Clinical decisions on pain management strategies should be based on balancing the risks and benefits to the individual patient. In this commentary, we aim to discuss the basis behind some of the decisions and safeguards that were made at our tertiary pain centre over the last 6 months during the COVID-19 outbreak.

Evidence-Based Practices for Anxiety: Has the Science-Practice Gap Narrowed?

2019 ◽  
Author(s):  
Stacy Freheit ◽  
Gisel G. Suarez Bonilla ◽  
Christopher S. Vye ◽  
Bruce E. Clark
Keyword(s):  
Evidence Based ◽  
Science Practice ◽  
Evidence Based Practices ◽  
Practice Gap

BİLGİ YÖNETİMİ UYGULAMALARI KAPSAMINDA İNSAN KAYNAKLARI YÖNETİMİNDE MEYDANA GELEN DEĞİŞİMLER

2013 ◽  
Vol 1 (1) ◽  
pp. 83
Author(s):  
Ozan Büyükyılmaz
Keyword(s):  
Knowledge Management ◽  
Human Resources ◽  
Performance Management ◽  
Management Practices ◽  
Human Resources Management ◽  
Management Strategies ◽  
Resources Management ◽  
Management Philosophy ◽  
Management Processes

The development and expansion of knowledge management as an important management philosophy has a significant impact on human resources management as well as on organization as a whole. In this context, knowledge management processes have been used as a strategic tool within human resources management.Therefore, functions of human resources management must adapt itself to this change. The purpose of this study is to determine the role of human resources management in the management of knowledge and to reveal the effects of knowledge management practices on the functions of human resources byexamining the relationship between human resources and knowledge management. In this context, a theoretical investigation was conducted. It has been determined that significant changes occurred on the functions of human resources management such as selection and recruitment, performance management, remuneration and reward, training and development within the framework of the knowledge management strategies.

Basic guide to chronic pain assessment: from neurophysiology to bedside

2020 ◽  
Vol 86 (12) ◽  
Author(s):  
Gabriele Finco ◽  
Maurizio Evangelista ◽  
Salvatore Sardo
Keyword(s):  
Chronic Pain ◽  
Pain Assessment

Concepts and Practices for Improving Nitrogen Management for Vegetables

1992 ◽  
Vol 2 (1) ◽  
pp. 121-125 ◽  
Author(s):  
George J. Hochmuth
Keyword(s):  
Water Management ◽  
Management Practices ◽  
Management Strategies ◽  
N Fertilization ◽  
Nitrogen Management ◽  
Land Grant ◽  
Land Grant Universities ◽  
Production Practices ◽  
Negative Impacts ◽  
N Management

Efficient N management practices usually involve many potential strategies, but always involve choosing the correct amount of N and the coupling of N management to efficient water management. Nitrogen management strategies are integral parts of improved production practices recommended by land-grant universities such as the Institute of Food and Agricultural Sciences, Univ. of Florida. This paper, which draws heavily on research and experience in Florida, outlines the concepts and technologies for managing vegetable N fertilization to minimize negative impacts on the environment.

Sarasota Bay: Protection of a Natural Resource

1993 ◽  
Vol 28 (3-5) ◽  
pp. 91-99
Author(s):  
R. A. Wagner ◽  
M. G. Heyl
Keyword(s):  
Wastewater Treatment ◽  
Best Management Practices ◽  
Management Practices ◽  
Treatment Plan ◽  
Management Strategies ◽  
Treatment Plant ◽  
Modeling Tools ◽  
Best Management ◽  
Sarasota Bay ◽  
Potential Benefits

As part of the Sarasota Bay National Estuary Program (NEP) evaluation of environmental problems, modeling tools were used to estimate pollution loadings from diverse sources, including surface runoff, baseflow, wastewater treatment plant discbarges, septic tanks, and direct deposition of rainfall on the bay surface. After assessing the relative impacts of the pollution sources, alternative management strategies were identified and analyzed. These strategies focused primarily on future development, and included structural and nonstructural best management practices (BMPs), as well as a regional wastewater treatment plan. Loading reductions, along with planning-level cost data and estimates of feasibility and other potential benefits, were used to identify the most promising alternatives.

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