IMPLEMENTATION OF OPIOID STEWARDSHIP PAIN MANAGEMENT CONTINUING EDUCATION TO IMPROVE NURSE KNOWLEDGE AND COMMUNICATION REGARDING PAIN MANAGEMENT
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Date
2021-05
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Publisher
The Ohio State University
Abstract
Objective: The purpose of this quality improvement project was to improve nurse knowledge and
attitude/communication of pain management after receiving opioid stewardship pain management
practices education and examine effect on patient satisfaction scores related to communication.
Method: The quality improvement project was conducted in a medical -surgical care unit at a Northern
California hospital. Using the knowledge to action (KTA) process conceptual framework to facilitate
research into practice, EBP pain management education, teach-back and shared decision-making tools
were developed and implemented. The pain management class utilized self-directed pre-work materials
employing QR codes compiled from hospital resources, followed up with a virtual class for application of
concepts through discussion and case studies. Comparison of pre- and post-intervention on nurse
knowledge and attitudes survey regarding pain (KASRP) was performed. The pilot unit's Hospital
Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, specifically nurse
communication and medication scores were compared.
Results: HCAHPS scores were compared between Jan-March 2020 to Jan-March 2021. There was an
5.15% average improvement in the domain of communication with your nurse comparing the pre and post
intervention. KASRP comparison showed no significant changes in knowledge and attitude at pre and
post intervention.
Conclusions: Integration of pain management education using electronic format was feasible and
effective for improving reportable indicators of communication with your nurse. Sustainment of the
project will be enhanced through incorporation of the pain management continuing education into new
staff orientation, through content delivered in the general nursing session, LMS module, and unit based
clinical orientation.
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Keywords
opioid stewardship, pain management, nurse knowledge, nurse caring, knowledge and attitudes survey regarding pain, nurse communication