A theory-based hybrid II implementation intervention to improve pain management in Swiss nursing homes: A mixed-methods study protocol

Brunkert, Thekla and Ruppen, Wilhelm and Simon, Michael and Zúñiga, Franziska. (2019) A theory-based hybrid II implementation intervention to improve pain management in Swiss nursing homes: A mixed-methods study protocol. Journal of Advanced Nursing, 75 (2). pp. 432-442.

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Official URL: https://edoc.unibas.ch/71804/

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To present a protocol for evaluating an implementation intervention to improve pain management in nursing homes by addressing behaviour change of the care workers.; 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. A comprehensive approach incorporating contextual and behavioural factors is needed to sustainably improve pain management practice.; A hybrid type II effectiveness-implementation design comprising an incomplete non-randomized stepped-wedge design and concurrent focus groups is proposed.; A convenience sample of six nursing homes will be included. Implementation of a facility pain management policy will be facilitated by introduction of a facility pain champion and training of all care workers in pain assessment and management. Quantitative outcomes assessed at baseline, after 3 and 6 months include self-efficacy in pain management and attitudes to pain of care workers and functional interference from pain and pain intensity in residents. Feasibility and acceptability of the intervention and implementation strategies and potential barriers to implementation will be explored in focus groups and interviews. (Protocol approved in October 2017).; The proposed intervention implementation has been developed in a participatory approach involving relevant stakeholders. To further improve the contextual fit, development of implementation strategies was guided by the consolidated framework of implementation research. Findings of this research are expected to inform adaptions to the implementation of the intervention.; ClinicalTrials.gov: NCT03471390.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:Simon, Michael and Brunkert, Thekla and Zuniga, Franziska
Item Type:Article, refereed
Article Subtype:Research Article
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:23 Mar 2021 15:24
Deposited On:08 Jul 2020 14:27

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