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Research Article| Volume 14, ISSUE 5, P304-312, October 1999

Evaluating the implementation of a pain management flow sheet

  • Betsy Atkinson Joyce
    Correspondence
    Address reprint requests to Betsy Atkinson Joyce, EdD, MSN, CPNP, NU 436, 1111 Middle Drive, Indiana University School of Nursing, Indianapolis, IN 46202.
    Affiliations
    Department of Family Health Nursing, Indiana University School of Nursing, Indianapolis, IN, USA

    Department of Nursing of Adults, Indiana University School of Nursing, Indianapolis, IN, USA

    Department of Mental Health Nursing, James Whitcomb Riley Hospital for Children, Indiana University Medical Center, Indianapolis, IN, USA
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  • Juanita F. Keck
    Affiliations
    Department of Family Health Nursing, Indiana University School of Nursing, Indianapolis, IN, USA

    Department of Nursing of Adults, Indiana University School of Nursing, Indianapolis, IN, USA

    Department of Mental Health Nursing, James Whitcomb Riley Hospital for Children, Indiana University Medical Center, Indianapolis, IN, USA
    Search for articles by this author
  • Janis E. Gerkensmeyer
    Affiliations
    Department of Family Health Nursing, Indiana University School of Nursing, Indianapolis, IN, USA

    Department of Nursing of Adults, Indiana University School of Nursing, Indianapolis, IN, USA

    Department of Mental Health Nursing, James Whitcomb Riley Hospital for Children, Indiana University Medical Center, Indianapolis, IN, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      This study evaluated the outcome of implementing a pain flow sheet, using protocols derived from the Agency for Health Care Policy and Research (AHCPR) guidelines for pain management, for children recovering from surgery. Findings indicated the flow sheet was not used as designed; thus, implementing the flow sheet did not result in increased documentation of pain assessments, interventions, and outcomes, except in the increased documentation of nonpharmacological interventions for pain management. Rogers' Diffusion of Innovation Theory gives insight as to why this occurred and provides rationale for more intensive in-service education when new innovations are implemented.
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