Pain assessment and management in patients with dementia in Taiwan: a best practice implementation project.

Autor:	Tsay SF; Department of Nursing and Health Care, Ministry of Health and Welfare, Taipei City, Taiwan.; School of Nursing, National Taiwan University, Taipei City, Taiwan.; Department of Health Services Administration, College of Public Health, China Medical University, Taichung City, Taiwan.; Taiwan Holistic Care Evidence Implementation Center: A JBI Affiliated Group.; National Taipei University of Nursing and Health Sciences., Chang CY; Department of Nursing, National Yang Ming Chiao Tung University Hospital, Yilan City, Taiwan.; Institute of Clinical Nursing, School of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan., Su JY; Department of Nursing, Taipei Veterans General Hospital, Taipei City, Taiwan.; National Taipei University of Nursing and Health Sciences., Hung SS; Hung Sing Shueh Home Care Center, Taichung City, Taiwan., Mu PF; Taiwan Holistic Care Evidence Implementation Center: A JBI Affiliated Group.; Institute of Clinical Nursing, School of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Jazyk:	angličtina
Zdroj:	JBI evidence implementation [JBI Evid Implement] 2024 Nov 13. Date of Electronic Publication: 2024 Nov 13.
DOI:	10.1097/XEB.0000000000000481
Abstrakt:	Introduction: The lack of a consistent and effective assessment tool for older adults with dementia in home care in Taiwan, and the inability of home care nurses to provide pharmacological and non-pharmacological pain management, may affect the quality of life of patients with dementia. Objectives: The aim of this project was to promote evidence-based practices for pain assessment and management of patients with dementia living in the community. Methods: The project followed the JBI Evidence-based Healthcare Model and the seven-phase JBI Evidence Implementation Framework. Eight audit criteria were used, representing best practice recommendations. Through a Getting Research into Practice (GRiP) analysis, we identified three barriers to changing practice and implemented improvement strategies. A follow-up audit was conducted to measure changes in compliance. Results: This project was conducted in five home care institutions. Fourteen home care nurses and 109 patients with dementia participated in the project. The follow-up audit showed that compliance rates had improved significantly. Specifically, the compliance rate increased from 14.29%, 1.83%, 1.83% to 100% for Criteria 1-3, respectively. For Criteria 4-8, compliance increased from 0% to 100%. In addition, the average score of the home care nurses' perceptions of pain care for patients with dementia increased from 44.29 points before the intervention to 82.86 points, and all 14 home care nurses achieved a score of 100 points in the Objective Structured Clinical Examination scenario-based exercises, which was a good learning outcome. Conclusions: Leadership, knowledge-sharing, learning-by-doing teaching strategies, and open communication were key factors in the successful implementation of this study. Spanish Abstract: http://links.lww.com/IJEBH/A294. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 JBI. Unauthorized reproduction of this article is prohibited.)
Databáze:	MEDLINE
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