Pain Management and Its Possible Implementation Research in North Ethiopia: A before and after Study
Joint Authors
Tequare, Mengistu Hagazi
Huntzicker, James John
Gidey Mhretu, Hagos
Zelelew, Yibrah Berhe
Abraha, Hiluf Ebuy
Tsegay, Mehari Abrha
Gebretensaye, Kesatea Gebrewahd
Gebre Tesfay, Daniel
Sotomayor, Julio Gonzalez
Nardos, Rahel
Yosses, Mary Beth
Cobbs, Joshua Edwin
Schmidt, Jennifer Pui Ling
Weisman, Wendy
Breitner, Leslie K.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-02
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Though there is an effective intervention, pain after surgical intervention is undermanaged worldwide.
A systematic implementation is required to increase the utilization of available evidence-based intervention to manage the inevitable pain after surgery.
The aim of this research project is to develop a scalable model for managing pain after cesarean section by implementing the World Health Organization’s (WHO) pain management guidelines through a combination of implementation research and quality improvement methods.
Methods.
We implemented the World Health Organization (WHO) pain management guidelines using effective implementation strategies.
First, we conducted a formative qualitative exploration to identify enablers and obstacles.
In addition, we took base-line assessment on pain management implementation process and outcome using a checklist prepared from the guideline and an adapted American Pain Outcome assessment tool version 2010, respectively.
Then, we integrated the guidelines into the existing practice by using collaborative iterative learning strategy.
We analyzed the data by Statistical Packages for Social Sciences (SPSS) version 21.
We compared the before and after data using chi-squared and Fischer’s exact test.
A change in any measurement was considered as significant at p value 0.05.
Result.
We collected data from 106 mothers before and 110 mothers after intervention implementation.
We successfully integrated pain as a fifth vital sign in more than 87% (p value <0.001) of patient, and fidelity was approximately 59% (p value <0.001).
In addition, we significantly improved pain outcome measures after the implementation of the intervention.
Conclusion and Recommendations.
A systematic approach to implement pain management guidelines was successful.
We recommend the ward sustain these gains and that hospital, the region, and the nation to replicate the success.
American Psychological Association (APA)
Tequare, Mengistu Hagazi& Huntzicker, James John& Gidey Mhretu, Hagos& Zelelew, Yibrah Berhe& Abraha, Hiluf Ebuy& Tsegay, Mehari Abrha…[et al.]. 2020. Pain Management and Its Possible Implementation Research in North Ethiopia: A before and after Study. Advances in Medicine،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1126729
Modern Language Association (MLA)
Tequare, Mengistu Hagazi…[et al.]. Pain Management and Its Possible Implementation Research in North Ethiopia: A before and after Study. Advances in Medicine No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1126729
American Medical Association (AMA)
Tequare, Mengistu Hagazi& Huntzicker, James John& Gidey Mhretu, Hagos& Zelelew, Yibrah Berhe& Abraha, Hiluf Ebuy& Tsegay, Mehari Abrha…[et al.]. Pain Management and Its Possible Implementation Research in North Ethiopia: A before and after Study. Advances in Medicine. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1126729
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1126729