Webbased Education to Enhance Pain Assessment in Nursing Homes

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Web-based Education to Enhance Pain Assessment in
Nursing Homes

• Mary Ersek, PhD, RN, FAAN
• Research Scientist
• Pain Research Department
• Swedish Medical Center
• mary.ersek_at_swedish.org

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Unrelieved Pain and Quality of Life in Nursing
Home Residents

• Inadequate pain assessment and
• management are well documented problems
• Knowledge and skill about pain assessment
• and management often is deficient among
• NH staff
• There are several barriers to educating staff,
• including staff turnover, limited time to
• attend in-services, limited budgets

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Study Purpose

• To assess the effectiveness of web-based
  education and support in increasing NH staff
  knowledge and EBP pain assessment and management
• Builds on the investigative teams other
  projects PERT, NA-CEP, Pain Management Algorithm

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Advantages of Web-based Education

• Accessibility to learners
• regardless of schedules, geographic location
• Synchronous and asynchronous communication among
  learners and teachers
• Relatively low cost
• Learners can move at their own pace

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Research Plan

• Conducted at one facility
• Access to website for 4 months
• nursing staff
• staff development coordinators
• Medical Director, Primary care providers
• resident case managers
• medication/treatment nurses
• CNAs

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Website Resources

• Web conferences
• real-time and archived
• Links to pain organizations and information
• Ask the Expert
• Tip of the Month
• Literature scan

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Evaluation

• Intervention dosage website usage
• Data collected
• number of total users and hits
• length of sessions
• number of users from various groups pages viewed
• Describe amount of use so as to better target
  specific groups in the future

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Evaluation

• Demographics and Feedback Tool
• Determine accessibility and usefulness of
  educational materials
• Identify culturally diverse users
• Characterize the sample of users
• Identify if certain characteristics (e.g., role,
  ESL) associated with usage and perceived
  usefulness

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Evaluation

• Pain Management Chart Audit Tool
• Developed for, used in current study
• 17 quality indicators, based on published
  clinical guidelines
• Chart audits prior to and following website
  intervention to evaluate changes in assessment
  practices

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Future Plans

• Use findings from pilot to refine proposed RCT
• Collaboration between Swedish investigators and
  Equip for Quality
• MDS software management company affiliated with
  the New York Association of Homes and Services
  for the Aging (NYAHSA)
• Improving Assessment and Treatment of Pain
• in Nursing Homes A National Nursing
• Collaborative (funded by the Mayday Fund)