Development and Evaluation of a Pain Assessment Training Program for Long-Term Care Staff

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dc.contributor.advisor Hadjistavropoulos, Thomas Gagnon, Michelle Marie Gagnon 2012-11-13T20:24:24Z 2012-11-13T20:24:24Z 2012-07
dc.description A Thesis Submitted to the Faculty of Graduate Studies and Research In Partial Fulfillment of the Requirements for the Degree of Master of Arts in Clinical Psychology, University of Regina. xii, 202 l. en_US
dc.description.abstract Pain underassessment among older adults living in long-term care has been recognized as an ethical concern and an area requiring further attention. It is estimated that up to 80% of older adults in long-term care suffer from pain (Charlton, 2005). Several researchers have identified discrepancies in the quality of pain assessment and management provided to individuals with and without dementia. Inadequate pain education for staff at the formal training level and through continuing education programs is a possible factor contributing to this problem (Watt-Watson et al., 2004). This study was designed to address the dearth of education through the development and evaluation of a training video on pain assessment in long-term care. Nurses and care aides evaluated the training video, which focused on the use of self-report and observational pain assessment measures in long-term care for individuals with dementia. Individual difference variables, such as maladaptive beliefs about the nature of pain in old age and beliefs about reduced patient personhood in individuals with dementia, were examined to determine if these variables influenced participants’ evaluation of the video. Overall, evaluations of the video were positive. Nurses saw more value in the content than care aides. Pain assessment knowledge increased after watching the video, and this increase was maintained over one month. Individuals with stronger beliefs that pain is primarily “organic” in nature perceived more value in the video content. Differences in the pain beliefs held by nurses and care aides emerged, with nurses holding stronger beliefs about the “psychological” nature of pain. Focus group and individual interviews were conducted to understand video evaluations and to identify barriers or facilitators influencing the implementation of the practices. Despite seeing value in the video content, most participants indicated that the video did not result in changes to practices. Barriers identified as influencing the implementation of the practices included lack of time, overwhelming workload, and resistance to change. Identified facilitators to the implementation of practices included being provided with standardized and user-friendly tools, seeing the benefits prior to implementation, and continued management support throughout training and implementation. Implications and directions for future research are discussed. en_US
dc.language.iso en en_US
dc.publisher Faculty of Graduate Studies and Research, University of Regina en_US
dc.subject.lcsh Pain in old age--Measurement
dc.subject.lcsh Pain--Study and teaching (Continuing education)
dc.subject.lcsh Dementia--Patients--Long-term care
dc.subject.lcsh Long-term care facilities--Employees--In-service training
dc.subject.lcsh Older people--Long-term care
dc.subject.lcsh Older people--Nursing home care
dc.title Development and Evaluation of a Pain Assessment Training Program for Long-Term Care Staff en_US
dc.type Thesis en
dc.description.authorstatus Student en
dc.description.peerreview yes en Master of Arts (MA) en_US Master's en Psychology en_US University of Regina en Department of Psychology en_US
dc.contributor.committeemember Price, Heather
dc.contributor.committeemember Smythe, William
dc.contributor.externalexaminer Urban, Anne-Marie
dc.identifier.tcnumber TC-SRU-3622

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