{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T06:46:05Z","timestamp":1775889965096,"version":"3.50.1"},"reference-count":49,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100011334","name":"Health Innovation, Investment and Research Office","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011334","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009422","name":"Centaur Memorial Fund for Nurses","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009422","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the impact of a participatory, action\u2010oriented implementation study, guided by the integrated Promoting Action on Research Implementation in Health Services framework, for optimising pain care processes in a tertiary paediatric emergency department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Hybrid type 3 implementation effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A collaborative appraisal of the context and culture of pain care informed two interdependent action cycles: Enabling nurse\u2010initiated analgesia and involving families in pain care. The Kids Pain Collaborative, an authentic clinical\u2013academic partnership, was central to facilitating successful implementation. Summative evaluation explored the impact of implementation on processes of pain care using an interrupted time series analysis and emotional touchpoint interviews with families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Staff achieved clinically important and sustained improvements in the rate of nurse\u2010initiated analgesia and pain assessment. Family involvement in pain care shifted from task\u2010orientated practices towards more person\u2010centred ways of working and decision\u2010making. As capacity for collective leadership developed, frontline staff found ways to integrate the KPC approach into ED systems to lead pain care innovation beyond the life of the research project.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Kids Pain Collaborative, as the overarching implementation strategy, created a practitioner\u2010led coalition for change. Successful implementation was facilitated by working with four interdependent principles: Collaborative and authentic engagement; enabling context for cultural transformation; creating safe spaces for critical reflection and workplace learning; and embedding sustainable practice change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>A multi\u2010level model of internal\u2013external facilitation enabled sustained improvement in pain care practice. An embedded researcher was pivotal in this process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Contribution<\/jats:title>\n                    <jats:p>Authentic engagement of clinicians and families was pivotal in transforming systems of pain care and enabling a culture where \"it is not ok for children to wait in pain\"<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>The principles underpinning the Kids Pain Collaborative are transferable to other emergency department and acute care contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Standards for Reporting Implementation Studies checklist.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16741","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T01:55:35Z","timestamp":1737597335000},"page":"7882-7895","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Kids Pain Collaborative: A Hybrid Type 3 Implementation Effectiveness Study Transforming Paediatric Pain Care in the Emergency Department"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5491-4340","authenticated-orcid":false,"given":"Suzanne","family":"Williams","sequence":"first","affiliation":[{"name":"Faculty of Health, School of Nursing Queensland University of Technology  Kelvin Grove Queensland Australia"},{"name":"Acute Pain Service Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2797-4388","authenticated-orcid":false,"given":"Samantha","family":"Keogh","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Nursing Queensland University of Technology  Kelvin Grove Queensland Australia"},{"name":"Nursing and Midwifery Research Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Herd","sequence":"additional","affiliation":[{"name":"Emergency Department Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharonn","family":"Riggall","sequence":"additional","affiliation":[{"name":"Emergency Department Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roselyn","family":"Glass","sequence":"additional","affiliation":[{"name":"Emergency Department Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugene","family":"Slaughter","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Nursing Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Jones","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Nursing Queensland University of Technology  Kelvin Grove Queensland Australia"},{"name":"QIMR Berghofer Medical Research Institute  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clint","family":"Douglas","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Nursing Queensland University of Technology  Kelvin Grove Queensland Australia"},{"name":"Metro North Hospital and Health Service  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010046497"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135\u2010018\u20100700\u20102"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/oaem.S337900"},{"key":"e_1_2_13_5_1","volume-title":"Becoming a Critically Reflective Teacher","author":"Brookfield S. D.","year":"2017"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2015.08.011"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13100"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1108\/JHOM\u201002\u20102020\u20100043"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzz106"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010014384"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182408812"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010021\u201001181\u20105"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987109352932"},{"issue":"104","key":"e_1_2_13_14_1","first-page":"690","article-title":"Transforming Nursing Assessment in Acute Hospitals: A Cluster Randomised Controlled Trial of an Evidence\u2010Based Nursing Core Assessment (The ENCORE Trial)","volume":"151","author":"Douglas C.","year":"2024","journal-title":"International Journal of Nursing Studies"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20104642(20)30277\u20107"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961\u2010022\u201000849\u20108"},{"key":"e_1_2_13_17_1","unstructured":"Funnell S. andP.Rogers.2011.\u201cPurposeful Program Theory: Effective Use of Theories of Change and Logic Models.\u201d"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203557334"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010018\u20100812\u2010z"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2023.1162762"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010016\u20100398\u20102"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aenj.2015.11.001"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14216"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.4337\/9781788975995.00031"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.12.018"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h2750"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112513"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2021.03.008"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2018.05.026"},{"key":"e_1_2_13_30_1","first-page":"133","volume-title":"Person\u2010Centred Practice in Nursing and Health Care: Theory and Practice","author":"Manley K.","year":"2017"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119698463"},{"key":"e_1_2_13_32_1","first-page":"133","volume-title":"Person\u2010Centred Practice in Nursing and Health Care: Theory and Practice","author":"Manley K.","year":"2017"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.19043\/ipdj.92.004"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2019.06.007"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010019\u20100701\u20104"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2021.101067"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f6753"},{"key":"e_1_2_13_38_1","unstructured":"Queensland Government.2021.Integrated Electronic Medical Record (ieMR). Queensland Children's Hospital Emergency Department Report.https:\/\/www.health.qld.gov.au\/clinical\u2010practice\/innovation\/digital\u2010health\u2010initiatives\/queensland\/integrated\u2010electronic\u2010medical\u2010record\u2010iemr."},{"key":"e_1_2_13_39_1","unstructured":"Queensland Government.2022.\u201cChildren's Health Queensland Hospital and Health Service.\u201d Qld GovernmentAccessed May 2.https:\/\/www.childrens.health.qld.gov.au\/qch\/visiting\u2010staying\/coming\u2010to\u2010emergency\/."},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781316160831"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010020\u201001041\u20108"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102013\u2010004288"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/269140"},{"key":"e_1_2_13_44_1","volume-title":"Systems Thinking for Social Change: A Practical Guide to Solving Complex Problems, Avoiding Unintended Consequences, and Achieving Lasting Results","author":"Stroh D. P.","year":"2015"},{"key":"e_1_2_13_45_1","first-page":"212","volume-title":"Practice Development in Nursing and Healthcare","author":"Titchen A.","year":"2014"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15247"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2016.06.003"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2016.06.003dd"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.02.017"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201007740\u2010w"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.16741","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jan.16741","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.16741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T05:49:27Z","timestamp":1775886567000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.16741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,22]]},"references-count":49,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/jan.16741"],"URL":"https:\/\/doi.org\/10.1111\/jan.16741","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.16741\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16741\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16741\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16741\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16741\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16741\/v1\/review3","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16741\/v1\/review4","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16741\/v1\/decision1","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,22]]},"assertion":[{"value":"2024-06-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}