{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:45:24Z","timestamp":1783547124367,"version":"3.55.0"},"reference-count":53,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,7,12]],"date-time":"2017-07-12T00:00:00Z","timestamp":1499817600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"KentuckyOne Health, Inc."}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To determine if findings from our preliminary study related to patient and nursing satisfaction with a pain management intervention could be replicated in a changed environment, and if contextual factors could impact the effectiveness of a pain management intervention on patient satisfaction with nursing staff's management of pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective, experimental design was used with six monthly assessments before, during, and after the intervention. Data were collected from 540 patients admitted to eight medical surgical and progressive care units and nurses that worked in these units at an academic health sciences center in the southern United States, from March to July 2015. The script\u2010based, pain management communication intervention included three specific tactics: script\u2010based communication, use of white boards, and hourly rounding. The Hospital Consumer Assessment of Healthcare Providers and Systems survey was used to assess two items: \u201cpain is well controlled\u201d and \u201cstaff did everything they could to help with pain.\u201d Contextual factors focused on the practice setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Both scores for \u201cpain is well controlled\u201d (\u03b2 = .028,<jats:italic>p<\/jats:italic>= 0.651) and scores for \u201cstaff did everything they could to help with pain\u201d (\u03b2 = .057,<jats:italic>p<\/jats:italic>= .385) did not change initially but then increased significantly and were sustained over time. Nurses had high levels of satisfaction with the intervention (<jats:italic>M<\/jats:italic>= 7.9,<jats:italic>SD<\/jats:italic>= 2.1) and compliance with the intervention (<jats:italic>M<\/jats:italic>= 8.0,<jats:italic>SD<\/jats:italic>= 1.9), and had little difficulty in implementing the intervention (<jats:italic>M<\/jats:italic>= 8.3,<jats:italic>SD<\/jats:italic>= 1.4). In terms of contextual factors, the number of beds on the unit and the number of patients being discharged negatively impacted scores for \u201cpain is well controlled\u201d and \u201cstaff did everything they could to help with pain.\u201d Hospital length of stay positively impacted scores for \u201cpain is well controlled\u201d by staff.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite challenging contextual variables, the study extended the findings of an early preliminary study in showing the effectiveness of pain management intervention on patient satisfaction with staff's management of pain. In evaluating the impact of an intervention, it is essential to examine the contextual environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Relevance<\/jats:title><jats:p>Using simple, clear, and consistent communication between patients and nurses related to pain can positively impact patient satisfaction with pain management over time. The health care environment can enhance nursing practice and patients\u2019 outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnu.12319","type":"journal-article","created":{"date-parts":[[2017,7,12]],"date-time":"2017-07-12T15:56:39Z","timestamp":1499874999000},"page":"504-512","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Contextual Factors Impacting a Pain Management Intervention"],"prefix":"10.1111","volume":"49","author":[{"given":"Fawwaz","family":"Alaloul","sequence":"first","affiliation":[{"name":"Iota Zeta, Assistant Professor, School of Nursing Health Sciences Campus K\u2010Wing Louisville KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Williams","sequence":"additional","affiliation":[{"name":"Acute Pain Service Charge Nurse University of Louisville Hospital Louisville KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Myers","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Pediatrics School of Medicine, Health Sciences Campus Louisville KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla Dlauren","family":"Jones","sequence":"additional","affiliation":[{"name":"Registered Nurse University of Louisville Hospital Louisville KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Student, School of Nursing Health Sciences Campus Louisville KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Cynthia","family":"Logsdon","sequence":"additional","affiliation":[{"name":"Alpha and Iota Gamma, Professor, School of Nursing, University of Louisville; Associate Chief of Nursing for Research, University of Louisville Hospital James Graham Brown Cancer Center Louisville KY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182330b6e"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005110-200010000-00003"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e1717"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2014.08.008"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000925"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005110-200101000-00007"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2012.08.032"},{"issue":"4","key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/NNA.0000000000000328","article-title":"Partnering with a patient and family advisory council to improve patient care experiences with pain management","volume":"46","author":"Bookout M. 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