The Kids Pain Collaborative: A Hybrid Type 3 Implementation Effectiveness Study Transforming Paediatric Pain Care in the Emergency Department.
Aim: To evaluate the impact of a participatory, action‐oriented 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. Design: Hybrid type 3 implementat...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 81; no. 11; pp. 7882 - 7896 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188757925&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188757925 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Nov2025 vid: 81 iid: 11 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 188757925 183792001 188757925 188757925 10.1111/jan.16741 188757925 ppf: 7882 ppct: 14 formats: tig: atl: The Kids Pain Collaborative: A Hybrid Type 3 Implementation Effectiveness Study Transforming Paediatric Pain Care in the Emergency Department. aug: au: Williams, Suzanne Keogh, Samantha Herd, David Riggall, Sharonn Glass, Roselyn Slaughter, Eugene Jones, Lee Douglas, Clint affil: Faculty of Health, School of Nursing, Queensland University of Technology, Kelvin Grove Queensland,, Australia sug: subj: Implementation Science Conceptual Framework Pain Management In Infancy and Childhood Tertiary Health Care Pediatric Care Emergency Service Human Funding Source Action Research Analgesia Nursing Family Psychosocial Factors Interrupted Time Series Analysis Emotions Interviews Pain Measurement Leadership Frontline Personnel Diffusion of Innovation Descriptive Statistics Confidence Intervals Odds Ratio Multimethod Studies Linear Regression Infant, Newborn Infant Child, Preschool Child Adolescence Queensland Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years ab: Aim: To evaluate the impact of a participatory, action‐oriented 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. Design: Hybrid type 3 implementation effectiveness. Methods: A collaborative appraisal of the context and culture of pain care informed two interdependent action cycles: Enabling nurse‐initiated analgesia and involving families in pain care. The Kids Pain Collaborative, an authentic clinical–academic 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. Results: Staff achieved clinically important and sustained improvements in the rate of nurse‐initiated analgesia and pain assessment. Family involvement in pain care shifted from task‐orientated practices towards more person‐centred ways of working and decision‐making. 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. Conclusions: The Kids Pain Collaborative, as the overarching implementation strategy, created a practitioner‐led 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. Impact: A multi‐level model of internal–external facilitation enabled sustained improvement in pain care practice. An embedded researcher was pivotal in this process. Patient Contribution: 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" Implications for Practice: The principles underpinning the Kids Pain Collaborative are transferable to other emergency department and acute care contexts. Reporting Method: Standards for Reporting Implementation Studies checklist. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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