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Heroic Acts in Humble Shoes: America's Nurses Tell Their Stories

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Pain Management in Nursing Homes: What Do Quality Measure Scores Tell Us?

Journal of Gerontological Nursing 

By Teresa L. Russell, MSN, RN; Richard W. Madsen, PhD; Marcia Flesner, PhD, RN; Marilyn J. Rantz, PhD, RN, FAAN
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Received: September 26, 2009; Accepted: February 15, 2010; Posted: May 21, 2010

Pain management for older adults residing in nursing homes continues to present multifaceted challenges to health care practitioners and researchers. This study, which focuses on improvement in pain assessment and management, is a secondary analysis of data from a larger study, which used an intervention simultaneously directed at all levels of staff with change in quality measure (QM)/quality indicator (QI) scores to determine improvement in resident outcomes. We anticipated that focused improvement efforts in resident care regarding pain management would be reflected by correspondingly lower QM/QI scores over time. Findings of increased QM/QI scores may be positive in that they may point to increased attention by staff regarding pain management for residents.

doi:10.3928/00989134-20100504-07