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Association Between Modifiable Structural and Process Factors and the Quality Indicator Pain in Nursing Home Residents: A MultiCentre Cross‐Sectional Survey

Year: 2024

Type: article

Abstract: AIM(S): The aim of this study is to examine the association between modifiable structural and process factors and self-reported as well as observed pain in Swiss residential long-term care residents. DESIGN: Sub-study of a multicentre cross-sectional survey. METHODS: Institution, unit, and staff data were collected from September 2018 to October 2019 in 118 residential long-term care institutions in Switzerland's German- and French-speaking regions using paper questionnaires. Resident data were exported during the same period from routine data sets. RESULTS: In this study, 6213 residents from 86 residential long-term care institutions were included. Modifiable structural factors such as institutions having access to geriatricians, nursing experts and a palliative care team, the presence of a pain guideline on the unit and good teamwork among care workers were associated to less pain in residents. CONCLUSION: It is possible for residential long-term care institutions to improve pain in residents and to optimise the quality of care by providing access to geriatricians, nursing experts and a palliative care team, working with a pain guideline and fostering teamwork. IMPLICATION FOR THE PROFESSION AND/OR PATIENT CARE: Residential long-term care institutions can modify and implement modifiable structural factors which can reduce pain in residents to optimise residents' quality of life and quality of care. IMPACT: Improved pain management in residential long-term care institutions can lead to optimised quality of care and quality of life for individual residents. REPORTING METHOD: STROBE checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Source: Journal of Advanced Nursing

DOI: 10.1111/jan.16567

Authors: Simone Baumgartner‐Violand, Thekla Brunkert, Sinéad Cassidy, Catherine Blatter, Lauriane Favez, Franziska Zúñiga

Institutions: University of Basel, University of Lucerne, HES-SO University of Applied Sciences and Arts Western Switzerland, Haute école d'ingénierie et de gestion du canton de Vaud, HES-SO Haute Ecole Spécialisée de Suisse Occidentale

Language: English

Topic: Geriatric Care and Nursing Homes

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $5,190