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Pain Assessment for Nursing Home Residents

A Systematic Review Protocol

Dirk, Kennedy; Rachor, Geoffrey S.; Knopp-Sihota, Jennifer A.

doi: 10.1097/NNR.0000000000000348
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Background The burden of pain in nursing homes is substantial; however, pain assessment for both acute and chronic conditions remains inadequate, resulting in inappropriate or inadequate treatment. Complexities in assessing resident pain have been attributed to factors (barriers and facilitators) arising at the resident, healthcare provider, and healthcare system levels.

Objectives In this systematic review protocol, we identify our research approach that will be used to critically appraise and synthesize data in order to assess barriers and facilitators to pain assessment in nursing home residents aged ≥65 years.

Methods This is a Cochrane style systematic review protocol adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Protocols reporting standards. This review will include primary (original) qualitative literature concerning either barriers or facilitators to pain assessment in older adult nursing home residents. A thematic analysis approach will be employed in collating and summarizing included data and will be categorized into resident, healthcare provider, and system-level factors. Database searches will include Abstracts in Social Gerontology, CINAHL, Cochrane Central Register of Controlled Trials, Embase, MEDLINE, and Web of Science.

Discussion The identification of barriers and facilitators to pain assessment in older adult nursing home residents may assist healthcare providers across all platforms and levels of education to improve pain assessment among nursing home residents. Improving the assessment of pain has the potential to improve quality of care and ultimately quality of life for older adult nursing home residents.

Kennedy Dirk, is Research Assistant, Translating Research in Elder Care (TREC) Program, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.

Geoffrey S. Rachor, BA, is Research Assistant, Translating Research in Elder Care (TREC) Program, Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.

Jennifer A. Knopp-Sihota, PhD, NP, is Associate Professor, Faculty of Health Disciplines, Athabasca University; Associate Adjunct Professor, University of Alberta; and Co-Investigator, Translating Research in Elder Care (TREC) Program, University of Alberta, Edmonton, AB, Canada.

Accepted for publication October 14, 2018.

The authors have no conflicts of interest to disclose.

Funding for this protocol was provided by the Alzheimer Society of Canada: Alzheimer Society Research Program ($120,000).

Ethical conduct of research: This is a systematic review protocol; ethical clearance was not required.

Systematic review registration: PROSPERO CRD42018105007

Corresponding author: Jennifer Knopp-Sihota, NP, PhD, Faculty of Health Disciplines, Athabasca University, 1 University Drive, Athabasca, Alberta, Canada T9S 3A3 (e-mail: jknopp@athabascau.ca).

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.nursingresearchonline.com).

Online date: February 15, 2019

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