Doctor of Nursing Practice (DNP)
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College of Nursing
Publication Date / Copyright Date
Nova Southeastern University
Lyn Marie Peugeot. 2019. Increasing Hospice Nurses’ Knowledge and Improving Attitudes on Pain Assessment in Dementia Patients. Capstone. Nova Southeastern University. Retrieved from NSUWorks, College of Nursing. (75)
Background: Patients with dementia have difficulty articulating pain due to cognitive deficits incommunication, sensation, and overall physical decline due to the aging and disease process. Patients who have dementia are considered at-risk for uncontrolled pain due to under-assessment, under-treatment, or untreated pain. Current research notes gaps exist in pain assessment among nurses’ due to knowledgedeficits and attitudes on pain assessment for dementia patients. Barriers regarding the utilization of evidence-based behavioral pain assessment tools are related to nurses’ knowledge deficit and skills competency.
Purpose: The purpose of this evidence-based practice (EBP) project was to increase hospice nurses’ knowledge and improve attitudes on pain assessment in dementia patients by implementing an EBP training program on utilizing the Pain Assessment in Advanced Dementia Scale (PAINAD).
Theoretical Framework: Knowledge to Action Model
Methods: A before and after project design with pre-test/post-test measurements was used to determine whether providing an EBP training on utilizing the PAINAD Scale for pain assessment increased hospicenurses’ knowledge and improved attitudes on pain assessment in dementia patients.
Results: Comparison of pre-test/post-training measures demonstrated a small increase in hospice nurses’ knowledge and a significant increase in attitudes on assessing pain in dementia patients.
Conclusion: EBP training programs utilizing the PAINAD Scale improves hospice nurses’ attitudes onpain assessment in dementia patients. Positive changes in attitude should enhance hospice nurses’ ability and willingness to assess and manage pain in patients with dementia.
Dementia, End-of-life, Hospice, Hospice nurses, Pain assessment; Pain assessment in advance Dementia (PAINAD)
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