ArticleBMC health services research2017
The role of organizational context in moderating the effect of research use on pain outcomes in hospitalized children: a cross sectional study.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Implementation of child-centred outcome measures in routine paediatric healthcare practice: a systematic review.Health and quality of life outcomes · 2023Pooled it
- Defining and assessing context in healthcare implementation studies: a systematic review.BMC health services research · 2020Pooled it
- A systematic review of empirical studies examining mechanisms of implementation in health.Implementation science : IS · 2020Pooled it
- Managerial leadership for research use in nursing and allied health care professions: a systematic review.Implementation science : IS · 2018Pooled it
- Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review.Systematic reviews · 2018Pooled it
- Results of the CHlorhexidine Gluconate Bathing implementation intervention to improve evidence-based nursing practices for prevention of central line associated bloodstream infections Study (CHanGing BathS): a stepped wedge cluster randomized trial.Implementation science : IS · 2021Trial
- Bridging Operative Standards to Clinical Practice: A Case Comparison of Synoptic Operative Report Implementation in Breast Cancer Surgery.Annals of surgical oncology · 2026Article
- Strategic Priorities for Implementation of Father-Inclusive Practice in Mental Health Services for Children and Families: A Delphi Expert Consensus Study.Administration and policy in mental health · 2023Article
- "Communicating Lily's Pain": A reflective narrative commentary about co-creating a resource to provoke thinking and change about assessing and managing the pain of children with profound cognitive impairment.Paediatric & neonatal pain · 2022Article
- Article
- The influence of contextual factors on healthcare quality improvement initiatives: a realist review.Systematic reviews · 2020Review
- Validating the Alberta Context Tool in a multi-site Australian Emergency Department nurse population.PloS one · 2019Article
- [Application of the Evidence-based Practice for Improving Quality method in neonatal intensive care units].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018Review
- Developing a Sense of Knowing and Acquiring the Skills to Manage Pain in Children with Profound Cognitive Impairments: Mothers' Perspectives.Pain research & management · 2017Article
- Questionnaires to Measure Process and Structure of Quality Indicators for Pediatric Nursing.Pediatric quality & safetyArticle
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6 authors.
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Abstract
backgroundDespite substantial research on pediatric pain assessment and management, health care professionals do not adequately incorporate this knowledge into clinical practice. Organizational context (work environment) is a significant factor in influencing outcomes; however, the nature of the mechanisms are relatively unknown. The objective of this study was to assess how organizational context moderates the effect of research use and pain outcomes in hospitalized children.
methodsA cross-sectional survey was undertaken with 779 nurses in 32 patient care units in 8 Canadian pediatric hospitals, following implementation of a multifaceted knowledge translation intervention, Evidence-based Practice for Improving Quality (EPIQ). The influence of organizational context was assessed in relation to pain process (assessment and management) and clinical (pain intensity) outcomes. Organizational context was measured using the Alberta Context Tool that includes: leadership, culture, evaluation, social capital, informal interactions, formal interactions, structural and electronic resources, and organizational slack (staff, space, and time). Marginal modeling estimated the effects of instrumental research use (direct use of research knowledge) and conceptual research use (indirect use of research knowledge) on pain outcomes while examining the effects of context.
resultsSix of the 10 organizational context factors (culture, social capital, informal interactions, resources, and organizational slack [space and time]) significantly moderated the effect of instrumental research use on pain assessment; four factors (culture, social capital, resources and organizational slack time) moderated the effect of conceptual research use and pain assessment. Only two factors (evaluation and formal interactions) moderated the effect of instrumental research use on pain management. All organizational factors except slack space significantly moderated the effect of instrumental research use on pain intensity; informal interactions and organizational slack space moderated the effect of conceptual research use and pain intensity.
conclusionsMany aspects of organizational context consistently moderated the effects of instrumental research use on pain assessment and pain intensity, while only a few influenced conceptual use of research on pain outcomes. Organizational context factors did not generally influence the effect of research use on pain management. Further research is required to further explore the relationships between organizational context and pain management outcomes.
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