Purpose: The purpose of this interprofessional, patient-centered project was to implement a unit-based 6-component evidence-based pain management bundle (PAIN-X Therapy) to improve medical-surgical patients’ perception of pain care quality, 24-hour pain experience outcomes, and opioid usage.
Background/significance: Pain in the United States is a public health crisis. Inadequate and undertreatment of pain among hospitalized adults potentially contributes to chronic pain syndromes and opioid dependency. There is some evidence to support a benefit in pain care quality associated with using a bundle that includes non-pharmacologic options. Pain care bundling 1) actively engages patients as a treatment partner, 2) applies complementary and conceptually aligned components, and 3) improves patients’ ability to cope with pain.
Conclusions/implications: Intervention group participants did not perceive an increase in pain care quality compared to those in the control group. However, intervention group participants reported a higher % relief from pain medications and an increased ability to cope with pain than the control group. Continuation of the study is warranted to test the causal link between PAIN-X therapy and pain-related outcomes, including the impact of intervention fidelity and confounding variables such as unit staffing characteristics.