2A Implementation of a Primary Care Based Interdisciplinary Approach Insights

2a implementation of a primary care based

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2A Implementation of a Primary Care-Based, Interdisciplinary Approach: Insights from the Interdisciplinary Team Lindsay Lancaster Benes, PhD, RN, CNS University of Portland Pain Management Nursing, Vol 19, No 2 (April), 2018: pp 92-114 94 Meeting Abstracts
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PURPOSE Evidence demonstrates that optimal management of complex, chronic pain must be patient-centered, interdisciplinary, evi- dence-based, foster skill development that enhances confi- dence in core self-management skills, and embedded within primary care. The Pain Program for Active Coping and Training (PPACT), a multi-site pragmatic clinical trial, exem- plifies this approach by placing nurses and behavioral health specialists at the center of an interdisciplinary team, who uti- lized the aforementioned approaches in collaboration with primary care providers. The current investigation aims to examine insights from the interdisciplinary team implement- ing this work. Approval by Kaiser Permanente’s Center for Health Research IRB. METHOD As part of the PPACT study, members of the interdisciplinary team (n ¼ 16; 8 nurses, 7 behavioral specialists, 1 physical ther- apist) completed written field notes throughout the study speaking to multiple aspects of implementation and work with patients and providers. Four of those individuals also participated in in-depth qualitative interviews. RESULTS Recurrent themes revealed that the power of the interdisci- plinary team is more than the sum of its parts. Interventionists spoke to their growth as clinicians; shifting their frame of work with patients and navigating patient complexities in a manner that centered around patient need, while consistently reinforc- ing the embedment of skills within the patient’s lifestyle. Pa- tient success and empowerment was a strong motivator for both patients and interventionists. Interdisciplinary collabora- tion within the healthcare system was not automatically seam- less among all disciplines, necessitating a mindful approach to integration. A common theme revealed that while the organi- zation desires change, it does not want the current system disrupted. CONCLUSION Placing nurses and behavioral specialists at the center of an interdisciplinary team offers a collaboratory approach which facilitates growth within the patient, clinician, and system. In- sights gained here can foster progress towards achieving a more integrated, patient-centered approach to chronic pain management. Grant: UH3NS088731 NIH Common Fund 2B Beyond the Opioids: What Matters Most to People Frequenting Emergency Departments for Pain-related Complaints Marian Wilson, PhD, MPH, RN-BC Washington State University PURPOSE Current recommendations are that emergency department licensed practitioners not prescribe opioids to treat long- term painful conditions. Individuals seeking pain relief from emergency departments pose challenges to providers who feel pressured to meet patient satisfaction benchmarks while following opioid prescribing guidelines. An IRB-approved quantitative study was conducted to understand more about how patients with high utilization of the emergency depart- ment for pain relief rate their hospital experience. The primary
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