Improving Pain Management in Nursing Homes: A Research Project to Enhance Care Practices

NCT06984042 | Completed

• 1 other identifier: 0084_GERIATRIE
• Study Type: observational
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to improve the way pain is managed in nursing homes. It focuses on training staff, creating better systems to track pain, and involving residents and their families in decision-making. The goal is to provide better, more personalized care for residents, making sure their pain is properly managed and that the staff is well-equipped to support them.

Conditions

Pain Management; Nursing Homes; Elderly; Pain; Health Care Quality, Access, and Evaluation; Patient-Centered Care

Outcome Measures

Primary Outcomes (1)

• Proportion (%) of residents with regular documentation of pain assessment in the Electronic Health Record

  Over a 4-month study period (from June to October 2024).

Study Arms (3)

Residents of EHPAD

2 residents

Family or close

2 family members or close

Healthcare professionals

1 psychologist, 1 head of department, 1 health manager, 2 IDE, 2 AS, 2 AVS and 1 quality engineer.

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population will be selected from three main groups associated with nursing homes (EHPADs): Residents aged 60 years or older, who have been living in the EHPAD for at least 3 months and are experiencing chronic or acute pain requiring regular management. These residents must be capable of giving informed consent and willing to participate in semi-structured interviews. Family members or close relatives of residents, who are regularly involved in the resident's life and support, and who are willing and able to participate in interviews and discussions related to the study. Healthcare professionals working in the EHPAD, including registered nurses (IDE), nursing assistants (AS), care support staff (AVS), nurse managers, department heads, psychologists, and quality engineers. Participants must be directly involved in care or organizational activities, and available to take part in the full scope of the study.

You may qualify if:

• For residents:
• Aged 60 years or older
• Living in the nursing home (EHPAD) for at least 3 months
• Presence of chronic or acute pain requiring regular management
• Willing to participate in a semi-structured interview
• Provided informed and signed consent to participate in the study
• For family members or close relatives:
• Family member or close relative who visits the resident regularly
• Actively involved in the resident's care or support
• Willing to participate in a semi-structured interview
• Provided informed consent to participate in the study
• For healthcare professionals:
• Registered nurses (RN), nursing assistants (NA), or support staff (AVS) involved in professional practice analysis groups
• Nurse managers, department heads, psychologists of the nursing home, or the hospital's quality engineer participating in semi-structured interviews
• Voluntary participation with informed and signed consent

You may not qualify if:

• For residents:
• Under 60 years of age
• Living in the nursing home for less than 3 months
• Absence of pain requiring regular management
• Cognitive impairment preventing participation in interviews
• Refusal or inability to participate in discussion and exchange sessions
• Unwillingness to take part in a semi-structured interview
• Inability to provide informed and signed consent
• Resident in end-of-life care
• For family members or close relatives:
• Family member or relative with infrequent contact with the resident
• Refusal or inability to participate in discussion and exchange sessions
• Refusal to sign informed consent for participation
• Unwillingness to take part in a semi-structured interview
• For healthcare professionals:

Sponsors & Collaborators

• Centre Hospitalier de Gonesse: lead

Study Sites (1)

France

Gonesse, France

Location

MeSH Terms

Conditions

Agnosia; Pain

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 14, 2025
• First Posted: May 22, 2025
• Study Start: July 20, 2024
• Primary Completion: November 20, 2024
• Study Completion: November 20, 2024
• Last Updated: May 22, 2025

Record last verified: 2025-05

Locations

FR (1)