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Developing a new model of care for patients with chronic musculoskeletal pain

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ryan s., hassell a., thwaites c., manley k. & home d.(2007) Journal of Nursing Management15, 825–829



Developing a new model of care for patients with chronic musculoskeletal pain Aim 

To evaluate the impact of a nurse consultant in developing a new model of care for patients with chronic musculoskeletal pain. Background 

Patients with chronic musculoskeletal pain experience fragmented care and long waits to have their symptoms assessed [ Clinical Standards Advisory Group (2000) Services for Patients with Pain. Department of Health, London ]. A nurse consultant post was created to implement a chronic musculoskeletal pain service and prevent inappropriate referrals to other services. Methods 

Seven peers participated in a semi-structured, qualitative, audio-taped interview to evaluate the impact of the nurse consultant's role. Data were analysed using content analysis. A retrospective audit of 60 patients was conducted to determine utilization of hospital services following attendance at the pain clinic. Results 

Two main themes were identified from the interview data included: (1) the influence of the nurse consultant in implementing a chronic pain service and (2) the clinical leadership skills of the nurse consultant. The audit demonstrated that majority of patients (n = 53) were utilizing less hospital specialities. Conclusion 

The nurse consultant's role was pivotal in the implementation of the chronic pain service.
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Keywords: nurse-led; pain management

Document Type: Research Article

Affiliations: 1: Nurse Consultant, Rheumatology, Haywood Hospital, Stoke on Trent 2: Rheumatologist, Haywood Hospital, Burslem, Stoke on Trent 3: Lecturer in Rheumatology Nursing, Keele University, Staffordshire 4: Head of Practice Development, Royal College of Nursing Institute, Royal College of Nursing, London, 5: Nurse Consultant, Department of Rheumatology, West Middlesex University Hospital, London, UK

Publication date: 01 November 2007

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