Applied Nursing Research
Volume 23, Issue 1 , Pages 36-44, February 2010

The unique contribution of the nursing intervention pain management on length of stay in older patients undergoing hip procedures☆

  • Peg Kerr, PhD, RN

      Affiliations

    • University of Iowa College of Nursing, Iowa City, Iowa 52242, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 319 335 7086, 319 981 0387 (cell); fax: +1 319 335 7033.
    • ,
  • Leah Shever, PhD, RN

      Affiliations

    • Department of Nursing Services and Patient Care, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1009, USA
    • ,
  • Marita G. Titler, PhD, RN, FAAN

      Affiliations

    • Department of Nursing Services and Patient Care, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1009, USA
    • ,
  • Rui Qin, PhD

      Affiliations

    • Division of Biostatistics, Mayo Clinic, Rochester, Minnesota 55905, USA
    • ,
  • Taikyoung Kim, MS

      Affiliations

    • University of Iowa, Iowa City, Iowa 52242, USA
    • ,
  • Debra M. Picone, PhD, RN

      Affiliations

    • Department of Nursing Services and Patient Care, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1009, USA

Received 1 November 2007; received in revised form 5 February 2008; accepted 29 March 2008. published online 16 January 2009.

Abstract 

The purpose of this study was to examine the unique contribution of the nursing intervention pain management on length of stay (LOS) for 568 older patients hospitalized for hip procedures. Propensity-score-adjusted analysis was used to determine the effect of pain management on LOS. The LOS for hospitalizations that received pain management was 0.78 day longer than that for hospitalizations that did not receive pain management. Other variables that were predictors of LOS included several context-of-care variables (e.g., time spent in the intensive care unit, registered nurse skill mix, etc.), number of medical procedures and unique medications, and several other nursing interventions.

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☆ This research was supported by a grant from National Institutes of Health (to M. Titler, principal investigator, National Institute of Nursing Research Grant R01NR05331) and, in part, by training Grant T32 NR007957 through The University of Iowa College of Nursing.

PII: S0897-1897(08)00042-6

doi:10.1016/j.apnr.2008.03.007

Applied Nursing Research
Volume 23, Issue 1 , Pages 36-44, February 2010

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