Barriers to change: A pain management project

Dorothy Y. Brockopp, Gene Brockopp, Sherry Warden, John Wilson, Janet S. Carpenter, Barbara Vandeveer

Research output: Contribution to journalArticle

46 Scopus citations


Although considerable effort has been directed toward improving the management of acute pain, ineffective pain management practices remain in many institutions across this country. While educational efforts have increased health care providers' knowledge regarding the management of pain, a concomitant change in practice has not occurred. This project was designed to examine barriers to the effective management of pain encountered in acute care settings. A repeated case study of attempts to change was conducted in six institutions located in the southeastern United States. Results identified seven major barriers to pain management: lack of knowledge, non-facilitative attitudes, inconsistent leadership, poor working relationships, cultural and religious biases, physicians' fears of legal repercussions and a lack of resources.

Original languageEnglish (US)
Pages (from-to)226-232
Number of pages7
JournalInternational Journal of Nursing Studies
Issue number4
StatePublished - Aug 15 1998
Externally publishedYes


  • Attitudes
  • Barriers to change
  • Bias
  • Knowledge
  • Leadership
  • Liability
  • Pain management

ASJC Scopus subject areas

  • Nursing(all)

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    Brockopp, D. Y., Brockopp, G., Warden, S., Wilson, J., Carpenter, J. S., & Vandeveer, B. (1998). Barriers to change: A pain management project. International Journal of Nursing Studies, 35(4), 226-232.