Date of Conferral

3-13-2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Dr. Mark Wells

Abstract

This DNP project is a nurse-led quality improvement initiative that responds to the age-old issue of ineffective pain management in the home healthcare setting. The issue is the absence of standardization in staff education regarding pain assessment and intervention, leading to unfavorable patient outcomes and a reduced quality of life. The purpose of the project is to assess the efficacy of educational interventions delivered by nurses to enhance staff knowledge, confidence, and consistency in the management of pain procedures. The project question is: How effective are nurse-led educational interventions in improving staff knowledge and practices in pain assessment and management, aimed at decreasing patient-reported pain and improving comfort in home healthcare environments compared to routine education or no intervention? Analytic strategies comprise pre- and post-training knowledge testing, patient-reported outcomes, and validated instruments like the Brief Pain Inventory (BPI) checklist. Staff knowledge improved, having a mean score increase from 79.3 on the pretest to 91.4 on the posttest following nurse-delivered training and a normalized learning gain (NLG) of 58.4%. The findings above validate staff training to promote better pain management in the home care setting. My recommendation would be to continue education and make decisions on improvements using the BPI checklist that would improve quality improvement and enhance evidence-based nursing practice that will close health gaps .

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