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

J Nurs Manag. 2007 Nov;15(8):825-9. doi: 10.1111/j.1365-2934.2007.00761.x.


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.

Publication types

  • Evaluation Study

MeSH terms

  • Attitude of Health Personnel*
  • Chronic Disease
  • Hospitals, Community / statistics & numerical data
  • Humans
  • Leadership
  • Models, Nursing*
  • Musculoskeletal Diseases / nursing*
  • Nurse Clinicians / organization & administration*
  • Nurse's Role / psychology
  • Nursing Audit
  • Nursing Evaluation Research
  • Nursing Methodology Research
  • Organizational Objectives
  • Pain Clinics / organization & administration*
  • Patient-Centered Care / organization & administration
  • Personnel, Hospital / psychology*
  • Professional Competence / standards
  • Program Development
  • Program Evaluation
  • Qualitative Research
  • Referral and Consultation / statistics & numerical data
  • Retrospective Studies
  • Surveys and Questionnaires