Making it Happen: How Clinicians Are Improving Pain Practices on the Frontline

Last modified by Ann Watkins on 2016/04/07 17:50


Advances in pediatric pain research, guidelines, and clinical decision-making models are readily available, but they are not effectively translated into clinical practice and large numbers of hospitalized children continue to experience moderate or severe pain on a regular basis.

The CIHR Team in Children’s Pain brought together 32 hospital units at 8 pediatric hospitals across Canada to narrow the gap between research and practice, by implementing a tailored KT intervention, called Evidence-based Practice for Improving Quality (EPIQ). The goal of the intervention was to improve pain practices and decrease pain in hospitalized children. In the 16 units in which EPIQ was implemented, different KT strategies were applied to improve pain assessment and management practices. In these units, pain practices significantly improved in comparison to the 16 units that continued with standard care.

Join us to learn about bringing pain knowledge to the bedside and explore such questions as: 

  1. How do you choose the right KT strategies for your clinical setting? 
  2. How can KT strategies be tailored to your unit’s needs?
  3. What are the benefits and the challenges of using KT strategies to change pain practices?
  4. How do you evaluate the impact of KT on pain practices and outcomes? 

This is the 5th webinar in the CIHR Team in Children’s Pain (PI: Dr. Bonnie Stevens) and CAPHC’s successful Pediatric Pain Series. In this webinar, KT and pain experts and Nurses share their perspectives and experiences of the use of multidimensional knowledge translation (KT) strategies to improve pediatric pain practices and provide examples of strategies used during the EPIQ intervention. Join Dr. Kimberley Widger, Dr. Melanie Barwick, Kathy O’Leary and others, as we explore the practical aspects of applying KT strategies in pediatric care settings, using the casebook method to share lessons learned on what worked, what didn’t, and the overall impact of knowledge translation on acute pain in hospitalized children. 


1.       Stevens, B., Abbott, L., Yamada, J., Harrison, D., Stinson, J., Taddio, A., Barwick, M., Latimer, M., Scott, S., Rashotte, J., Campbell, F., Finley, G.A., CIHR Team in Children's Pain. (2011). Epidemiology and management of painful procedures in children in Canadian hospitals. CMAJ, 183 (7); E403-410. Published ahead of print: doi: 10.1503/cmaj.101341.

2.     Stevens B, Harrison D, Rashotte J, Yamada J, Abbott L, Coburn G, Stinson J, LeMay S, CIHR Team in Children's Pain. Pain Assessment and Intensity in Hospitalized Children in Canada.  Journal of Pain (in press)



Examples of Casebooks:

p  2006: CIHR-Institute for Health Services and Policy Research Knowledge translation (KT) casebook - Evidence in Action, Acting on Evidence: A casebook of health services and policy research knowledge translation stories  highlights cases from across Canada that focus on lessons learned from both successful, and less than successful, KT activities. Retrieved from


p  2006: CIHR –Institute of Population and Public Health, in partnership with the Canadian Population Health Initiative, produced a KT casebook focusing on population and public health research - Moving population and public health knowledge into action: A casebook of knowledge translation storiesRetrieved from


p  2011: Saskatchewan Public Health and Evaluation Unit (SPEHRU) produced Innovations in Knowledge Translation: the SPHERU KT Casebook to provide a toolkit of different KT strategies, actions, and evaluations to highlight concrete examples and best practices in knowledge translation. Retrieved from


p   2010:  “Knowledge Translation to Improve Quality of Cancer Control in Canada: What we know and what is next” funded and supported by the Ontario Institute for Cancer Research (OICR) and the Canadian Partnership Against Cancer (CPAC). The project comprised five specific modules to provide a synthesis and overview of the effectiveness of knowledge translation (KT) strategies for cancer control.

Retrieved from


p  2010: “Bridging the Gap: Knowledge Translation in Alberta” was produced by the Research Transfer Network of Alberta (RTNA) and provides important research and practice-based accounts of knowledge translation in Alberta, the barriers faced, and keys to success The Casebook involves a diverse set of creative research and knowledge translation initiatives, with different populations, stakeholders, and settings. Retrieved from


p  2011: “Interdisciplinary Teams – Making Research Make A Difference” is RNTA’s second casebook. The second in a series produced by Alberta Innovates – Health Solutions, this casebook showcases knowledge translation activities of the Interdisciplinary Team Grant program .Retrieved from


  • Kimberley Widger, RN, PhD, CHPCN(C)
    Kim is a post doctoral research fellow at the Hospital for Sick Children and Lawrence S. Bloomberg Faculty of Nursing, University of Toronto. She is currently working with Dr. Bonnie Stevens. Kim’s research focuses on knowledge translation and end-of-life pain management for children. She was previously a Clinical Nurse Specialist with the Pediatric Palliative Care Service at IWK Health Centre, Halifax.

  • Melanie Barwick, PhD, CPsych  
    Melanie is a Registered Psychologist and Associate Scientist at the Hospital for Sick Children, Toronto.  She is Scientific Director of Knowledge Translation at the hospital and is affiliated with both the Learning and Research Institutes. Melanie’s program of research focuses on implementation science and knowledge translation. She is an Associate Professor in the Department of Psychiatry and the Dalla Lana School of Public Health, University of Toronto. 

  • Kathy O'Leary, BA, BScN, MN
    Kathy  is the Clinical Research Nurse Coordinator at Stollery Children’s Hospital, Edmonton. She has worked with the CIHR Team in Children’s Pain and the Evidence in Child Health to Enhance Outcomes research team since 2007. Throughout her career as a Research Nurse, Kathy has been involved in a number of projects focused on improving the quality of care in acute pediatric healthcare settings and the timely dissemination of healthcare evidence.
  • Deepshikha G. Wilson, BSc, MN, RN
    Deepshikha is a Clinical Research Nurse Coordinator at the BC Children’s Hospital, Vancouver.  She has worked with the CIHR Team in Children's Pan and the CIHR Team in Maternal-Infant Care since 2010. Deepshikha is now a Clinical Research Nurse for the Best Practices: Parent/Provider Interactions in Pediatrics project. She recently received her Master’s of Nursing degree from the University of Victoria.
Created by Doug Maynard on 2012/05/01 17:38