Facilitators and barriers to post-discharge pain assessment and triage: a qualitative study of nurses’ and patients’ perspectives

Table 2 Main strategies to address barriers

Barriers^a	Strategies to Address Barriers
Reaching patients
I/B1: Limitations of follow-up calls	S1: Preparing patients/consumers to be active participants S2: Technology-assisted symptom monitoring
R/B2: Patient-provider disconnection
Coordinating care transition
R/B4: Suboptimal cross-team coordination	S3: Care coordination models and new payment models
EE/B6: Lack reimbursement for cardiology clinics	S3: Care coordination models and new payment models
Providing support for pain care
R/B3: Pain medication misuse	S4: Providing training on screening pain medication misuse S5: Providing resources for pain management S6: Supporting care coordination between PCPs, cardiologists, and pain specialists
ISI/B5: No pain assessment protocol	S7: Developing a pain assessment protocol S8: Incorporating pain screening criteria into EHR

^a Barriers were labeled by PRISM domain/barrier No. PRISM domains: Intervention (I), Recipients (R), Implementation and Sustainability Infrastructure (ISI), and External Environment (EE)

ISSN: 1472-6963