STUDY PROTOCOL Open Access A cluster randomized clinical trial to evaluate the effectiveness of the Implementation of Infant Pain Practice Change (ImPaC) Resource to improve pain practices in hospitalized infants: a study protocol Mariana Bueno 1 , Bonnie Stevens 1,2* , Melanie A. Barwick 1,3,4 , Shirine Riahi 1 , Shelly-Anne Li 1,2 , Alexa Lanese 1 , Andrew R. Willan 1,4 , Anne Synnes 5 , Carole A. Estabrooks 6 , Christine T. Chambers 7 , Denise Harrison 8 , Janet Yamada 9 , Jennifer Stinson 1,2 , Marsha Campbell-Yeo 10 , Melanie Noel 11,12 , Sharyn Gibbins 13 , Sylvie LeMay 14 and Wanrudee Isaranuwatchai 15,16 Abstract Background: Hospitalized infants undergo multiple painful procedures daily. Despite the significant evidence, procedural pain assessment and management continues to be sub

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