Challenges faced by nurses in using pain assessment scale in patients unable to communicate: a qualitative study

Deldar, Kolsoum; Froutan, Razieh; Ebadi, Abbas

doi:10.1186/s12912-018-0281-3

Cited by 46 publications

(78 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Poor attitude of nurses leads to a lack of pain perception in unconscious patients and the lack of the implementation of a nonverbal pain scale. Poor knowledge of nurses also results in unfamiliarity with the implementation of nonverbal pain scales, inability to clinically use pain scale (23) and inadequate pain control (24). Pain management is, thus, considered a prerequisite knowledge for nurses (19).…”

Section: Introductionmentioning

confidence: 99%

Effect of Comprehensive Pain Management Training Program on Awareness and Attitude of ICU Nurses

et al. 2020

View full text Add to dashboard Cite

Background: Pain is one of the main complaints of many patients in intensive care units. However, most nurses and physicians are unable to properly monitor and relieve pain in these patients. Factors such as patients' inability to describe their pain and insufficient knowledge of nurses and physicians have made pain management difficult. Given that the knowledge and attitude of nurses play an important role in the effective implementation of the pain management process, this study aimed to investigate the effect of comprehensive pain management training program on the awareness and attitude of intensive care unit nurses. Methods: This quasi-experimental single-group study was conducted in two phases (pre and post-intervention) to investigate the awareness and attitude of all nurses employed in the intensive care unit of Tehran Modarres Hospital, based on the determined inclusion and exclusion criteria. In the pre-intervention phase, the awareness and attitudes of the nurses were assessed using a questionnaire. After conducting the pain management training course, an executive program and algorithm were implemented for pain management in ICUs. Then, the nurses' awareness and attitude toward pain management were assessed again. Finally, changes in the scores of the nurses' awareness and attitude were analyzed by SPSS V. 22 software in two phases before and after applying the interventions using the Wilcoxon test. The relationship between some demographic variables and the level of awareness and attitude of nurses was also investigated using the Kruskal-Wallis and Mann-Whitney tests. Results: The results of this study indicated that the mean score of the nurses' awareness was significantly different in pre-and postintervention phases (P < 0.05). Despite an increase in the post-intervention mean score of the nurses' attitude (71.03), no statistically significant change was observed. Additionally, among the demographic variables, there was only a significant relationship between the nurses' job experience in ICUs and their attitudes. Conclusions: Based on the results of this study, teaching and implementing a comprehensive program for pain management can play an effective role in promoting the nurses' awareness. Therefore, it is proposed to use pain management models to improve the nurses' knowledge and attitude toward pain management in ICU patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of Comprehensive Pain Management Training Program on Awareness and Attitude of ICU Nurses

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Despite the high prevalence of pain among mechanically-ventilated patients, there is a lack of effective pain control in these patients, maybe due to insufficient staff training and skills [18,[25][26][27]. We, therefore decided to provide ICU nurses with the necessary knowledge and skills to use observational pain assessment tools and evaluate the outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Although several pain assessment tools are available to nurses and the use of reliable behavioral scales is highly recommended for detecting pain in intubated patients, these scales are rarely used in practice [ 12 , 16 , 17 ]. One of the underlying causes of this deficiency is that nursing staff are not usually equipped with adequate training and skills and do not follow a routine pain management protocol [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Continuing nursing education: use of observational pain assessment tool for diagnosis and management of pain in critically ill patients following training through a social networking app versus lectures

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Nursing staff training in using observational pain assessment tools is highly important to improve the assessment of pain. The present study was conducted to examine the effect of two different training methods (lectures vs. a social networking app) on the diagnosis and management of pain in mechanically-ventilated patients. Methods: This quasi-experimental study was conducted on 70 nurses working in two Intensive Care Units (ICU) in Mashhad, Iran. The nurses were trained in the application of observational pain assessment tools by lectures or through a social networking app. Before and after the intervention, the nurses' performance was evaluated in both groups using a checklist based on Critical-Care Pain Observation Tool (CPOT). Results: In the pre-intervention phase, the nurses' performance scores in the domains of pain diagnosis and pain management were not significantly different between the two groups (P > 0.05). Following the intervention, the mean score of pain diagnosis was 82 ± 19 in the lecture group and 97 ± 8 in the social networking app group (P < 0.01), and the mean pain management scores were 30 ± 17 and 90 ± 18 (P < 0.01), respectively. Conclusion: This study showed that learning through a social networking app led to improved diagnosis and management of pain in mechanically-ventilated patients when compared with lectures. Training through social networking applications can therefore be considered as a feasible instructional method for developing nurses' pain management skills.

show abstract

“…The scarcity of studies about this theme in adults is accompanied by the difficulty to establish a pain assessment routine in ICU. A recently published qualitative study 134 analyzes the challenges faced by nurses when using pain assessment scales for patients unable to communicate. Difficulties reported in this study were “forgotten priority”, “organizational barriers”, “attitudinal barriers” and “barriers to knowledge”, 134 which represents internal (personal) and external (daily routine) reasons for a low quality pain evaluation.…”

Section: Discussionmentioning

confidence: 99%

Pain measurement techniques: spotlight on mechanically ventilated patients

Azevedo-Santos¹,

DeSantana²

2018

JPR

View full text Add to dashboard Cite

BackgroundProcedural pain is a frequent problem in intensive care units (ICUs). For that, pain assessment has been increasingly introduced to the ICU professional’s routine, and studies have been developed to show the relevance of measuring pain in critically ill patients.ObjectiveThis review aimed to describe pain measurement techniques for mechanically ventilated adult patients based on evidence and already published.MethodSystematic literature search was performed on PubMed and Google Scholar. Keywords “pain”, “pain measurement”, “intensive care units” and “respiration, artificial” were combined to the Boolean operator AND. No language or publication year was limited in this search. The purpose and method of all papers were analyzed and only studies which described pain assessment in mechanically ventilated patients were included in this review.ResultsObjective methods were found in the literature to assess pain in mechanically ventilated adults. Behavioral scales were the most used method for pain measurement in noncommunicative patients. Vital signs were used, but the reliability of this method was questioned. Pupillometry, bispectral index and skin conductance were found and described as pain assessment methods.ConclusionThis review showed that objective measures, as behavioral scales, are the gold standard tools to measure pain intensity in noncommunicative subjects. These data contribute to professionals’ knowledge about ICU pain measurement and emphasize its importance and consequences for adequate pain management.

show abstract

Challenges faced by nurses in using pain assessment scale in patients unable to communicate: a qualitative study

Cited by 46 publications

References 52 publications

Effect of Comprehensive Pain Management Training Program on Awareness and Attitude of ICU Nurses

Effect of Comprehensive Pain Management Training Program on Awareness and Attitude of ICU Nurses

Continuing nursing education: use of observational pain assessment tool for diagnosis and management of pain in critically ill patients following training through a social networking app versus lectures

Pain measurement techniques: spotlight on mechanically ventilated patients

Contact Info

Product

Resources

About