Exploring the Face Validity of the Pain Numeric Rating Scale Among Healthcare Providers

Link, Peyton; Venkatachalam, Aardhra M.; Aguilera, Veronica; Stutzman, Sonja E.; Olson, DaiWai M.

doi:10.1097/jnn.0000000000000600

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…Using a numeric tool enhances patient-nurse communication, enabling patients to clearly express their pain intensity and the need for pain medication, which may or may not assist nurses in increasing their understanding of both the physiological and behavioral responses of patients to pain. 30 However, the percentage of nurses reporting the use of a numeric tool in this study was quite low, even lower than those reported in other settings. 17,25 Thus, encouraging the frequent use of numeric rating tools among nurses should be prioritized in future interventions.…”

Section: Discussioncontrasting

confidence: 73%

“…It is understandable that nurses with a higher level of education and who are frequently reading pain resources have more knowledge regarding pain management and are more likely to implement it to their current practice. Using a numeric tool enhances patient-nurse communication, enabling patients to clearly express their pain intensity and the need for pain medication, which may or may not assist nurses in increasing their understanding of both the physiological and behavioral responses of patients to pain 30. However, the percentage of nurses reporting the use of a numeric tool in this study was quite low, even lower than those reported in other settings 17,25.…”

Section: Discussioncontrasting

confidence: 55%

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Factors Associated With Knowledge and Attitude Among Vietnamese Nursing Staff Regarding Pain Management in a Vietnam National Hospital

Nga

Giang

Thai

et al. 2022

Journal of Neuroscience Nursing

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BACKGROUND: Nurses play an important role in providing holistic care and effective pain management, which is significantly associated with their knowledge and attitudes. Limited evidence is available from Vietnamese nursing studies evaluating the knowledge and attitudes of nurses toward pain management. The objectives of this study were to evaluate the knowledge and attitudes of Vietnamese nurses and identify factors associated with pain management. METHODS: This study used a descriptive and cross-sectional design and was conducted at a national hospital in Vietnam from May to June 2021. Nurses working in all clinical units were surveyed to collect demographic data and assessed using the structured Knowledge and Attitudes Survey Regarding Pain (KASRP) scale. Multiple linear regression analysis was conducted to identify factors associated with knowledge and attitudes. RESULTS: Two hundred seventy-nine nurses completed the survey, including 152 (54.5%) who read books or journals about pain, 25 (9.0%) who reported the use of unit-based pain guidelines, and 77 (27.6%) who used a numeric rating tool. The mean number of correct answers on the KASRP was 23.34 (mean KASRP correct percentage of 54.9%), and only 16 nurses (5.7%) had passing scores. Having a bachelor's degree or higher, reading books or journals about pain, using a numeric rating tool, and using unit-based pain guidelines were significantly associated with higher KASRP scores (P < .01) among nurses. CONCLUSIONS: The knowledge and attitudes of nurses regarding pain management were far from satisfactory. Regular pain management training, access to pain-related reading materials, and the frequent use of a numeric tool to assess pain intensity are recommended to enhance the quality of care for patients provided by clinical nurses.

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Section: Discussioncontrasting

confidence: 73%

Section: Discussioncontrasting

confidence: 55%

Factors Associated With Knowledge and Attitude Among Vietnamese Nursing Staff Regarding Pain Management in a Vietnam National Hospital

Nga

Giang

Thai

et al. 2022

Journal of Neuroscience Nursing

View full text Add to dashboard Cite

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“…24 Additional face validity can be provided in future studies wherein baseline knowledge (eg, years performing a neurological assessment) are included in data collection. 25 As previously noted, test-takers with varying levels of clinical experience in neuroscience were recruited to participate in the NAT. Construct validity is enhanced if the test is seen to measure the concept (knowledge of neurological assessment) that it is intended to measure.…”

Section: Discussionmentioning

confidence: 99%

Validation of a Novel Neurologic Assessment Test for Healthcare Staff

Doyle,

von Gaudecker,

Techan

et al. 2024

Journal of Neuroscience Nursing

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BACKGROUND: To measure the effectiveness of an educational intervention, it is essential to develop high-quality, validated tools to assess a change in knowledge or skills after an intervention. An identified gap within the field of neurology is the lack of a universal test to examine knowledge of neurological assessment. METHODS: This instrument development study was designed to determine whether neuroscience knowledge as demonstrated in a Neurologic Assessment Test (NAT) was normally distributed across healthcare professionals who treat patients with neurologic illness. The variables of time, knowledge, accuracy, and confidence were individually explored and analyzed in SAS. RESULTS: The mean (standard deviation) time spent by 135 participants to complete the NAT was 12.9 (3.2) minutes. The mean knowledge score was 39.5 (18.2), mean accuracy was 46.0 (15.7), and mean confidence was 84.4 (24.4). Despite comparatively small standard deviations, Shapiro-Wilk scores indicate that the time spent, knowledge, accuracy, and confidence are nonnormally distributed (P < .0001). The Cronbach α was 0.7816 considering all 3 measures (knowledge, accuracy, and confidence); this improved to an α of 0.8943 when only knowledge and accuracy were included in the model. The amount of time spent was positively associated with higher accuracy (r 2 = 0.04, P < .05), higher knowledge was positively associated with higher accuracy (r 2 = 0.6543, P < .0001), and higher knowledge was positively associated with higher confidence (r 2 = 0.4348, P < .0001). CONCLUSION: The scores for knowledge, confidence, and accuracy each had a slightly skewed distribution around a point estimate with a standard deviation smaller than the mean. This suggests initial content validity in the NAT. There is adequate initial construct validity to support using the NAT as an outcome measure for projects that measure change in knowledge. Although improvements can be made, the NAT does have adequate construct and content validity for initial use.

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Effectiveness of a novel multicomponent treatment in women with fibromyalgia: A randomized clinical trial

Araya-Quintanilla,

Álvarez-Bueno,

Cavero-Redondo

et al. 2024

British Journal of Pain

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Background Multicomponent treatment is commonly used. However, there are no studies that included graded motor imagery and therapeutic neuroscience education to multicomponent treatment for patients with fibromyalgia This study aims to compare the short-term effects (at 12 weeks) of a multicomponent treatment combined with graded motor imagery and therapeutic neuroscience education versus standard treatment in patients with FM. Methods The study was a single-blinded randomized controlled trial. Sixty-five women with a clinical diagnosis of FM were randomly allocated (1:1) into two groups. The experimental group ( n = 33) received a novel multicomponent treatment combined with graded motor imagery and neuroscience education. The control group ( n = 32) received a standard treatment including pharmacotherapy and standard physician education. The primary outcome was pain intensity assessed with the Numeric Pain Rating Scale (NPRS). The secondary outcomes were changes in the Fibromyalgia Impact Questionnaire (FIQ), the Pain Catastrophizing Scale (PCS), the Tampa Scale of Kinesiophobia (TSK-17), and the Pittsburgh Sleep Quality Index (PSQI) scores. All outcomes were assessed at baseline and 12 weeks. Results All of the participants completed the trial. The between-group mean differences at 12 weeks were: NPRS-1.18 points (95% confidence interval [CI] -0.4 to -1.8; η2 = 0.47; p < .001); FIQ-16.21 points (95% CI -10.9 to -22.1; η2 = 0.58; p < .001); PCS total domain −12.5 points (95% CI -7.2 to -17.8; η2 = 0.61; p < .001); TSK-17-6.15 points (95% CI -3.5 to -8.7; η2 = 0.52; p < .001); and PSQI-2.74 points (95% CI -1.4 to 4.0; η2 = 0.54; p < .001). All differences were statistically significant in favor of the novel multicomponent treatment group and had a large effect size. Conclusions In the short term, a novel multicomponent treatment, including graded motor imagery and neuroscience education, was an effective therapeutic intervention for improving clinical outcomes compared with standard treatment in women with FM. Additional studies are needed to support long-term clinical effectiveness in these patients.

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Exploring the Face Validity of the Pain Numeric Rating Scale Among Healthcare Providers

Cited by 3 publications

References 24 publications

Factors Associated With Knowledge and Attitude Among Vietnamese Nursing Staff Regarding Pain Management in a Vietnam National Hospital

Factors Associated With Knowledge and Attitude Among Vietnamese Nursing Staff Regarding Pain Management in a Vietnam National Hospital

Validation of a Novel Neurologic Assessment Test for Healthcare Staff

Effectiveness of a novel multicomponent treatment in women with fibromyalgia: A randomized clinical trial

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