Implementation results of the assessment and management of pain guideline within Best Practice Spotlight Organisations (BPSO®)

Vinuesa, M Dolores Saiz; Albornos-Muñoz, Laura; Núñez, Marco; López-García, Maribel; Moreno-Casbas, Teresa; Sánchez, José Ángel González

doi:10.1016/j.enfcle.2020.04.001

Cited by 3 publications

(5 citation statements)

References 20 publications

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“…The RNAO pain guidelines point out that pain management needs to consider the physical and psychological needs of patients, suggesting a person-centered, multifaceted, and comprehensively professional team, and emphasize working with patients to develop appropriate pain-management plans. Saiz Vinue et al [ 3 ] mention, in a 3-year study, that the application of RNAO pain guidelines were able to not only reduce pain intensity and frequency, but also help the nursing staff to record the nursing practice more adequately, and consequently ensure the continuity of patient pain management. Rolin-Gilman et al [ 4 ] verified the effectiveness of RNAO pain guidelines in clinical application to relieve pain in patients.…”

Section: Discussionmentioning

confidence: 99%

“…Instead, separate institutional practice guidelines have been used. RNAO pain guidelines have achieved a decrease in the prevalence and intensity of pain in the clinical setting [ 3 , 4 ]. Therefore, it is necessary to explore multimodal analgesia following the RNAO pain guidelines for postoperative pain management in patients with bone and soft-tissue malignancy.…”

Section: Introductionmentioning

confidence: 99%

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A Case-Control Study of the Effects of Implementing the Registered Nurses’ Association of Ontario Guidelines for the Assessment and Management of Postoperative Pain and the Use of Relaxation Therapy in 312 Patients with Bone and Soft-Tissue Malignancy

Gao

Zhou

et al. 2022

Med Sci Monit

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Background The present study aimed to investigate the effects of implementing the Registered Nurses’ Association of Ontario (RNAO) guidelines for the management of postoperative pain and the use of Jacobson’s relaxation technique (JRT) in patients with bone and soft-tissue malignancy at a single center in China. Material/Methods A total of 312 patients were recruited and randomly divided into 2 groups. In the intervention group, the RNAO pain-management technique of JRT was adopted, while the control group received the standard institutional nursing management. Pain scores after the operation, according to the Numerical Rating Scale (NRS) combined with the Wong-Baker Faces Pain Rating Scale and Short-Form McGill Pain Questionnaire, were compared between the 2 groups. Nursing satisfaction was compared as well. Results At 6, 24, and 72 h after the operation, the NRS scores combined with the Wong-Baker Faces Pain Rating Scale in the intervention group were significantly lower than those in the control group ( P <0.001); 72 h after the operation, the Pain Rating Index, Visual Analogue Scale, present pain intensity, and total scores for the intervention group were significantly lower than those for the control group ( P <0.001 for all 4 scores). The scores reported from the patients for nursing response and consequent care ( P <0.001), nursing competence ( P =0.029), and surgical pain-control satisfaction ( P <0.001) in the intervention group were also significantly higher than those in the control group. Conclusions JRT can improve postoperative pain-control and nursing satisfaction in patients with malignant bone and soft-tissue tumors. These data suggest a benefit for application of JRT in clinical care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Case-Control Study of the Effects of Implementing the Registered Nurses’ Association of Ontario Guidelines for the Assessment and Management of Postoperative Pain and the Use of Relaxation Therapy in 312 Patients with Bone and Soft-Tissue Malignancy

Gao

Zhou

et al. 2022

Med Sci Monit

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“…However, the satisfaction of patients with the information they received and the comments in the questionnaire suggest that the nurses did educate the patients about pain even though they did not record this. The lack of recording seems to be a problem in assessing compliance with evidence-based criteria in other studies, with the lack of appropriate recording systems to record data being one of the main barriers 14–16 …”

Section: Discussionmentioning

confidence: 99%

“…The lack of recording seems to be a problem in assessing compliance with evidence-based criteria in other studies, with the lack of appropriate recording systems to record data being one of the main barriers. [14][15][16] A remarkable achievement of this project was that it narrowed the gap between pain recorded by nurses and pain reported by patients. In the baseline audit, there was a difference of 2.16 points, while in the follow-up audit, these 2 values were practically the same.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have found that the application of the JBI methodology in PA&M increases nurses' knowledge and awareness of the importance of pain assessment, improving its assessment and recording. [14][15][16] It would be interesting to investigate whether the discrepancy between pain recorded by nurses and pain reported by patients also occurs in other units when the JBI methodology is applied.…”

Section: Discussionmentioning

confidence: 99%

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Pain assessment and management among adult patients in a gynecology ward: a best practice implementation project

Bernués-Caudillo,

Albornos-Muñoz,

Rodrigo

et al. 2023

JBI Evidence Implementation

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Objectives: This project aimed to improve compliance with evidence-based practice in pain assessment and management in a gynecology ward. Introduction: Effective pain control is important to prevent the negative consequences of pain that is poorly managed. However, it remains undervalued and inadequately treated. Applying evidence-based practices to correctly evaluate and manage pain is essential to improve pain relief. Methods: This project followed the JBI Evidence Implementation Framework. A baseline audit of 41 women admitted to the gynecology ward was conducted and measured against 5 best practice criteria, along with a patient satisfaction questionnaire. Targeted strategies were then implemented and a follow-up audit was conducted using the same criteria, methods, and sample size as the baseline audit. Results: The baseline audit revealed gaps between current and best practice. Barriers to implementation were identified and strategies to resolve the barriers were designed and implemented (nurse education, informative materials, electronic patient records system improvements). Comprehensive pain assessment, including dynamic and static pain assessment, use of a validated tool, and education provided to patients and carers, improved in the follow-up audit. There was no change in patient satisfaction levels; however, the discrepancy between pain measured by nurses and pain measured by patients was reduced. Conclusions: The JBI methodology was useful in improving compliance with evidence-based practice criteria. It also facilitated adaptation to new barriers, such as the COVID-19 pandemic. Improving nurses’ knowledge of pain assessment can lead to more accurate assessment. Inadequate records systems also made it difficult to record the care that was provided. Subsequent audits will assess sustainability and the project will be escalated to other wards.

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Effectiveness of a best practice guideline to manage pain in surgical patients

Córcoles-Jiménez

Ruiz-García

Herreros-sáez

et al. 2021

Applied Nursing Research

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Implementation results of the assessment and management of pain guideline within Best Practice Spotlight Organisations (BPSO®)

Cited by 3 publications

References 20 publications

A Case-Control Study of the Effects of Implementing the Registered Nurses’ Association of Ontario Guidelines for the Assessment and Management of Postoperative Pain and the Use of Relaxation Therapy in 312 Patients with Bone and Soft-Tissue Malignancy

A Case-Control Study of the Effects of Implementing the Registered Nurses’ Association of Ontario Guidelines for the Assessment and Management of Postoperative Pain and the Use of Relaxation Therapy in 312 Patients with Bone and Soft-Tissue Malignancy

Pain assessment and management among adult patients in a gynecology ward: a best practice implementation project

Effectiveness of a best practice guideline to manage pain in surgical patients

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