Nurses’ assessment of pain in surgical patients

Sloman, Rod; Rosen, Gila; Rom, Miriam; Shir, Yoram

doi:10.1111/j.1365-2648.2005.03573.x

Cited by 110 publications

(89 citation statements)

References 31 publications

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“…Although he/she often daily checks up on the patients with Patient Controlled Analgesia or epidural analgesia, the Acute Pain Nurse is not as close to the patient as the ward and PACU nurses are. Another possible explanation of the observed differences is that the Acute Pain Nurses are typically aware of the results of several former studies which have repeatedly demonstrated underassessment and undertreatment of postoperative pain (Idvall et al, 2005;Sloman et al, 2005;Zalon, 1993).…”

Section: Discussionmentioning

confidence: 99%

Postoperative pain assessment based on numeric ratings is not the same for patients and professionals: A cross-sectional study

Dijk

Wijck

Kappen

et al. 2012

International Journal of Nursing Studies

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What is already known about the topic?Pain assessment is the foundation of pain management when a patient is experiencing postoperative pain. A frequent and thorough assessment of patients' pain by registered nurses provides information to achieve optimal pain relief. Clinical guidelines are developed for postoperative pain management based on the patient's pain score. In these guidelines different cut-off points are used to treat the pain. What this paper addsPatients and professionals do interpret the numeric rating scores for postoperative pain differently.

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Section: Discussionmentioning

confidence: 99%

Postoperative pain assessment based on numeric ratings is not the same for patients and professionals: A cross-sectional study

Dijk

Wijck

Kappen

et al. 2012

International Journal of Nursing Studies

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“…This might encourage direct assessment of pain (e) rather than reliance on behavioral indicators (Schafheutle et al, 2001), and regular assessment with appropriate pain rating scales (f). given nurses' tendency to under-assess (Sloman et al, 2005).…”

Section: Do the Methods Used In The Education Interventions Map On Tomentioning

confidence: 99%

“…Many of these responsibilities are covered by guidelines on best practice in assessment and treatment (McCafferty & Pasero, 1999). Assessment is ideally by patient report (McCaffery & Pasero, 1999;Turk & Melzack, 2011), but nurses may fail to assess pain adequately (Sloman, Rosen, Rom & Shir, 2005) and/or may substitute their own estimates of pain (Schafheutle, Cantrill, & Noyce, 2001). Treatment may be undermined by excessive fears of unwanted analgesic effects and by inadequate appreciation of pharmacological and nonpharmacological resources to reduce suffering (Liu, So & Fong, 2008;Sloman et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Nursing Education Interventions for Managing Acute Pain in Hospital Settings: A Systematic Review of Clinical Outcomes and Teaching Methods

Drake

Williams

2017

Pain Management Nursing

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Objectives: To examine the effects of nursing education interventions on clinical outcomes for acute pain management in hospital settings, relating interventions to healthcare behavior-change theory. Methods Results:The twelve eligible studies used varied didactic and interactive teaching methods.Several studies had weaknesses attributable to selection biases, uncontrolled confounders, and lack of blinding of outcome assessors. Studies did not explicitly reference theory underlying design of their interventions. No studies made reference to behavior change theory in their design. Eight of the twelve studies investigated nursing documentation of pain assessment as the main outcome, with the majority reporting positive effects of education interventions on nursing pain assessment. Of the remaining studies, two reported mixed findings on patient self-report of pain scores as the key measure, one reported improvements in patient satisfaction with pain management after a nursing intervention, and one study found an increase in nurses' delivery of a relaxation treatment following an intervention.Discussion: Improvements in design and evaluation of nursing education interventions are suggested, drawing on behavior change theory and emphasizing the relational, contextual and emotionally demanding nature of nursing pain management in hospital settings.

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“…Ağrı yönetimindeki bütüncül yaklaşımın hedefi hastanın ameliyat sonrasındaki rahatsızlığını en aza indirmektir 16 . Sekiz Avrupa ülkesi ve İsrail'de yürütülen bir çalışmaya göre (n=4.576) ameliyattan 24 saat sonra hastaların en şiddetli ağrı puan ortalamalarının 5,16 olduğu 17 ; Sloman ve arkadaşlarının yaptıkları çalışmada 18 cerrahi hastalarının %75'inin şiddetli ve orta düzeyde ağrı hissettikleri, ülkemizde ise Özer ve arkadaşlarının 19 yaptıkları çalışmada hastaların %93,7'sinin şiddetli, %50,2'sinin yanma/sızı şeklinde ağrı yaşadıkları belirlenmiştir. Literatürde ağrının etkin bir şekilde kontrol edilmesine yönelik uygulanan kalite yönetimi sonuçlarına göre hastaların ameliyat sonrası yaşadığı en şiddetli ağrı puanında anlamlı olarak azalma olduğu gösterilmiştir 11 .…”

Section: Tartıșmaunclassified