Nurses’ Evaluations of the Feasibility and Clinical Utility of the Use of the Critical-Care Pain Observation Tool-Neuro in Critically Ill Brain-Injured Patients

Richard-Lalonde, Melissa; Bérubé, Mélanie; Williams, Virginie; Bernard, Francis; Tsoller, Darina M.; Gélinas, Céline

doi:10.31770/2561-7516.1045

Cited by 4 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Brief booster sessions of 15 min should be planned when enrollment becomes slow to review the use of the tool in order to maintain rating skills [ 52 ]. Indeed, many nurses who used the CPOT-Neuro in Canadian sites expressed their desire to get more training and exposure to the tool in their daily practice as they evaluated the tool to be easy and quick to use as well as clinically relevant [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, the performance of the CPOT-Neuro appeared superior to the CPOT based on previous validation studies in brain-injured ICU patients. The feasibility of its use for validation purposes was described in a separate paper [ 35 ], but implementation studies are required to describe its feasibility in ICU daily practice.…”

Section: Discussionmentioning

confidence: 99%

“…When a difference of two points or more was found, the CPOT-Neuro scoring methods were clarified before moving to the next patient video. More than 73% of raters at each site had appropriate scores for all three patient videos, and fewer than 25% had difference in scores ≥ 2 for a maximum of two patient videos [ 35 ]. An overall Intraclass Correlation Coefficient (ICC) of 0.85 (95% CI [0.59–1.00]) with all raters’ scores for the three videos was reached.…”

Section: Methodsmentioning

confidence: 99%

“…An overall Intraclass Correlation Coefficient (ICC) of 0.85 (95% CI [0.59–1.00]) with all raters’ scores for the three videos was reached. Further details on the training are described in another paper [ 35 ].…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: a prospective cohort study

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background Pain assessment in brain-injured patients in the intensive care unit (ICU) is challenging and existing scales may not be representative of behavioral reactions expressed by this specific group. This study aimed to validate the French-Canadian and English revised versions of the Critical-Care Pain Observation Tool (CPOT-Neuro) for brain-injured ICU patients. Methods A prospective cohort study was conducted in three Canadian and one American sites. Patients with a traumatic or a non-traumatic brain injury were assessed with the CPOT-Neuro by trained raters (i.e., research staff and ICU nurses) before, during, and after nociceptive procedures (i.e., turning and other) and non-nociceptive procedures (i.e., non-invasive blood pressure, soft touch). Patients who were conscious and delirium-free were asked to provide their self-report of pain intensity (0–10). A first data set was completed for all participants (n = 226), and a second data set (n = 87) was obtained when a change in the level of consciousness (LOC) was observed after study enrollment. Three LOC groups were included: (a) unconscious (Glasgow Coma Scale or GCS 4–8); (b) altered LOC (GCS 9–12); and (c) conscious (GCS 13–15). Results Higher CPOT-Neuro scores were found during nociceptive procedures compared to rest and non-nociceptive procedures in both data sets (p < 0.001). CPOT-Neuro scores were not different across LOC groups. Moderate correlations between CPOT-Neuro and self-reported pain intensity scores were found at rest and during nociceptive procedures (Spearman rho > 0.40 and > 0.60, respectively). CPOT-Neuro cut-off scores ≥ 2 and ≥ 3 were found to adequately classify mild to severe self-reported pain ≥ 1 and moderate to severe self-reported pain ≥ 5, respectively. Interrater reliability of raters’ CPOT-Neuro scores was supported with intraclass correlation coefficients > 0.69. Conclusions The CPOT-Neuro was found to be valid in this multi-site sample of brain-injured ICU patients at various LOC. Implementation studies are necessary to evaluate the tool’s performance in clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: a prospective cohort study

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…An exercise followed this activity in independently assessing pain in patients treated in the ICU. The CPOT total score results of each assessor were evaluated; if there was a difference in the CPOT total score ≥2, the researcher clarified it so that each assessor could carry out an accurate and standardized assessment of pain [ 41 ].…”

Section: Methodsmentioning

confidence: 99%

Cross-cultural adaptation and validation of the Indonesian version of the Critical-care Pain Observation Tool

Asriyanto,

Chayati

2024

International Journal of Nursing Sciences

View full text Add to dashboard Cite

Échelle d’évaluation des risques d’escarres en pédiatrie : traduction en langue française, cohérence interne, validité convergente, faisabilité et utilité clinique de l’échelle Braden QD

Verdon¹,

Raë²,

Palleron³

et al. 2022

Recherche en Soins Infirmiers

View full text Add to dashboard Cite

Introduction : la population pédiatrique est particulièrement vulnérable aux escarres. Afin d’identifier les patients à risques, une évaluation structurée est recommandée. L’utilisation de l’échelle Braden QD permet d’intégrer les risques liés à l’immobilité et à la présence de dispositifs médicaux. Objectifs : réaliser une traduction en langue française (suisse francophone), un test de l’échelle Braden QD, évaluer sa cohérence interne, sa validité convergente, sa faisabilité et son utilité clinique. Méthode : lors de cinq enquêtes de prévalence, l’échelle Braden QD a été utilisée auprès de tous les enfants hospitalisés. Des tests psychométriques ont été mesurés. Un questionnaire de faisabilité et d’utilité clinique a été distribué aux enquêtrices. Résultats : l’échelle traduite a pu être testée auprès de 352 enfants. Les enquêtes ont montré que 5,1 % étaient à risques de développer une escarre et 85,8 % étaient porteurs de dispositifs médicaux. Un alpha de Cronbach à 0,710, avec une validité convergente élevée, de hauts scores de faisabilité et d’utilité clinique ont été retrouvés auprès des infirmières. Discussion et conclusion : cette étude suggère que la version suisse francophone de la Braden QD est faisable, fiable et valide. Les infirmières ont estimé qu’elle était facile à utiliser et utile pour leur pratique.

show abstract

Nurses’ Evaluations of the Feasibility and Clinical Utility of the Use of the Critical-Care Pain Observation Tool-Neuro in Critically Ill Brain-Injured Patients

Cited by 4 publications

References 25 publications

Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: a prospective cohort study

Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: a prospective cohort study

Cross-cultural adaptation and validation of the Indonesian version of the Critical-care Pain Observation Tool

Échelle d’évaluation des risques d’escarres en pédiatrie : traduction en langue française, cohérence interne, validité convergente, faisabilité et utilité clinique de l’échelle Braden QD

Contact Info

Product

Resources

About