Nurses' evaluations of the CPOT use at 12‐month post‐implementation in the intensive care unit

Abstract

Training should be offered to all members of the ICU care team, and other implementation strategies should be explored as well to ensure optimal uptake of a pain assessment approach which impacts on their decision-making process for pain management.

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

“…This study aimed to describe the nurses' evaluations of the feasibility and clinical utility of the CPOT-Neuro for pain assessment in brain-injured ICU patients in the context of the validation of its use at the bedside. Based on similar evaluations related to the use of the original CPOT, it was expected that the CPOT-Neuro would be feasible and useful from the point of view of ICU nurses who used it at the bedside in the context of this study (Gélinas, 2010;Gélinas et al, 2014).…”

Intervention for Patients Intubated and Conscious to decrease Peritraumatic Distress (IPIC-PTD) – Acceptability and feasibility

“…Training and an intervention guide make it easier to understand the key ingredients of an intervention and provide an opportunity for experts to develop the skills required to deliver it (Murphy & Gutman, 2012;Sidani & Braden, 2011;Yoder et al, 2014). The use of experiential teaching strategies, such as simulation scenarios and video clips, makes it possible to integrate knowledge (Egerod et al, 2007;Gélinas et al, 2014;Sidani & Braden, 2011). Providing clinical support and feedback has also proven an effective strategy for standardizing interventionist practices (Bosak, Pozehl, & Yates, 2012;Gearing et al, 2011).…”

“…Printing the diaries was affordable. The development of a low-cost and low-resource intervention was shown to be a facilitating factor that improved intervention feasibility in other ICU settings (Aghaie et al, 2014;Gélinas et al, 2014;Lee, Chung, Chan, & Chan, 2005).…”

What's in this issue?

“…While previous studies have highlighted that CPOT leads to improvements in terms of frequency of assessments, compliance among nurses has remained below 80%. Gélinas et al () conducted an evaluation on CPOT using a self‐administered questionnaire with 38 ICU nurses to determine feasibility, clinical relevance and satisfaction. Socio‐demographics were included in data collection.…”

“…Parameters for each risk factor together with cut‐off points were defined and any deviation would appear on a patient's electronic records alerting staff to the risk and prompting a response with appropriate interventions. Like Gélinas et al (), Oh et al () undertook their study to determine the impact of APREDEL‐ICU on sensitive nurse measures, patient outcomes, and to evaluate its ease of use and satisfaction among ICU nurses. Prior to implementation, nurses were trained in using the tool and in appropriate interventions to minimize the incidence of delirium in at‐risk patients.…”