Education, Nurse's Role, Pain
Conditions
Keywords
RN, Pain nursing, Pain assessment, Pain management, Pain documentation, Audit and feedback, Education, Randomized Controlled Trial, Nursing sensitive quality, Nursing sensitive outcomes
Brief summary
The aim of the study is to find out how pain nursing documentation audit and educational feedback effect to RN's pain nursing documentation, the average level of pain nursing documentation knowledge of unit RN's, patient satisfaction of pain management and number of pain nursing incident reports. In addition, how background variables are related to the pain nursing documentation. Research hypothesis: Pain nursing documentation audit and educational feedback increased RNs' pain nursing documentation and knowledge, patient satisfaction to pain management and effect to number of pain nursing incident reports.
Interventions
OTHERRepeated feedback
Repeated feedback monthly based on previous month pain documentation audit results.
OTHERPain documentation audit
Monthly pain documentation audit
Sponsors
University of Eastern Finland
Kuopio University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Intervention model description
Units serve as a statistical units. Number of units 30, number of individual participants 800-1000.
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Registered nurses (RN) who work at the Kuopio University Hospital in units of which patients potentially require pain management.
Exclusion criteria
* Professionals other than RN * RN who do not use pain management strategies in their work
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in RNs' pain documentation | Baseline (T0), month 1 (T1), month 2 (T2), month 3 (T3), month 4 (T4), month 5 (T5) month 6 (T6), month 7 (T7), month 8 (T8) | MEASUREMENT TOOL: Structured audit frame to evaluate pain assessment and management documentation. UNIT OF MEASURE: Information is collected as follows from EHR 1. Patient pain documented in the care chart 2. Patient need for pain management documented 3. Patient pain management goal documented 4. Patient pain assessment 5. Patient pain assessment in the previous 24 hours 6. Patient pain 7. Use of pain assessment tool 8. Non-pharmacological methods 9. Pharmacological interventions 10. Intervention (pharmacological or non-pharmacological effect assessment) Multiple measurements are aggregated to achieve one declared value as follows: First, each evaluated area results in 0 (not fulfilled) or 1 point (fulfilled). Second, the points are summed. Third, the sum is transformed to a 0-100 scale and reported as a single value reflecting pain documentation quality. |
| Change in RNs' pain knowledge | Baseline (T0), month 3 (T3), month (T7) | Pain knowledge questionnaire used in three time points |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in patient satisfaction of pain management | Before intervention (T0), month 3 (T3), month 6 (T6), month 8 (T8) | Nursing patient feedback questionnaire analyzed at two time points |
| Change in number of pain nursing incident reports | Before intervention (T0), month 8 (T8) | Pain nursing incident reports analyzed at two time points |
Countries
Finland
Outcome results
None listed