Development of an instrument to measure strategic and clinical quality indicators in postoperative pain management

Abstract

The results suggest initial support for the new instrument as a measure of strategic and clinical quality indicators in postoperative pain management, but it must be further refined, tested and evaluated.

The assesment of the quality of postoperative pain management in patients with maxillofacial injury

“…In reference to the communication and environment subscales, the score should reach 13.5 points, action and trust subscales -18.0 points. 5,12 The intensity of the pain experienced has been evaluated on the basis of independent questions using an 11-point scale, where 0 points meant lack of pain whereas 10 points meant very severe pain. Psychometric values (alfa Cronbach coefficient) for the Polish version of Strategic and Clinical Quality Indicators in Postoperative Pain Management appeared to be satisfying, with the exception of Communication and Environment subscales, where the values were lower (0.70).…”

“…In regards to the subscales, the minimal score (as recommended by the authors of the original version) was not reached as well. 5,12,18,21,22 In the communication subscale the lowest score applied to the statement concerning information about possible methods of pain relief was 2.87 points (range 1-5). The majority of the respondents (54.1%) ranked those aspects negatively giving them 1 or 2 points.…”

“…It is believed that every patient has the right to high quality medical care, and it is the hospital employees' duty to provide it. 5,6 It is stated that in many cases postoperative pain treatment is inadequate. Some of those patients experience pain ranging from moderate to severe.…”

“…11 It is important to define how nurses rank the quality of the postoperative pain treatment and whether the result is in line with the patients' evaluation. 5,7,12 Unrelieved pain may be a serious health problem; however, according to the literature it may be averted. Very often the pain accompanying the patients' treatment is neglected due to the lack of effective pharmacological or non-pharmacological therapies.…”

Quality changes in postoperative pain management: Comparison of two periods

“…Bu çalışmanın yürütüldüğü kliniklerde hastaların ağrılarının bir form aracılığı ile değerlendirilmesi kalite göstergeleri açısın-dan önemli bir adımdır. Ancak literatürde ağrının ayrıntılı tanılanması ve ağrı yönetiminde standartlar belirlenmesi de vurgulanmaktadır 12,14,15,29 . Gunningberg ve Idval (2007) 29 ağrı yönetiminde yaptıkları kalite değerlendirmesinde hastaların ve hemşirelerin görüşle-ri ayrı ayrı ele almışlardır.…”