Enhancing Nurses' Pain Assessment to Improve Patient Satisfaction

Schroeder, Diana; Hoffman, Leslie A.; Fioravanti, Marie; Medley, Deborah Poskus; Zullo, Thomas G.; Tuite, Patricia

doi:10.1097/nor.0000000000000226

Cited by 33 publications

(26 citation statements)

References 23 publications

(33 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, two studies did not report p values. One involved the development and deployment of a Pain Management education module for nurses on an orthopaedic unit, showing potential improvement in Pain Management,18 while the other was a personalised pharmacist intervention for transition of care, with potential improvement in Communication about Medicine 21. Both studies used HCAHPS scores for pre-post assessment but did not report sample sizes or statistical testing for HCAHPS comparisons.…”

Section: Resultsmentioning

confidence: 99%

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

Davidson

Shaffer

et al. 2016

BMJ Qual Saf

View full text Add to dashboard Cite

Background Many hospital systems seek to improve patient satisfaction as assessed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. A systematic review of the current experimental evidence could inform these efforts and does not yet exist. Methods We conducted a systematic review of the literature by searching electronic databases, including MEDLINE and EMBASE, the six databases of the Cochrane Library, and grey literature databases. We included studies involving hospital patients with interventions targeting at least 1 of the 11 HCAHPS domains, and that met our quality filter score on the 27-item Downs and Black coding scale. We calculated post-hoc power when appropriate. Results A total of 59 studies met inclusion criteria, with with 44 of these did not meet the quality filter of 50% (average quality rating 27.8% ± 10.9%.) Of the 15 studies that met the quality filter (average quality rating 67.3% ± 10.7%), 8 targeted the Communication with Doctors HCAHPS domain, 6 targeted Overall Hospital Rating, 5 targeted Communication with Nurses, 5 targeted Pain Management, 5 targeted Communication about Medicines, 5 targeted Recommend the Hospital, 3 targeted Quietness of the Hospital Environment, 3 targeted Cleanliness of the Hospital Environment, and 3 targeted Discharge Information. Significant HCAHPS improvements were reported by 8 interventions, but their generalizability may be limited by narrowly focused patient populations, heterogeneity of approach, and other methodological concerns. Conclusions Although there are a few studies that show some improvement in HCAHPS score through various interventions, we conclude that more rigorous research is needed to identify effective and generalizable interventions to improve patient satisfaction.

show abstract

Section: Resultsmentioning

confidence: 99%

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

Davidson

Shaffer

et al. 2016

BMJ Qual Saf

View full text Add to dashboard Cite

show abstract

“…Pain management is complex and multifactorial, and hence, a deeper understanding of the barriers to proper and optimum pain management needs to be gained to remedy deficiencies among professionals and to improve patient care. [182627] In the present study, the majority of nurses (77.1%) reported that they had not heard about pain as a fifth vital sign before. In addition, most of the nurses were assessing pain only once a day per patient in line with the quality policy of the institution, and some were not assessing it at all.…”

Section: Discussionmentioning

confidence: 53%

Evaluation of Pain as a Fifth Vital Sign: Nurses' Opinions and Beliefs

Kutlutürkan

URVAYLIOĞLU>

2020

Asia-Pacific Journal of Oncology Nursing

View full text Add to dashboard Cite

Objective:After the American Pain Society recognized pain as a fifth vital sign, many countries adopted similar pain screening approaches. The routine evaluation of pain has recently come to the agenda in Turkey, along with the important role played by nurses in pain evaluation, and hence, this study focuses on the opinions of nurses on the evaluation of pain as a fifth vital sign, their pain beliefs, and how their pain beliefs influence their opinions.Methods:This descriptive study was conducted in a City Hospital with the involvement of 223 nurses. A questionnaire and a Pain Beliefs Questionnaire were used for the collection of data, and the data were analyzed using descriptive statistics, and Mann–Whitney U-test, analysis of variance, and Kruskal–Wallis tests.Results:Of the respondent nurses, 31.8% of the nurses were working in medical inpatient clinics, and 56.5% stated that pain should not be evaluated as a fifth vital sign, giving the following reasons: if patients are in pain, they already report it (40.5%), and overwork and the lack of sufficient nurses (34.9%). There was no difference in the pain beliefs scores of the nurses who stated that pain should not be evaluated as a fifth vital sign (56.5%) and the scores of those who stated the opposite (43.5%) (P > 0.05).Conclusions:Most of the nurses do not think that pain should be evaluated as a fifth vital sign. Furthermore, the pain beliefs of nurses do not influence their opinions regarding the assessment of pain as a fifth vital sign.

show abstract

“…Second, the structural variation of tools in terms of items, scales and subscales makes it difficult to aggregate results from across studies that have used the same tool and to compare practice across contexts. This is further hampered by the fact that some studies did not use a tool in its entirety, instead administering individual items (Field, ; Pajnkihar, Stiglic, & Vrbnjak, ; Schroeder et al, ; Stikes, Arterberry, & Logsdon, ) or subscales (Brown, ; Olson, , ), whilst others administered an entire tool, but only reported elements of it (Caris‐Verhallen, Kerkstra, van der Heijden, & Bensing, ; Gilbert, ). The inability to make meaningful comparisons across studies hinders the scientific progression of this body of work and is arguably a further contributing factor to the substantial volume and variability in the literature.…”

Section: Discussionmentioning

confidence: 99%

Instruments measuring behavioural aspects of the nurse–patient relationship: A scoping review

Feo

Conroy

Wiechula

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives:To identify and map tools measuring behavioural aspects of the nurse-patient relationship.Background: The behaviours nurses employ to develop relationships with patients form a key part of nursing practice. Systematically measuring these behaviours provides an objective means of assessing and evaluating how nurses establish and maintain relationships with patients in a variety of settings. Whilst tools exist to measure these behaviours, little is known about their aims/scope, structure, method of development and contexts of use. Such knowledge is crucial for understanding the nature of the literature, including in which contexts and for which patient groups existing tools are suited. Design: Scoping review informed by Joanna Briggs Institute methodology.Methods: A database search was undertaken using CINAHL, PsycINFO, Pubmed and Embase. Primary research articles, theses and methodological papers that developed, refined and/or administered tools measuring behavioural aspects of the nursepatient relationship, in any setting and for any patient group, were included. Tools had to measure actual not hypothetical behaviour (e.g., perceptions regarding importance). Data from included studies and tools were mapped. Results are reported in accordance with PRISMA-ScR guidelines. Results:One hundred and twenty-seven studies, containing 35 tools, were included. The literature was characterised by substantial variability, stemming from the continued refinement of tools (e.g., reduction to short forms) but also the development of new tools that appeared to duplicate existing work and the inconsistent use of tools across studies. Conclusions:The volume of tools available demonstrates the importance of measuring the nurse-patient relationship. However, the existing duplication and variability create challenges in choosing amongst the tools available and show that, as a concept, the nurse-patient relationship remains poorly understood. Relevance to clinical practice:Research is required to synthesise, and assess the quality of, existing tools, enabling clinicians, leaders/managers, educators and researchers to administer appropriate tools to evaluate the nurse-patient relationship. | 1809 FEO Et al.

show abstract

Enhancing Nurses' Pain Assessment to Improve Patient Satisfaction

Cited by 33 publications

References 23 publications

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

Interventions to improve hospital patient satisfaction with healthcare providers and systems: a systematic review

Evaluation of Pain as a Fifth Vital Sign: Nurses' Opinions and Beliefs

Instruments measuring behavioural aspects of the nurse–patient relationship: A scoping review

Contact Info

Product

Resources

About