Measuring Patient Opinion of Pain Management

Calvin, Amy O.; Becker, Heather; Biering, Páll; Grobe, Susan J.

doi:10.1016/s0885-3924(99)00025-1

Cited by 38 publications

(30 citation statements)

References 24 publications

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“…Such a disagreement in satisfaction with pain management was reported in the literature and related to various reasons. The latter include subjectivity of pain experience and the difficulty of accurately quantifying it; differing interpretations of patient pain intensity and treatment response between patients and HCPs; and a general perception that patients exaggerate their pain experience [8, 52, 53]. …”

Section: Discussionmentioning

confidence: 99%

Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals

Ramia

Nasser

Salameh

et al. 2017

Pain Research and Management

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Introduction. The primary objectives of this study were to assess patients' description of their acute pain intensity; patients' attitude towards their pain management during hospitalization; and their overall satisfaction with pain treatment. Methodology. A cross-sectional questionnaire-based study was conducted between October 2014 and March 2015 in three medical centers in Lebanon. All participants' responses were reported using descriptive statistics. The association between categorical variables was evaluated using Pearson χ2 test or Fisher's exact test where the expected cell count was < 5. Results. A total of 119 women on the maternity services and 177 patients on the orthopedic services were surveyed. Around 50% of obstetric and 37% of orthopedic patients reported pain to be severe at its highest intensity. In maternity and orthopedic patients, respectively, unfavorable practices included pain not being assessed prior to pain medication administration (19.3% and 30.5%), having to wait for ≥30 minutes before getting the pain medication (14.2% and 11.3%), and pain score not being documented on medical chart (95% and 93.2%). Surprisingly, 94.1% of the maternity and 89.2% of orthopedic patients were satisfied to strongly satisfied with their pain management. Conclusion. Pre- and postoperative pain remain a prevalent problem that requires a consensus and joint efforts for improvement.

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Section: Discussionmentioning

confidence: 99%

Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals

Ramia

Nasser

Salameh

et al. 2017

Pain Research and Management

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“…We used it on the second postoperative day, but the APS questionnaire 16 has been used on different days including at the time of discharge and on the second postoperative day. [18][19][20] To be able to compare the results it is important to use the same time for the patients or for a subgroup of patients. The best time for different surgical procedures needs to be evaluated further.…”

Section: Methodological Considerationsmentioning

confidence: 99%

Patient and nurse assessment of quality of care in postoperative pain management

Idvall

Hamrin²,

Sjöström³

et al. 2002

Quality and Safety in Health Care

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Objective: To describe and compare patient and nurse assessments of the quality of care in postoperative pain management, to investigate differences between subgroups of patients, and to compare patient assessments in different departments. Design: Patient and nurse questionnaires. Setting: Five surgical wards in general surgery, orthopaedics, and gynaecology in a central county hospital in Sweden. Sample: Two hundred and nine inpatients and 64 registered nurses. The response rates were 96% for the patients and 99% for the nurses; there were 196 paired patient-nurse assessments. Method: The Strategic and Clinical Quality Indicators in Postoperative Pain Management patient questionnaire was used which comprises14 items in four subscales (communication, action, trust, and environment). The items were scored on a 5 point scale with higher values indicating a higher quality of care. Five complementary questions on levels of pain intensity and overall satisfaction with pain relief were scored on an 11 point scale. Twelve of the 14 items in the patient questionnaire and two of the complementary questions were adjusted for use in the nurse questionnaire. Results: The patients' mean (SD) score on the total scale (scale range 14-70) was 58.6 (8.9) and the nurses' mean (SD) score (scale range 12-60) was 48.1 (6.2). The percentage of patients who scored 1 or 2 for an individual item (disagreement) ranged from 0.5% to 52.0%, while for nurses the percentage ranged from 0.0% to 34.8%. Forty two patients (24%) reported more pain than they expected; these patients assessed the quality of care lower. There were differences between patient and nurse assessments concerning the environment subscale, the question on overall satisfaction, and patients' experience of worst possible pain intensity. Conclusion:The results provided valuable baseline data and identified important areas for quality improvement in postoperative pain management. R easons for measuring the quality of care include obtaining more detailed information about patient care, determining whether standards are being achieved, identifying potential areas for improvement, and informing purchasers and thereby securing resources for future services. Good quality of care is considered to be the right of all patients and the responsibility of all staff within the hospital. Important clinical aspects of care may vary from one department to another, based on the patient population and services provided. The aspects to be measured-the quality indicators-can be considered from four points of view: (1) high volume activities, (2) high risk activities, (3) problem prone activities, and (4) high cost activities.1 Postoperative pain management in a surgical department seems to meet these criteria.Several authors have reported that the treatment of postoperative pain is inadequate for many patients, some of whom still suffer moderate to severe pain. [2][3][4] Klopfenstein et al 5 considered the reasons for poor postoperative pain management as insufficient education and training fo...

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“…Surveys were collected daily by the primary investigator (SP). The 14-question survey, as shown in Table 1, was adapted from the American Pain Society’s Patient Outcome Questionnaire and the Patient Opinion of Pain Management Tool 2,15. This survey was used to examine different aspects of pain intensity and satisfaction.…”

Section: Methodsmentioning

confidence: 99%

Assessing the relationship between the level of pain control and patient satisfaction

Phillips¹,

Gift²,

Gelot³

et al. 2013

JPR

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PurposeThe primary assessment tool used by hospitals to measure the outcomes of pain management programs is the 0–10 numerical pain rating scale. However, it is unclear if this assessment should be used as the sole indicator of positive outcomes by pain management programs. Although it is assumed that pain intensity scores would be correlated with patient satisfaction, few studies have evaluated the association between pain intensity scores and patient satisfaction.MethodsIn this pilot study, we investigated the relationship between pain intensity and patient satisfaction by evaluating 88 patients who received opioid analgesics at a 1018-bed acute care institution. A 14-question survey was adapted from a questionnaire developed by the American Pain Society to assess patient pain control and overall satisfaction with our institution’s pain management strategies.ResultsThis study found no association between pain intensity score and patient satisfaction with overall pain management (Spearman’s rank correlation coefficient = −0.31; 95% confidence interval = −0.79 to 0.39). The majority of the surveyed patients were satisfied or very satisfied with their overall pain management, regardless of their pain intensity score.ConclusionThese findings contribute to the general understanding that institutions should use pain intensity scores together with a measure of patient pain satisfaction when assessing regulatory and quality control programs.

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Measuring Patient Opinion of Pain Management

Cited by 38 publications

References 24 publications

Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals

Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals

Patient and nurse assessment of quality of care in postoperative pain management

Assessing the relationship between the level of pain control and patient satisfaction

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