Nurses' Reassessment of Postoperative Pain After Analgesic Administration

Bucknall, Tracey; Manias, Elizabeth; Botti, Mari

doi:10.1097/01.ajp.0000210936.50816.49

Cited by 48 publications

(23 citation statements)

References 26 publications

(17 reference statements)

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“…The as needed basis morphine was used to analyze whether the iden fi ca on of a worsening pain scenario would lead the nursing team to a therapeu c adjustment, a feature that was eventually verifi ed. Such data diff er from those of a previous study, which observed a lack of reassessment by the nursing team a er the analgesic interven on (19) . The seda on degree was one of the previous prerequisite assessment parameters for the administra on of the supplementary morphine.…”

Section: Morphine Consump Oncontrasting

confidence: 95%

Treinamento e avaliação sistematizada da dor: impacto no controle da dor do pós-operatório de cirurgia cardíaca

Silva

Pimenta

Cruz

2013

Rev. esc. enferm. USP

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RESUMONeste estudo analisou-se o efeito do Treinamento e uso de Ficha de Avaliação Sistema zada para controle da dor após cirurgia cardíaca, sobre a intensidade da dor e o consumo de morfi na suplementar. Três grupos de pacientes foram submedos a um ensaio clínico não randomizado com prescrição analgésica padronizada. No Grupo I, a equipe de enfermagem não recebeu treinamento sobre avaliação e manejo da dor e cuidou dos doentes conforme a ro na da ins tuição. Nos grupos II e III, toda a equipe foi treinada. A equipe de enfermagem do grupo II u lizou a Ficha Sistema zada sobre Dor, e a do grupo III não a u lizou. O grupo II apresentou dor menos intensa e maior uso de morfina suplementar. O treinamento associado à Ficha de Avaliação aumentou a chance de iden fi car a dor e infl uenciou o processo de decisão do enfermeiro na administração de morfi na, favorecendo o alívio da dor dos pacientes. DESCRITORESCirurgia torácica Dor pós-operatória Medição da dor Analgesia Educação Cuidados de enfermagem ABSTRACTWe analyzed the eff ects of training and the applica on of a form for systema zed pain assessment of pain control a er cardiac surgery on pain intensity and supplementary morphine use. Three pa ent groups underwent a non-randomized clinical trial with standardized analgesic prescrip ons. In Group I, the nursing staff did not receive specifi c training regarding pain assessment and management, and pa ents were treated following the established protocol of the ins tu on. In Groups II and III, the nursing staff received targeted training. In Group II the nursing staff used a form for systema zed pain assessment, which was not used in Group III. Group II presented a lower intensity of pain and greater consump on of supplementary morphine compared to Groups I and II. Training associated with the systema zed assessment form increased the chance of iden fying pain and infl uenced nurses' decision-making process, thus promo ng pain relief among pa ents. DESCRIPTORS RESUMENSe analizó el efecto del Entrenamiento y uso de Ficha de Evaluación Sistema zada para control del dolor posterior a cirugía cardíaca, sobre la intensidad del dolor y consumo de morfi na suplementaria. Tres grupos de pacientes fueron some dos a ensayo clínico no randomizado, con prescripción analgésica estandarizada. En Grupo I, el equipo de enfermería no recibió entrenamiento sobre evaluación y manejo del dolor, y cuidó a los pacientes conforme las ru nas ins tucionales. En Grupos II y III, todo el equipo recibió entrenamiento. El Grupo II u lizó la Ficha Sistema zada sobre Dolor, el Grupo III no la u lizó. El Grupo II presentó dolor menos intenso y mayor uso de morfi na suplementaria. El entrenamiento asociado a la Ficha de Evaluación aumentó la chance de iden fi car el dolor e infl uyó en el proceso decisorio del enfermero en la administración de morfi na, favoreciendo el alivio del dolor de los pacientes. DESCRIPTORES

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Section: Morphine Consump Oncontrasting

confidence: 95%

Treinamento e avaliação sistematizada da dor: impacto no controle da dor do pós-operatório de cirurgia cardíaca

Silva

Pimenta

Cruz

2013

Rev. esc. enferm. USP

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“…Patients should be asked repeatedly about their pain intensity and whether they need analgesia. A study conducted among nurses revealed that, of all patient-centered activities related to pain, only 4% of activities included repeated assessment of pain intensity after providing an analgesic 24. It is often necessary to reassess pain shortly after administering analgesia and, if necessary, to adjust the dose or type of analgesia 25…”

Section: Discussionmentioning

confidence: 99%

Analysis of perioperative pain management in vascular surgery indicates that practice does not adhere with guidelines: a retrospective cross-sectional study

Borić

Boric

et al. 2017

JPR

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BackgroundInadequate treatment of pain related to surgery may be associated with complications and prolonged recovery time and increased morbidity and mortality rates. We investigated perioperative pain management in vascular surgery and compared it with the relevant guidelines for the treatment of perioperative pain.MethodsWe conducted a retrospective study on 501 patients who underwent vascular surgery at the University Hospital Split, Croatia. We collected the following data from patients’ charts: age, gender, premedication, preoperative patient’s physical status, type of surgery, duration of surgery and anesthesia, type of anesthesia, postoperative analgesia, and need for intensive care. We examined departmental procedures to assess adherence to guidelines for perioperative pain management.ResultsNone of the 501 patients’ charts recorded information about perioperative pain intensity, 28% of patients did not receive any medication the night before their elective surgical procedures, and 17% of patients did not receive premedication immediately before the procedure. Most patients (66%) did not receive any pain medication in the operating room after surgery. Following surgery, 36% of patients were monitored in the intensive care units, while the rest were released to the ward. Some patients (17%) did not receive any analgesia after surgery. Procedures at the department did not adhere to the current recommendations for perioperative pain management.ConclusionThe study indicates that management of surgery-related pain in complex vascular procedures at this hospital did not follow guidelines for the management of acute perioperative pain. Our finding that most patients did not receive appropriate analgesia after vascular surgery leads to the conclusion that the institution would benefit from developing guidelines for the management of acute perioperative pain, which should be applied in all cases.

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“…Nurses' key role in inpatient pain management (Bucknall, Manias & Botti, 2007) can extend to responsibility for pain assessment, basic analgesic prescription, and titration of patient-controlled analgesia (National Health Service, 2015). Many of these responsibilities are covered by guidelines on best practice in assessment and treatment (McCafferty & Pasero, 1999).…”

Section: Introductionmentioning

confidence: 99%

Nursing Education Interventions for Managing Acute Pain in Hospital Settings: A Systematic Review of Clinical Outcomes and Teaching Methods

Drake

Williams

2017

Pain Management Nursing

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Objectives: To examine the effects of nursing education interventions on clinical outcomes for acute pain management in hospital settings, relating interventions to healthcare behavior-change theory. Methods Results:The twelve eligible studies used varied didactic and interactive teaching methods.Several studies had weaknesses attributable to selection biases, uncontrolled confounders, and lack of blinding of outcome assessors. Studies did not explicitly reference theory underlying design of their interventions. No studies made reference to behavior change theory in their design. Eight of the twelve studies investigated nursing documentation of pain assessment as the main outcome, with the majority reporting positive effects of education interventions on nursing pain assessment. Of the remaining studies, two reported mixed findings on patient self-report of pain scores as the key measure, one reported improvements in patient satisfaction with pain management after a nursing intervention, and one study found an increase in nurses' delivery of a relaxation treatment following an intervention.Discussion: Improvements in design and evaluation of nursing education interventions are suggested, drawing on behavior change theory and emphasizing the relational, contextual and emotionally demanding nature of nursing pain management in hospital settings.

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Nurses' Reassessment of Postoperative Pain After Analgesic Administration

Cited by 48 publications

References 26 publications

Treinamento e avaliação sistematizada da dor: impacto no controle da dor do pós-operatório de cirurgia cardíaca

Treinamento e avaliação sistematizada da dor: impacto no controle da dor do pós-operatório de cirurgia cardíaca

Analysis of perioperative pain management in vascular surgery indicates that practice does not adhere with guidelines: a retrospective cross-sectional study

Nursing Education Interventions for Managing Acute Pain in Hospital Settings: A Systematic Review of Clinical Outcomes and Teaching Methods

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