Pain: evaluation of the fifth vital sign. A theoretical reflection

Araújo, Lucimeire Carvalho de; Romero, Bruna

doi:10.5935/1806-0013.20150060

Cited by 22 publications

(22 citation statements)

References 8 publications

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“…Thus, in practice, nurses are those who organize pain management. 31 Agreement on item additional assessments was for content validity (CVI=0.94), relevance (CVI=0.95), clarity (CVI=0.79), and scope of content (CVI=0.91). Clarity obtained a lower CVI because the participants understood that the position in which the item is assessed implies that it is part of the respiratory assessment.…”

Section: Resultsmentioning

confidence: 99%

Nursing protocol in transcatheter aortic valve implantation: care guideline

et al. 2018

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Objective: To validate a nursing care protocol by specialist nurses, contributing to the care delivered to patients undergoing percutaneous valve replacement. Methods: This cross-sectional, prospective, quantitative study adopted the Content Validity Index (CVI) to verify level of agreement regarding this protocol's total set of items. Results: The CVI obtained for each item of the protocol, verified using a validation instrument, was greater than the minimum required that is 0.80, on average. Conclusion: The development of a protocol intended to guide care provided to patients who have undergone TAVI, improves patient safety and minimizes health problems, so that the implementation of specific strategies for the development of actions performed by nurses is essential.

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Section: Resultsmentioning

confidence: 99%

Nursing protocol in transcatheter aortic valve implantation: care guideline

et al. 2018

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“…In this context, the nursing team has an important position which may influence its control (17) . Thus, pain assessment tools hold great relevance to support and guide nurses' actions, besides serving as a basis for diagnosis, prescription and assessment of obtained effectiveness, whether it is pharmacological or not (18) .…”

Section: Discussionmentioning

confidence: 99%

Reconfiguration of palliative oncological nursing care: nursing contributions

et al. 2020

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Objective: to analyze the strategies implemented by nurses to reconfigure palliative oncological care due to the hospital accreditation process in Hospital do Câncer IV (Hospital of Cancer IV). Method: qualitative research of historical-social approach, whose direct sources in use were written documents and four spoken accounts. Results: implemented strategies were: creation of the Nursing Division; nursing staff management; consolidation of Continuing Education sector; creation of Internal Nursing Bylaws through development of norms and routines; meetings; discussion of clinical cases; training and classes; creation of Núcleo de Assistência de Enfermagem (Nursing Assistance Core); creation of a tumoral and ostomy wound-dressing ambulatory; and organization of the 5th Vital Sign Forum. Final considerations: nurses, supported by an alliance with the institution directors, implemented effective strategies and reached significant advancement. As they took part in this endeavor, they became legitimate spokespeople of an authorized discourse in the field of oncological nursing care in Brazil.

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“…This finding, which several studies sustain, is mainly because this is an interdisciplinary intervention and that there are difficulties in implementing other pain management measures, such as non--pharmacological interventions and pain assessments (which include initial assessment, planning, education, recording, and reassessment; Becker et al, 2017;Dequeker, Van Lancker, & Van Hecke, 2018;Gan et al, 2018). Pain assessment is recognized in the scientific literature as a challenge, pain education and intervention planning being the most neglected areas in clinical practice (Araujo & Romero, 2015;Medrzycka-Dabrowka, Dąbrowski, Gutysz-Wojnicka, Gawroska-Krzemińska, & Ozga, 2017). The results of this study also corroborate these findings since the overall mean scores for pain education and planning were the lowest.…”

Section: Discussionmentioning

confidence: 99%

Psychometric study of the Nursing Care Scale for Pain Management

2019

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Background: Pain is inefficiently managed by nurses in part due to the lack of tools capable of measuring and monitoring such practice. Objective: To assess the psychometric properties of the Nursing Care Scale for Pain Management. Methodology: This descriptive correlational study assessed internal consistency using Cronbach's alpha coefficient and confirmatory factor analysis using the covariance matrix-maximum likelihood algorithm. Results: The study involved 260 nurses with a mean age of 35.42 years, 78.5% of whom were women. After the refinement of the scale, the overall internal consistency was α = 0.95, and the score by factors was: initial assessment α = 0.85; Planning α = 0.76; Implementation of non-pharmacological interventions α = 0.80; Educating the person with pain α = 0.89; Registration α = 0.76; Reassessment α = 0.81, and Implementation of pharmacological interventions α = 0.70. The highest mean values of the overall scores are related to pharmacological interventions (3.13 ± 0.60). Conclusion: The scale is a reliable and valid tool for assessing the pain management practices of Portuguese nurses. Most nurses apply pharmacological interventions to manage the pain endured by patients.

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Pain: evaluation of the fifth vital sign. A theoretical reflection

Cited by 22 publications

References 8 publications

Nursing protocol in transcatheter aortic valve implantation: care guideline

Nursing protocol in transcatheter aortic valve implantation: care guideline

Reconfiguration of palliative oncological nursing care: nursing contributions

Psychometric study of the Nursing Care Scale for Pain Management

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