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| Research article summary (published 30 Jul 2008): |
Postoperative pain management - the influence of surgical ward nurses.
Full Abstract
AIM: To compare pain levels reported by patients with those documented by ward nurses and to find out to what extent the amount of opioids given correlated with the pain level. Secondly, to study if pain management and nurses' approaches to this task had improved during a two-year period, including an educational pain treatment program for ward staff. BACKGROUND: The management of postoperative pain continues to remain problematic and unsatisfactory and ward nurses play an important role for this task. DESIGN: The study was a cross-sectional, descriptive, two-part study based on survey data from both patients and nurses on two urology surgical wards. METHODS: Part I of the study included 77 patients and 19 nurses. Part II took place approximately two years later and included 141 patients and 22 nurses. Data were collected the day after surgery by asking patients about 'worst pain' experienced. The pain scores given by the patients were compared with those documented in the patients' records and with the doses of opioids administered. Nurses' approaches to pain management were sought after, by using a categorical questionnaire. RESULTS: The nurses' ability to assess pain in accordance with the patients' reports had increased slightly after two years even if and the number of documented pain scores had decreased. Forty per cent of the nurses reported that they did not use visual analogue scale and that they did not assess pain at both rest and activity, neither did one fourth evaluate the effect of given analgesics. CONCLUSION: The study showed a discrepancy in pain scoring between nurses and patients, where active treatment was related to nurses' documentation rather than to patients' scoring. RELEVANCE TO CLINICAL PRACTICE: The study shows a need for more accurate pain assessment, since the patient experiences and suffers pain and the nurse determines upon treatment.
Author information
Author/s: Ene, Kerstin Wickström (KW); Nordberg, Gunnar (G); Bergh, Ingrid (I); Johansson, Fannie Gaston (FG); Sjöström, Björn (B);
Affiliation: The Sahlgrenska Academy at Gothenburg University, Institute of Health and Care Sciences and Department of Anesthesiology, Sahlgrenska University Hospital, Gothenburg, Sweden. kerstin.wickstrom.ene(-atsign-)vgregion.se
Journal and publication information
Publication Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
Journal: Journal of clinical nursing (J Clin Nurs), published in England. (Language: eng)
Reference: 2008-Aug; vol 17 (issue 15) : pp 2042-50
Dates: Created 2008/08/18; Completed 2008/11/12;
PMID: 18705781, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: 18 Feb 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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