Pain management documentation quality as a reflection of nurses' clinical judgment.

Full Abstract

Pain management documentation (PMD) is the chief method used by administrators, surveyors, and quality improvement managers to measure the quality of pain management. Eighty-five nurses from 2 hospitals generated 340 PMD record entries, which were scored using the Samuels PMD Rating Scale. Nurses' PMD scores ranged from 2.5 to 6.5 (SD = 0.77). Less than 50% of the entries met Joint Commission standards. Documentation results may reflect nurses' pain management clinical judgment. Targeted interventions are recommended.

Author information

Author/s: Samuels, Joanne G (JG); Fetzer, Susan (S);

Affiliation: University of New Hampshire, Durham, New Hampshire 03824, USA. Joanne.samuels(-atsign-)unh.edu

Journal and publication information

Publication Type: Journal Article

Journal: Journal of nursing care quality (J Nurs Care Qual), published in United States. (Language: eng)

Reference: -2009 Jul-Sep; vol 24 (issue 3) : pp 223-31

Dates: Created 2009/06/15; Completed 2009/09/02;

PMID: 19525763, status: MEDLINE (last retrieval date: 9/4/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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