2.50
Hdl Handle:
http://hdl.handle.net/10755/150208
Type:
Presentation
Title:
Using Patient Satisfaction Data to Change Clinical Practice
Abstract:
Using Patient Satisfaction Data to Change Clinical Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Sherwood, Gwen, PhD
P.I. Institution Name:University of Texas
Title:Associate Dean
Objective: The study examined pain management practices as part of an on-going institution-wide effort to improve clinical outcomes. A Task Force on Nursing Quality Indicators for Pain Management identified objective and subjective indicators for pain management. To measure the objective indicators, a survey design was used to gather data through both patient self-report and computerized medical records. The study sought to answer questions about 1) clinical outcomes in hospitalized patients (Pain Management Index scores, reported pain intensity, interference and patient satisfaction), and 2) the frequency and effectiveness of pain management education. Subjective indicators will be addressed through on-going quality assurance monitoring. The project illustrates effectiveness of a partnership between academia and practice. Design: Patients answered 15 questions on the American Pain Society Outcomes (APS-POQ) Questionnaire. Modified as self-report on the objective indicators for pain as well as on a new item added about their satisfaction with pain management instruction. A computerized chart audit generated demographic and analgesic information to calculate the Pain Management Index (PMI). The PMI uses the worst pain reported and the strongest drug/opioid ordered to calculate effectiveness of pain treatment. Sample: The sample as comprised of 259 English speaking, adult medical/surgical patients (157 males and 102 females) in an urban teaching hospital. Mean age was 54 years with more than 30% of subjects over age 65. Setting: General medical/surgical units of a large, 800-bed tertiary care, urban teaching hospital were included. Names of Variables or Concept: The dependent variables (reported pain intensity, interference and patient satisfaction) sought to determine effectiveness of pain management and patient satisfaction with the pain management protocols used and instruction offered. Measures/Instruments: Trained data collectors used three instruments: Demographic Data Sheet to record information about age, gender, marital status, diagnosis, education, religion, analgesics ordered, and other pertinent data, the American Pain Society Outcomes Questionnaire (APS-POQ) Modified, and the Pain Management Index. Findings: Data will be reported on the analysis using descriptive and correlational analysis of the dependent variables (reported pain intensity, interference and patient satisfaction), and the independent variables (demographic factors, patient education and analgesic regimen). Logistic regression was used to predict patient satisfaction from the independent variables. Subscale reliabilities for the APS-POQ will also be reported. Questions added about patient satisfaction with pain management instruction has helped redesign educational strategies, the timing of instruction, and instructional medium. The research indicates education is a major factor in patient responses to pain management. Measuring satisfaction with instruction informs clinicians on how to improve clinical outcomes. Conclusions: The study illustrates the institution’s on-going commitment to effective pain management. This re-survey is compared to a previous measure to demonstrate the impact of having a Pain Care Team, an educational intervention that includes a session for every new employee, and a redesign of the patient documentation system that included pain as the fifth vital sign. The PMI is a useful tool to measure effectiveness of pain treatment and particularly to help clinicians understand the relationship of worst pain and analgesic ordered. Implications: With regulatory and political mandates to improve pain management, initiatives to incorporate pain as the fifth vital sign are increasing. Recent requirements by JCAHO reveal the seriousness of the problem of ineffective pain management. The APS-POQ can form the basis of on-going quality monitoring. The PMI offers a useful outcome measure to determine adequacy of pain treatment, particularly, undertreatment of pain. Care providers in acute care facilities can be better equipped to intervene to achieve desired outcomes, thus leading the way for clinical improvements within an interdisciplinary scope of practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing Patient Satisfaction Data to Change Clinical Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150208-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using Patient Satisfaction Data to Change Clinical Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Sherwood, Gwen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Texas</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Dean</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gwen.sherwood@uth.tmc.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: The study examined pain management practices as part of an on-going institution-wide effort to improve clinical outcomes. A Task Force on Nursing Quality Indicators for Pain Management identified objective and subjective indicators for pain management. To measure the objective indicators, a survey design was used to gather data through both patient self-report and computerized medical records. The study sought to answer questions about 1) clinical outcomes in hospitalized patients (Pain Management Index scores, reported pain intensity, interference and patient satisfaction), and 2) the frequency and effectiveness of pain management education. Subjective indicators will be addressed through on-going quality assurance monitoring. The project illustrates effectiveness of a partnership between academia and practice. Design: Patients answered 15 questions on the American Pain Society Outcomes (APS-POQ) Questionnaire. Modified as self-report on the objective indicators for pain as well as on a new item added about their satisfaction with pain management instruction. A computerized chart audit generated demographic and analgesic information to calculate the Pain Management Index (PMI). The PMI uses the worst pain reported and the strongest drug/opioid ordered to calculate effectiveness of pain treatment. Sample: The sample as comprised of 259 English speaking, adult medical/surgical patients (157 males and 102 females) in an urban teaching hospital. Mean age was 54 years with more than 30% of subjects over age 65. Setting: General medical/surgical units of a large, 800-bed tertiary care, urban teaching hospital were included. Names of Variables or Concept: The dependent variables (reported pain intensity, interference and patient satisfaction) sought to determine effectiveness of pain management and patient satisfaction with the pain management protocols used and instruction offered. Measures/Instruments: Trained data collectors used three instruments: Demographic Data Sheet to record information about age, gender, marital status, diagnosis, education, religion, analgesics ordered, and other pertinent data, the American Pain Society Outcomes Questionnaire (APS-POQ) Modified, and the Pain Management Index. Findings: Data will be reported on the analysis using descriptive and correlational analysis of the dependent variables (reported pain intensity, interference and patient satisfaction), and the independent variables (demographic factors, patient education and analgesic regimen). Logistic regression was used to predict patient satisfaction from the independent variables. Subscale reliabilities for the APS-POQ will also be reported. Questions added about patient satisfaction with pain management instruction has helped redesign educational strategies, the timing of instruction, and instructional medium. The research indicates education is a major factor in patient responses to pain management. Measuring satisfaction with instruction informs clinicians on how to improve clinical outcomes. Conclusions: The study illustrates the institution’s on-going commitment to effective pain management. This re-survey is compared to a previous measure to demonstrate the impact of having a Pain Care Team, an educational intervention that includes a session for every new employee, and a redesign of the patient documentation system that included pain as the fifth vital sign. The PMI is a useful tool to measure effectiveness of pain treatment and particularly to help clinicians understand the relationship of worst pain and analgesic ordered. Implications: With regulatory and political mandates to improve pain management, initiatives to incorporate pain as the fifth vital sign are increasing. Recent requirements by JCAHO reveal the seriousness of the problem of ineffective pain management. The APS-POQ can form the basis of on-going quality monitoring. The PMI offers a useful outcome measure to determine adequacy of pain treatment, particularly, undertreatment of pain. Care providers in acute care facilities can be better equipped to intervene to achieve desired outcomes, thus leading the way for clinical improvements within an interdisciplinary scope of practice.</td></tr></table>en_GB
dc.date.available2011-10-26T10:18:59Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T10:18:59Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.