Acceptability of the Use of Pain Behavior Observational Methods (PBOMs) by Nursing Home Nurses

2.50
Hdl Handle:
http://hdl.handle.net/10755/153995
Type:
Presentation
Title:
Acceptability of the Use of Pain Behavior Observational Methods (PBOMs) by Nursing Home Nurses
Abstract:
Acceptability of the Use of Pain Behavior Observational Methods (PBOMs) by Nursing Home Nurses
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Liu, Yat-wa Justina, PhD
P.I. Institution Name:The Hong Kong Polytechnic University
Title:Lecturer
21st INRC [Research Presentation] Purpose: Inability to verbally report pain is a major obstacle to successful pain management in cognitively impaired elderly people (CIEP).  Hence, much effort has been devoted to developing PBOMs during the last decade.  Their structure is similar to that basically formed by common pain behaviors recommended by the American Geriatrics Society (AGS).1  Although many studies have demonstrated the psychometric soundness of several PBOMs, none of these are well validated for use with CIEP.  A possible hurdle is the acceptability of PBOMs by nursing home nurses.  This study helps to explore the extent to which nurses find PBOMs acceptable in their daily routines.  Methods: A questionnaire was used to explore nurses' perceptions of common pain behaviors of CIEP, to evaluate the clinical relevance/frequency of pain behaviors for routine pain assessment, and to self-appraise the acceptability of using PBOMs in their daily practice.  A panel of experts in pain and gerontology was set up to determine the content validity index (CVI).  The final scale level CVI was 0.9, indicating an acceptable level of content validity. Results: 104 questionnaires were distributed and 77 nurses returned them.  Although none of the participants had used PBOMs before, they were able to describe divergent pain behaviors.  "Facial expressions" was identified as the most clinically relevant/frequent pain behavior.  This was followed by "body movements" and "vocalizations & verbalizations."   They stated that they had successfully identified pain among CIEP by observing their pain behaviors.   Generally, they believed that PBOMs were useful for pain assessment. Conclusion: Observing CIEPs' pain behavior for pain assessment occurs in nurses' daily practice.  Even with no formal training in the use of PBOMs, participants indicated their confidence in using PBOMs in their daily routine.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAcceptability of the Use of Pain Behavior Observational Methods (PBOMs) by Nursing Home Nursesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153995-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Acceptability of the Use of Pain Behavior Observational Methods (PBOMs) by Nursing Home Nurses</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">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Liu, Yat-wa Justina, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Hong Kong Polytechnic University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Lecturer</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hsjustina@inet.polyu.edu.hk</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: Inability to verbally report pain is a major obstacle to successful pain management in cognitively impaired elderly people (CIEP).&nbsp; Hence, much effort has been devoted to developing PBOMs during the last decade.&nbsp; Their structure is similar to that basically formed by common pain behaviors recommended by the American Geriatrics Society (AGS).1 &nbsp;Although many studies have demonstrated the psychometric soundness of several PBOMs, none of these are well validated for use with CIEP.&nbsp; A possible hurdle is the acceptability of PBOMs by nursing home nurses.&nbsp; This study helps to explore the extent to which nurses find PBOMs acceptable in their daily routines.&nbsp; Methods: A questionnaire was used to explore nurses' perceptions of common pain behaviors of CIEP, to evaluate the clinical relevance/frequency of pain behaviors for routine pain assessment, and to self-appraise the acceptability of using PBOMs in their daily practice.&nbsp; A panel of experts in pain and gerontology was set up to determine the content validity index (CVI).&nbsp; The final scale level CVI was 0.9, indicating an acceptable level of content validity. Results: 104 questionnaires were distributed and 77 nurses returned them.&nbsp; Although none of the participants had used PBOMs before, they were able to describe divergent pain behaviors.&nbsp; &quot;Facial expressions&quot; was identified as the most clinically relevant/frequent pain behavior.&nbsp; This was followed by &quot;body movements&quot; and &quot;vocalizations &amp; verbalizations.&quot;&nbsp;&nbsp; They stated that they had successfully identified pain among CIEP by observing their pain behaviors. &nbsp;&nbsp;Generally, they believed that PBOMs were useful for pain assessment. Conclusion: Observing CIEPs' pain behavior for pain assessment occurs in nurses' daily practice.&nbsp; Even with no formal training in the use of PBOMs, participants indicated their confidence in using PBOMs in their daily routine.</td></tr></table>en_GB
dc.date.available2011-10-26T12:39:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:39:58Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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