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Virginia Henderson International Nursing e-Repository > Sigma Theta Tau International (STTI) > STTI International Nursing Research Congress > Pediatric Pain Assessment and Documentation: A Quality Improvement Project

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Type: Presentation
Title: Pediatric Pain Assessment and Documentation: A Quality Improvement Project
Pediatric Pain Assessment and Documentation: A Quality Improvement Project
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Kramlich, Debra L., RN, BSN, CCRN
P.I. Institution Name:Maine Medical Center
Title:Clinical Nurse IV
Clinical Problem/Significance: Pediatric pain management has remained a challenge in spite of research done over the past twenty years. Children are often difficult to assess for pain because of their limited ability to self-report. Research shows that improved documentation results in improved pain management. The challenge is to find an appropriate tool for assessing and documenting children?s pain. Search for the Evidence: A computerized literature search was performed using the words pediatric pain, pain scales, pain assessment, and pain documentation. The search yielded thirteen studies; four were for the purpose of validation of the FLACC scale in various populations. Critical Appraisal of the Evidence: Critique of the evidence was done by the principle investigator, the Research Nurse Coordinator and a staff colleague. The evidence was evaluated for validity and reliability of the tool in the populations of interest, as well as evidence of improved pain assessment, documentation and management. Synthesis and Integration of the Evidence: The outcome variables included the improvement of pain documentation, pain management, and staff and patient satisfaction. The study findings indicated that pain management did not consistently improve following staff education but did improve following implementation of an objective pain assessment and documentation tool. Studies also found improved documentation was related to improved pain management. Evaluation of Outcomes: Following nurse education and implementation of the FLACC scale for assessment and documentation of pain in children unable to self-report, data collection will be completed using a revision of the current NDNQI chart audit form to analyze for change in nurse documentation. Implications for Nursing Care: Replacement of the three current pediatric pain scales for children unable to self-report with one scale that is more appropriate for that population will help streamline and standardize pain assessment and documentation. Improved documentation will assist in improving pediatric pain management.
Repository Posting Date: 26-Oct-2011
Date of Publication: 17-Oct-2011
Sponsors: Sigma Theta Tau International
Appears in Collections: STTI International Nursing Research Congress

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