Pain Assessment in Nonverbal Critically Ill Adults Using the Behavioral Pain Scale

2.50
Hdl Handle:
http://hdl.handle.net/10755/162113
Category:
Abstract
Type:
Presentation
Title:
Pain Assessment in Nonverbal Critically Ill Adults Using the Behavioral Pain Scale
Author(s):
Fetherman, Brandee A.; Fowler, Susan B.
Author Details:
Brandee A. Fetherman, RN, BSN, CCRN, Morristown Memorial Hospital, Morristown, New Jersey, USA, email: brandee.fetherman@atlantichealth.org; Susan B. Fowler, PhD, RN, CNRN, FAHA
Abstract:
Purpose: The purpose of this study is to determine continued reliability of the Behavioral Pain Scale (BPS) in nonverbal critically ill adult patients. Research is needed to document reliable observable pain indicators in order to detect and treat pain properly. Theoretical Framework: Pain is recognized as a subjective and multidimensional experience and is whatever the experiencing person says it is and exists whenever he or she says it does. The challenge for self-report arises when critically ill patients are unable to communicate due to impaired verbalization for a variety of reasons including endotracheal intubation. The research question guiding this investigation asks, "Is the behavioral pain scale (BPS) a valid and reliable tool to measure pain in the nonverbal critically ill cardiac and intensive care patient populations?" Methods (Design, Sample, Setting, Measures, Analysis): A prospective, observation design will be used to collect data to answer the research question. A convenience sample of 28 subjects will be assessed using the Behavioral Pain Scale at 5 different time periods by two independent raters. Results for reliability will be analyzed with Cronbach's alpha for internal consistency and inter-rater agreement with a Pearson correlation coefficient for each subscale and the total score. Correlation will also be obtained between BPS and Ramsay scale to add further information to tool validity. Scores will be compared during procedure compared to rest and after procedure by the Wilcoxan paired test. Results: Results will contribute additional information on the reliability of the BPS in other critically ill populations. Conclusions and Implications: In the future, critical care nurses may use a tool to assess pain in nonverbal critically ill patients that is both valid and reliable throughout critical care units.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePain Assessment in Nonverbal Critically Ill Adults Using the Behavioral Pain Scaleen_GB
dc.contributor.authorFetherman, Brandee A.en_US
dc.contributor.authorFowler, Susan B.en_US
dc.author.detailsBrandee A. Fetherman, RN, BSN, CCRN, Morristown Memorial Hospital, Morristown, New Jersey, USA, email: brandee.fetherman@atlantichealth.org; Susan B. Fowler, PhD, RN, CNRN, FAHAen_US
dc.identifier.urihttp://hdl.handle.net/10755/162113-
dc.description.abstractPurpose: The purpose of this study is to determine continued reliability of the Behavioral Pain Scale (BPS) in nonverbal critically ill adult patients. Research is needed to document reliable observable pain indicators in order to detect and treat pain properly. Theoretical Framework: Pain is recognized as a subjective and multidimensional experience and is whatever the experiencing person says it is and exists whenever he or she says it does. The challenge for self-report arises when critically ill patients are unable to communicate due to impaired verbalization for a variety of reasons including endotracheal intubation. The research question guiding this investigation asks, "Is the behavioral pain scale (BPS) a valid and reliable tool to measure pain in the nonverbal critically ill cardiac and intensive care patient populations?" Methods (Design, Sample, Setting, Measures, Analysis): A prospective, observation design will be used to collect data to answer the research question. A convenience sample of 28 subjects will be assessed using the Behavioral Pain Scale at 5 different time periods by two independent raters. Results for reliability will be analyzed with Cronbach's alpha for internal consistency and inter-rater agreement with a Pearson correlation coefficient for each subscale and the total score. Correlation will also be obtained between BPS and Ramsay scale to add further information to tool validity. Scores will be compared during procedure compared to rest and after procedure by the Wilcoxan paired test. Results: Results will contribute additional information on the reliability of the BPS in other critically ill populations. Conclusions and Implications: In the future, critical care nurses may use a tool to assess pain in nonverbal critically ill patients that is both valid and reliable throughout critical care units.en_GB
dc.date.available2011-10-27T11:00:58Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:00:58Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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