The Impact of Staff Development Initiatives on Assessment and Management of Pain

2.50
Hdl Handle:
http://hdl.handle.net/10755/162885
Type:
Presentation
Title:
The Impact of Staff Development Initiatives on Assessment and Management of Pain
Abstract:
The Impact of Staff Development Initiatives on Assessment and Management of Pain
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Schug, Vicki, PhD., RN
P.I. Institution Name:College of St. Catherine
Contact Address:Dept. of Nursing, 2004 Randolph Avenue, St. Paul, MN, 55105, USA
Contact Telephone:651/690-6940
Co-Authors:Joni Kopitzke, MSN, RN-C, FNP; Michelle Noltimier, BSN, RN; and Mary Ellen Swanson, MBA, RN
Purpose: Pain is a common symptom among patients who present to the Emergency Department. There is often inconsistency in nursing assessment and documentation of pain in Emergency Department patients, which could result in under treatment of pain. Factors contributing to this inconsistency may include personal bias and lack of education regarding pain assessment and management. The purpose of this study was to determine if staff development initiatives could improve nursing assessment of patients experiencing pain and enhance compliance with documentation guidelines. Design: Using a descriptive survey approach, a repeated measures design was employed to explore knowledge and attitudes of nurses and compliance with documentation of pain assessment in adult patients reporting abdominal pain. Setting and Subjects: A convenience sample of 60 Emergency Department nurses employed in an urban Level I Trauma Center participated in the study at one or both of the data collection points. Experience as a health care provider ranged from 2 - 38 (M = 17.1) years, and a higher percentage of the sample was prepared at the baccalaureate level. Methodology: McCaffery's (1987) Pain Control Survey was used to assess nurses' perceptions at two data collection points approximately 6 months apart. Additionally, a retrospective chart review was completed before and after staff development initiatives to determine nurses' compliance with assessment and documentation guidelines. Groups were compared by t-tests with respect to continuous variables, by Wilcoxon's rank sum test for ordered categorical variables, and by chi-square tests for nominal variables. Results: Demographic variables of age, educational level, and years of practice of the nursing staff did not change considerably pre-and post-intervention. Although no significant difference was noted in the Pain Control Survey results, use of the pain scale by nurses increased significantly (p < .0001) following the staff development intervention. Educational initiatives appear to have increased staff awareness of pain and the various ways it can be treated. Of the five staff development initiatives that were implemented (e.g., pain lecture, pain scale included in patient record and on staff identification badges, table tents, email quizzes), staff nurses reported that incorporating the pain scale on the computerized patient record was the most helpful educational strategy. Conclusions: Structured staff development interventions contribute to improvements in nursing practice through increased compliance with pain assessment and documentation guidelines. Quality of care is enhanced with consistent use of pain assessment tools. Additional education is needed to address misperceptions regarding patients in pain. Future staff development efforts can also enhance identification, implementation, and documentation of independent nursing interventions. [Research Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Impact of Staff Development Initiatives on Assessment and Management of Painen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162885-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Impact of Staff Development Initiatives on Assessment and Management of Pain</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schug, Vicki, PhD., RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">College of St. Catherine</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Dept. of Nursing, 2004 Randolph Avenue, St. Paul, MN, 55105, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">651/690-6940</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">vlschug@stkate.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Joni Kopitzke, MSN, RN-C, FNP; Michelle Noltimier, BSN, RN; and Mary Ellen Swanson, MBA, RN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Pain is a common symptom among patients who present to the Emergency Department. There is often inconsistency in nursing assessment and documentation of pain in Emergency Department patients, which could result in under treatment of pain. Factors contributing to this inconsistency may include personal bias and lack of education regarding pain assessment and management. The purpose of this study was to determine if staff development initiatives could improve nursing assessment of patients experiencing pain and enhance compliance with documentation guidelines. Design: Using a descriptive survey approach, a repeated measures design was employed to explore knowledge and attitudes of nurses and compliance with documentation of pain assessment in adult patients reporting abdominal pain. Setting and Subjects: A convenience sample of 60 Emergency Department nurses employed in an urban Level I Trauma Center participated in the study at one or both of the data collection points. Experience as a health care provider ranged from 2 - 38 (M = 17.1) years, and a higher percentage of the sample was prepared at the baccalaureate level. Methodology: McCaffery's (1987) Pain Control Survey was used to assess nurses' perceptions at two data collection points approximately 6 months apart. Additionally, a retrospective chart review was completed before and after staff development initiatives to determine nurses' compliance with assessment and documentation guidelines. Groups were compared by t-tests with respect to continuous variables, by Wilcoxon's rank sum test for ordered categorical variables, and by chi-square tests for nominal variables. Results: Demographic variables of age, educational level, and years of practice of the nursing staff did not change considerably pre-and post-intervention. Although no significant difference was noted in the Pain Control Survey results, use of the pain scale by nurses increased significantly (p &lt; .0001) following the staff development intervention. Educational initiatives appear to have increased staff awareness of pain and the various ways it can be treated. Of the five staff development initiatives that were implemented (e.g., pain lecture, pain scale included in patient record and on staff identification badges, table tents, email quizzes), staff nurses reported that incorporating the pain scale on the computerized patient record was the most helpful educational strategy. Conclusions: Structured staff development interventions contribute to improvements in nursing practice through increased compliance with pain assessment and documentation guidelines. Quality of care is enhanced with consistent use of pain assessment tools. Additional education is needed to address misperceptions regarding patients in pain. Future staff development efforts can also enhance identification, implementation, and documentation of independent nursing interventions. [Research Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:49Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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