Development of an Instrument to Measure NursesÆ Pain Assessment Strategies with Postoperative Clients

2.50
Hdl Handle:
http://hdl.handle.net/10755/163541
Category:
Abstract
Type:
Presentation
Title:
Development of an Instrument to Measure NursesÆ Pain Assessment Strategies with Postoperative Clients
Author(s):
Lauzon Clabo, Laurie
Author Details:
Laurie Lauzon Clabo, PhD, RN, Assistant Professor, University of Rhode Island, Kingston, Rhode Island, USA, email: llauzonclabo@uri.edu
Abstract:
Purpose: While the literature contains numerous intervention studies designed to improve nurses assessment of pain in postoperative clients, there are no reports of the existence of a reliable and valid instrument that can be used to measure the specific strategies that nurses use to assess pain in postoperative clients, and therefore to measure change in nurses' pain assessment post intervention. This study involved the development and testing of The Pain Assessment Inventory, an instrument designed to measure strategies used by nurses when assessing pain in adult postoperative clients. Methods: This 20-item Likert scale, designed and tested using classic instrument development techniques, was drawn from the work of Sjostrom and colleagues who have identified four predominant modes of assessment (what the client says, how the client looks, the client's way of talking, and experience of similar circumstances) in a series of cross national studies. The instrument was administered to a convenience sample of 320 RN's working on fifteen surgical nursing units. Results: Construct validity was assessed using correlation analysis. Factor Analysis suggested an underlying four factor instrument (GFI = .9929, chi-square = 2.7420, df = 2, p = 0.2539, RMSEA = .0440. CFI = .9950, NNFI = .9821). Chronbach's alpha for the four subscales (Client's Narrative, Evident Criteria, Reference Typology and Distracters) ranged from .79 to .85. Test-retest reliability was also assessed in a subset of the original sample. Reliability coefficients (rtt) for the subscales of the PAI in this sample ranged from .80 to .91. Testing to further develop the instrument's psychometric properties using a larger sample (3000) is ongoing. Conclusions and Implications: The Pain Assessment Inventory is a reliable and valid instrument that can be used as both a baseline and outcome measure of nurses' assessment strategies in intervention studies designed to improve nurses' assessment of postoperative pain.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
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.titleDevelopment of an Instrument to Measure NursesÆ Pain Assessment Strategies with Postoperative Clientsen_GB
dc.contributor.authorLauzon Clabo, Laurieen_US
dc.author.detailsLaurie Lauzon Clabo, PhD, RN, Assistant Professor, University of Rhode Island, Kingston, Rhode Island, USA, email: llauzonclabo@uri.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163541-
dc.description.abstractPurpose: While the literature contains numerous intervention studies designed to improve nurses assessment of pain in postoperative clients, there are no reports of the existence of a reliable and valid instrument that can be used to measure the specific strategies that nurses use to assess pain in postoperative clients, and therefore to measure change in nurses' pain assessment post intervention. This study involved the development and testing of The Pain Assessment Inventory, an instrument designed to measure strategies used by nurses when assessing pain in adult postoperative clients. Methods: This 20-item Likert scale, designed and tested using classic instrument development techniques, was drawn from the work of Sjostrom and colleagues who have identified four predominant modes of assessment (what the client says, how the client looks, the client's way of talking, and experience of similar circumstances) in a series of cross national studies. The instrument was administered to a convenience sample of 320 RN's working on fifteen surgical nursing units. Results: Construct validity was assessed using correlation analysis. Factor Analysis suggested an underlying four factor instrument (GFI = .9929, chi-square = 2.7420, df = 2, p = 0.2539, RMSEA = .0440. CFI = .9950, NNFI = .9821). Chronbach's alpha for the four subscales (Client's Narrative, Evident Criteria, Reference Typology and Distracters) ranged from .79 to .85. Test-retest reliability was also assessed in a subset of the original sample. Reliability coefficients (rtt) for the subscales of the PAI in this sample ranged from .80 to .91. Testing to further develop the instrument's psychometric properties using a larger sample (3000) is ongoing. Conclusions and Implications: The Pain Assessment Inventory is a reliable and valid instrument that can be used as both a baseline and outcome measure of nurses' assessment strategies in intervention studies designed to improve nurses' assessment of postoperative pain.en_GB
dc.date.available2011-10-27T11:09:21Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:09:21Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_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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