2.50
Hdl Handle:
http://hdl.handle.net/10755/164059
Category:
Abstract
Type:
Presentation
Title:
Interrater Reliability of the COMFORT Scale in the Pediatric Intensive Care Unit
Author(s):
Ward-Smith, Peggy; Bear, Lora A.
Author Details:
Peggy Ward-Smith, RN, PhD, The University of Missouri, Kansas City, Missouri, USA, email: nacnsorg@nacns.org; Lora A. Bear, RN BSN CCRN, Children's Mercy Hospital, Kansas City, Missouri, USA
Abstract:
Background: Assessment of pain in the critically ill pediatric patient is a challenge to pediatric nurses. Young children have an inability to articulate pain, and, often have a decreased level of consciousness as a result of pain and sedation medications. Objectives: Pain medication decisions are based upon the results of each nurse's assessment, and may vary depending upon experience. The purpose of this study was to evaluate the interrater reliability of the COMFORT pain assessment tool among nurses caring for pediatric intensive care unit patients. Methods: Study subjects were intubated with normal musculoskeletal function and stable vital signs. Using the assessment tool, nurse participants and the investigator evaluated each patient simultaneously. Results: Data were managed utilizing SPSS for Windows. Paired sample correlation for each variable was statistically significant between the two study groups. A t-test determined that there was no statistical significance between the two groups. Thus, the study hypothesis, that there is no statistical difference in score of the COMFORT scale obtained by the investigator and those obtained by the staff nurse, was accepted. Conclusion: An acceptable interrater reliability for the COMFORT scale was obtained for this PICU. The data from this study demonstrates that the assessment tool is reliable among nurses of varied educational background and experience. Objectives: This presentation will (1) familiarize the participant with the COMFORT pain scale and its clinical use among pediatric patients who cannot verbalize their pain, and (2) allow the participants to understand the importance of determining the reliability of an instrument within a clinical setting.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
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.titleInterrater Reliability of the COMFORT Scale in the Pediatric Intensive Care Uniten_GB
dc.contributor.authorWard-Smith, Peggyen_US
dc.contributor.authorBear, Lora A.en_US
dc.author.detailsPeggy Ward-Smith, RN, PhD, The University of Missouri, Kansas City, Missouri, USA, email: nacnsorg@nacns.org; Lora A. Bear, RN BSN CCRN, Children's Mercy Hospital, Kansas City, Missouri, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164059-
dc.description.abstractBackground: Assessment of pain in the critically ill pediatric patient is a challenge to pediatric nurses. Young children have an inability to articulate pain, and, often have a decreased level of consciousness as a result of pain and sedation medications. Objectives: Pain medication decisions are based upon the results of each nurse's assessment, and may vary depending upon experience. The purpose of this study was to evaluate the interrater reliability of the COMFORT pain assessment tool among nurses caring for pediatric intensive care unit patients. Methods: Study subjects were intubated with normal musculoskeletal function and stable vital signs. Using the assessment tool, nurse participants and the investigator evaluated each patient simultaneously. Results: Data were managed utilizing SPSS for Windows. Paired sample correlation for each variable was statistically significant between the two study groups. A t-test determined that there was no statistical significance between the two groups. Thus, the study hypothesis, that there is no statistical difference in score of the COMFORT scale obtained by the investigator and those obtained by the staff nurse, was accepted. Conclusion: An acceptable interrater reliability for the COMFORT scale was obtained for this PICU. The data from this study demonstrates that the assessment tool is reliable among nurses of varied educational background and experience. Objectives: This presentation will (1) familiarize the participant with the COMFORT pain scale and its clinical use among pediatric patients who cannot verbalize their pain, and (2) allow the participants to understand the importance of determining the reliability of an instrument within a clinical setting.en_GB
dc.date.available2011-10-27T11:41:14Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:14Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_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.en_US
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