Using Touch-screen Computer Data-Collection Programs with Discharged Emergency Department Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/306561
Category:
Abstract
Type:
Poster
Title:
Using Touch-screen Computer Data-Collection Programs with Discharged Emergency Department Patients
Author(s):
Stapleton, Stephen J.
Lead Author STTI Affiliation:
Non-member
Author Details:
Stephen J. Stapleton, PhD, RN, CEN, sstaple@ilstu.edu
Abstract:

Research Abstract

Purpose: An estimated 136.1 million patients present to US EDs each year; 79.8% seek relief from pain yet patients are often undertreated experiencing oligoanalgesia (inadequate pain management). At the same time little is known about the relationship between pain management in the emergency department, how patients manage pain after discharge, and the effect of this pain on patients’ functional status.

Design: This descriptive, cross-sectional study intends to demonstrate the feasibility and acceptability of specifically designed data collection procedures and that discharged ED patients are willing and able to utilize touch-screen computers for data collection.

Setting: This study will be conducted in one Midwestern Level II trauma center.

Participants/Subjects: 25 participants (>18 years) who: 1) present to the ED with an acute pain related complaint, 2) are to be discharged home with a moderate (4-6) or severe (7-10) pain intensity score, and 3) speak, read, and write English will be enrolled upon ED discharge. Patients will be excluded who are: 1) legally blind, 2) have cognitive impairments, 3) have an absence of pain, 4) have pain lasting for >3 months, 5) have an acute life-threatening disease, 6) are suffering from altered mental status, 7) are admitted to the hospital or transferred to another facility, 8) have physical impairments making it impossible to complete the study instruments at enrollment or any time during the study, or 9) refuse to participate. Both the hospital IRB and Principle Investigator’s university IRB granted approval.

Methods: Participants will self-enter on touch-screen computers variables of interest and complete four PROMIS tools and the Computer Acceptability Scale. The aims of this study are to: 1) Determine the feasibility of utilizing the Assessment CenterSM (NIH sponsored web-based resource) for computer access of researcher designed instruments (demographic variables, chart review, pain variables, 7-day pain diaries), the Computer Acceptability Scale, and PROMIS (global health, pain behavior, pain interference, and sleep interference) instruments, and 2) Investigate the acceptability of touch-screen computers for data collection by patients discharged from the ED. The feasibility of this method of data collection will be determined by calculating the time to complete the measures, determining the completeness of the data, and analyzing the perceptions of the data collection process.

Results/Outcomes: Data collection will begin in January 2013 and data analysis will be finished prior to the poster presentation.

Implications: This study is a first step toward exploring the relationship between pain management practices in the ED with post-discharge pain outcomes. Determining the feasibility and acceptability of the data collection procedures will demonstrate that discharged ED patients are willing and able to utilize touch-screen computers for data collection. This study will also allow potential alterations in the data collection procedures before the next large scale study is initiated. Having an increased understanding of how patients discharged from the ED with moderate to high pain intensity scores manage their pain post discharge may lead to changes in ED pain management practices and improved patient outcomes.

Keywords:
Pain management and post-discharge pain outcomes
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Center
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleUsing Touch-screen Computer Data-Collection Programs with Discharged Emergency Department Patientsen_GB
dc.contributor.authorStapleton, Stephen J.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsStephen J. Stapleton, PhD, RN, CEN, sstaple@ilstu.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306561-
dc.description.abstract<p>Research Abstract</p><p>Purpose: An estimated 136.1 million patients present to US EDs each year; 79.8% seek relief from pain yet patients are often undertreated experiencing oligoanalgesia (inadequate pain management). At the same time little is known about the relationship between pain management in the emergency department, how patients manage pain after discharge, and the effect of this pain on patients’ functional status.</p><p>Design: This descriptive, cross-sectional study intends to demonstrate the feasibility and acceptability of specifically designed data collection procedures and that discharged ED patients are willing and able to utilize touch-screen computers for data collection.</p><p>Setting: This study will be conducted in one Midwestern Level II trauma center.</p><p>Participants/Subjects: 25 participants (>18 years) who: 1) present to the ED with an acute pain related complaint, 2) are to be discharged home with a moderate (4-6) or severe (7-10) pain intensity score, and 3) speak, read, and write English will be enrolled upon ED discharge. Patients will be excluded who are: 1) legally blind, 2) have cognitive impairments, 3) have an absence of pain, 4) have pain lasting for >3 months, 5) have an acute life-threatening disease, 6) are suffering from altered mental status, 7) are admitted to the hospital or transferred to another facility, 8) have physical impairments making it impossible to complete the study instruments at enrollment or any time during the study, or 9) refuse to participate. Both the hospital IRB and Principle Investigator’s university IRB granted approval.</p><p>Methods: Participants will self-enter on touch-screen computers variables of interest and complete four PROMIS tools and the Computer Acceptability Scale. The aims of this study are to: 1) Determine the feasibility of utilizing the Assessment CenterSM (NIH sponsored web-based resource) for computer access of researcher designed instruments (demographic variables, chart review, pain variables, 7-day pain diaries), the Computer Acceptability Scale, and PROMIS (global health, pain behavior, pain interference, and sleep interference) instruments, and 2) Investigate the acceptability of touch-screen computers for data collection by patients discharged from the ED. The feasibility of this method of data collection will be determined by calculating the time to complete the measures, determining the completeness of the data, and analyzing the perceptions of the data collection process.</p><p>Results/Outcomes: Data collection will begin in January 2013 and data analysis will be finished prior to the poster presentation.</p><p>Implications: This study is a first step toward exploring the relationship between pain management practices in the ED with post-discharge pain outcomes. Determining the feasibility and acceptability of the data collection procedures will demonstrate that discharged ED patients are willing and able to utilize touch-screen computers for data collection. This study will also allow potential alterations in the data collection procedures before the next large scale study is initiated. Having an increased understanding of how patients discharged from the ED with moderate to high pain intensity scores manage their pain post discharge may lead to changes in ED pain management practices and improved patient outcomes.</p>en_GB
dc.subjectPain management and post-discharge pain outcomesen_GB
dc.date.available2013-12-09T16:59:48Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T16:59:48Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Centeren_GB
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.en_GB
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