11.00
Hdl Handle:
http://hdl.handle.net/10755/324149
Category:
Abstract
Type:
Presentation
Title:
Improving Patient Satisfaction through Pain Control
Author(s):
Po, Joy
Author Details:
Joy Po, BSN, RN, MICN, email: jpo@uci.edu
Abstract:
Evidence-based Practice Abstract Purpose: Of patients arriving in the emergency department, 70% come with complaints of pain. A patient’s dissatisfaction with how their pain is controlled results in lower Press Ganey scores, patients leaving without being seen/elopements, and perceived caregiver indifference. The objective of this project was to increase Press Ganey scores in three measurable areas: nurse’s sensitivity to pain, physician’s sensitivity to pain, and how well pain was controlled. Design: This quality improvement project was developed using Lean Six Sigma processes to address persistently negative patient scores related to the patient’s experience with pain. The scope of the project centered on the time the patient complained of pain to the time the patient exits the emergency department. Three goals are central to meeting the project objectives: 1) The first caregiver pharmaceutical intervention for pain control will occur within 30 minutes of patient’s complaint of pain; 2) Reduce the patient’s level of pain to an acceptable level predetermined by the patient and in agreement with the caregiver prior to the patient’s exit from the ED; and 3) Press Ganey pain related questions will increase from a mean score of 79 to a mean score of 90 within six months of the start time. Setting: The project was conducted in a 36-bed comprehensive emergency department of a university medical center, a Level I trauma center, and designated burn center. The department is a base hospital and paramedic receiving center, offering tertiary care services. Participants/Subjects: Participants include emergency department physicians and nurses. For the purposes of the project, only pediatric patients were exempted from inclusion. All adult patients undergoing treatment in the emergency department were subject to inclusion. Methods: Patients who complained of pain are asked to provide a pain scale rating during the initial assessment and set a rating goal in agreement with the physician/nurse. Patients are then offered pharmaceutical pain relief within 30 minutes of the time of complaint. The 30-minute process to accomplish this includes the implementation of standardized nursing procedures for pharmaceutical pain control, guidelines co-developed by emergency physicians and nurses designed to address the pain, and evaluate the effects of pain control. The electronic medical record was incorporated into the process of pain assessment, serves as a communication tool, and has time sensitivities to assist in meeting project goals. Results/Outcomes: Within three months of process changes, the Press Ganey scores for the nurses exceeded 82%, 80% for physicians, and the control of pain at 78%. Present scores continue to steadily increase and patients remain in the emergency department for satisfactory pain control. Project team members believe the departmental goal will be met and exceeded, within the remaining three months of the project. Implications: Nurse and physician sensitivity to patient’s pain is at the forefront of caring and improvement in patient satisfaction scores. Standardized nursing procedures are under development and the electronic medical record is verification that the goals will be achieved. This project may be the impetus for further research.
Keywords:
Pain Control Satisfaction
Repository Posting Date:
4-Aug-2014
Date of Publication:
4-Aug-2014
Conference Date:
2014
Conference Name:
2014 ENA Leadership Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Phoenix, Arizona USA
Description:
2014 ENA Leadership Conference Theme: Safe Practice, Safe Care. Held at the Phoenix 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. 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.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleImproving Patient Satisfaction through Pain Controlen_GB
dc.contributor.authorPo, Joyen_GB
dc.author.detailsJoy Po, BSN, RN, MICN, email: jpo@uci.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/324149-
dc.description.abstractEvidence-based Practice Abstract Purpose: Of patients arriving in the emergency department, 70% come with complaints of pain. A patient’s dissatisfaction with how their pain is controlled results in lower Press Ganey scores, patients leaving without being seen/elopements, and perceived caregiver indifference. The objective of this project was to increase Press Ganey scores in three measurable areas: nurse’s sensitivity to pain, physician’s sensitivity to pain, and how well pain was controlled. Design: This quality improvement project was developed using Lean Six Sigma processes to address persistently negative patient scores related to the patient’s experience with pain. The scope of the project centered on the time the patient complained of pain to the time the patient exits the emergency department. Three goals are central to meeting the project objectives: 1) The first caregiver pharmaceutical intervention for pain control will occur within 30 minutes of patient’s complaint of pain; 2) Reduce the patient’s level of pain to an acceptable level predetermined by the patient and in agreement with the caregiver prior to the patient’s exit from the ED; and 3) Press Ganey pain related questions will increase from a mean score of 79 to a mean score of 90 within six months of the start time. Setting: The project was conducted in a 36-bed comprehensive emergency department of a university medical center, a Level I trauma center, and designated burn center. The department is a base hospital and paramedic receiving center, offering tertiary care services. Participants/Subjects: Participants include emergency department physicians and nurses. For the purposes of the project, only pediatric patients were exempted from inclusion. All adult patients undergoing treatment in the emergency department were subject to inclusion. Methods: Patients who complained of pain are asked to provide a pain scale rating during the initial assessment and set a rating goal in agreement with the physician/nurse. Patients are then offered pharmaceutical pain relief within 30 minutes of the time of complaint. The 30-minute process to accomplish this includes the implementation of standardized nursing procedures for pharmaceutical pain control, guidelines co-developed by emergency physicians and nurses designed to address the pain, and evaluate the effects of pain control. The electronic medical record was incorporated into the process of pain assessment, serves as a communication tool, and has time sensitivities to assist in meeting project goals. Results/Outcomes: Within three months of process changes, the Press Ganey scores for the nurses exceeded 82%, 80% for physicians, and the control of pain at 78%. Present scores continue to steadily increase and patients remain in the emergency department for satisfactory pain control. Project team members believe the departmental goal will be met and exceeded, within the remaining three months of the project. Implications: Nurse and physician sensitivity to patient’s pain is at the forefront of caring and improvement in patient satisfaction scores. Standardized nursing procedures are under development and the electronic medical record is verification that the goals will be achieved. This project may be the impetus for further research.en_GB
dc.subjectPain Control Satisfactionen_GB
dc.date.available2014-08-04T13:28:24Z-
dc.date.issued2014-08-04-
dc.date.accessioned2014-08-04T13:28:24Z-
dc.conference.date2014en_GB
dc.conference.name2014 ENA Leadership Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationPhoenix, Arizona USAen_GB
dc.description2014 ENA Leadership Conference Theme: Safe Practice, Safe Care. Held at the Phoenix 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. 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_GB
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