2.50
Hdl Handle:
http://hdl.handle.net/10755/602650
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Pain Care Quality and Patient Perception of Pain Care
Author(s):
Martin, Laura K.
Lead Author STTI Affiliation:
Rho Zeta
Author Details:
Laura K. Martin, RN, lmartin@ochsner.org
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Evidence supports that quality pain management improves the patients’ report of satisfaction even if pain is not always eliminated. The goal of this Doctor of Nursing Practice project was to implement/sustain processes to enhance the patients’ perception of pain care quality by implementing a Pain Care Quality Toolkit into the standard of care for three inpatient nursing units. The setting was a 110-bed community hospital that is a part of a large multi-facility healthcare system. An interprofessional team was formed to plan, implement, and monitor all project activities. Methods: A Plan, Do, Study, Act methodology guided project implementation and evaluation.  In July 2014, an evidence-based Pain Care Quality Toolkit was adopted involving:  communication whiteboards, pain scales, patient education, hourly rounding, and non-pharmacologic strategies (positioning, heat/ice, guided imagery, distraction).  Project outcomes included: 1) monthly collection of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) pain scores and 2) inpatient responses to the 6-item Pain Care Quality–Nursing (PainCQ-N ©) survey using a prevalence methodology.  Weekly Pain Care Quality Toolkit adherence audits were conducted and reported monthly.  Comparisons between pre-intervention (March-June, 2014) and post-intervention (July-November, 2014) outcomes were performed using paired t -tests (HCAHPS) or Wilcoxon signed rank test (PainCQ-N ©). Results: There was a significant improvement (t=4.3822, p <0.0001) in HCAHPS pain scores for all units when pre-intervention outcomes (n=112, M=66.25%, SD=10.5%) were compared to post-intervention outcomes (n=120, M=71%, SD=5.34%).  Adherence to pain education and adjunctive pain management strategy components of the toolkit improved compared to communication of the pain plan component of the toolkit. There were no significant differences in pre- intervention (n=23) and post-intervention (n=65) PainCQ-N © survey ratings in any of the three subscales ( p >0.05): Being Treated Right pre-intervention M=5.80, SD=0.39, post-intervention M=5.35, SD=1.10 ( Z =1.51, p =0.13); Comprehensive Nursing Pain Care pre-intervention M=4.72, SD=1.64, post-intervention M=4.10, SD=1.93 ( Z =1.35, p =0.18); Efficacy of Pain Management pre-intervention M=5.55, SD=0.67, post-intervention M=4.98, SD=1.53 ( Z =1.09, p =0.28). Discussion:  PainCQ-N © ratings have not demonstrated improvement despite significant increases in HCAHPS scores post-intervention. However, there are too few data points post-intervention to support any trend in improved pain care quality. Continued monitoring of adherence with utilization of the toolkit and pain care quality measures is warranted to guide and sustain process improvement.
Keywords:
Pain; Quality; Satisfaction
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15EB2.21
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titlePain Care Quality and Patient Perception of Pain Careen
dc.contributor.authorMartin, Laura K.en
dc.contributor.departmentRho Zetaen
dc.author.detailsLaura K. Martin, RN, lmartin@ochsner.orgen
dc.identifier.urihttp://hdl.handle.net/10755/602650en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Evidence supports that quality pain management improves the patients’ report of satisfaction even if pain is not always eliminated. The goal of this Doctor of Nursing Practice project was to implement/sustain processes to enhance the patients’ perception of pain care quality by implementing a Pain Care Quality Toolkit into the standard of care for three inpatient nursing units. The setting was a 110-bed community hospital that is a part of a large multi-facility healthcare system. An interprofessional team was formed to plan, implement, and monitor all project activities. Methods: A Plan, Do, Study, Act methodology guided project implementation and evaluation.  In July 2014, an evidence-based Pain Care Quality Toolkit was adopted involving:  communication whiteboards, pain scales, patient education, hourly rounding, and non-pharmacologic strategies (positioning, heat/ice, guided imagery, distraction).  Project outcomes included: 1) monthly collection of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) pain scores and 2) inpatient responses to the 6-item Pain Care Quality–Nursing (PainCQ-N ©) survey using a prevalence methodology.  Weekly Pain Care Quality Toolkit adherence audits were conducted and reported monthly.  Comparisons between pre-intervention (March-June, 2014) and post-intervention (July-November, 2014) outcomes were performed using paired t -tests (HCAHPS) or Wilcoxon signed rank test (PainCQ-N ©). Results: There was a significant improvement (t=4.3822, p <0.0001) in HCAHPS pain scores for all units when pre-intervention outcomes (n=112, M=66.25%, SD=10.5%) were compared to post-intervention outcomes (n=120, M=71%, SD=5.34%).  Adherence to pain education and adjunctive pain management strategy components of the toolkit improved compared to communication of the pain plan component of the toolkit. There were no significant differences in pre- intervention (n=23) and post-intervention (n=65) PainCQ-N © survey ratings in any of the three subscales ( p >0.05): Being Treated Right pre-intervention M=5.80, SD=0.39, post-intervention M=5.35, SD=1.10 ( Z =1.51, p =0.13); Comprehensive Nursing Pain Care pre-intervention M=4.72, SD=1.64, post-intervention M=4.10, SD=1.93 ( Z =1.35, p =0.18); Efficacy of Pain Management pre-intervention M=5.55, SD=0.67, post-intervention M=4.98, SD=1.53 ( Z =1.09, p =0.28). Discussion:  PainCQ-N © ratings have not demonstrated improvement despite significant increases in HCAHPS scores post-intervention. However, there are too few data points post-intervention to support any trend in improved pain care quality. Continued monitoring of adherence with utilization of the toolkit and pain care quality measures is warranted to guide and sustain process improvement.en
dc.subjectPainen
dc.subjectQualityen
dc.subjectSatisfactionen
dc.date.available2016-03-21T16:33:46Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:33:46Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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