The aim of the study is to find out how pain nursing documentation audit and educational feedback effect to RN's pain nursing documentation, the average level of pain nursing documentation knowledge of unit RN's, patient satisfaction of pain management and number of pain nursing incident reports. In addition, how background variables are related to the pain nursing documentation. Research hypothesis: Pain nursing documentation audit and educational feedback increased RNs' pain nursing documentation and knowledge, patient satisfaction to pain management and effect to number of pain nursing incident reports.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
30
Repeated feedback monthly based on previous month pain documentation audit results.
Monthly pain documentation audit
Kuopio University Hospital
Kuopio, Finland
Change in RNs' pain documentation
MEASUREMENT TOOL: Structured audit frame to evaluate pain assessment and management documentation. UNIT OF MEASURE: Information is collected as follows from EHR 1. Patient pain documented in the care chart 2. Patient need for pain management documented 3. Patient pain management goal documented 4. Patient pain assessment 5. Patient pain assessment in the previous 24 hours 6. Patient pain 7. Use of pain assessment tool 8. Non-pharmacological methods 9. Pharmacological interventions 10. Intervention (pharmacological or non-pharmacological effect assessment) Multiple measurements are aggregated to achieve one declared value as follows: First, each evaluated area results in 0 (not fulfilled) or 1 point (fulfilled). Second, the points are summed. Third, the sum is transformed to a 0-100 scale and reported as a single value reflecting pain documentation quality.
Time frame: Baseline (T0), month 1 (T1), month 2 (T2), month 3 (T3), month 4 (T4), month 5 (T5) month 6 (T6), month 7 (T7), month 8 (T8)
Change in RNs' pain knowledge
Pain knowledge questionnaire used in three time points
Time frame: Baseline (T0), month 3 (T3), month (T7)
Change in patient satisfaction of pain management
Nursing patient feedback questionnaire analyzed at two time points
Time frame: Before intervention (T0), month 3 (T3), month 6 (T6), month 8 (T8)
Change in number of pain nursing incident reports
Pain nursing incident reports analyzed at two time points
Time frame: Before intervention (T0), month 8 (T8)
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