Pain Management Assessment
WHAT it TAKES
Because moderate to severe postoperative pain is a common experience among patients, pain management is an essential part of nursing care (Yuceer, 2011). Nurses must evaluate the pain, teach the patient appropriate strategies in dealing with it, implement a treatment plan and monitor the results, educate the patient's family on it and record the outcomes of pain management. It is thus clear that the nurse's effective approach to pain management is of primary importance in reducing patient pain and discomfort after surgery. Studies, however, suggest that nurses' current inadequate management of patients' postoperative pain relates to her level of training and preparedness (Yuceer).
This study aims at assessing the results of a continuous quality improvement program on acute pain management of surgical patients by nurses. It will answer these questions: 1. What is this quality improvement program and how does it improve present pain management standards? 2. How does it upgrade nurses' knowledge and skills in managing postoperative pain?
Review of Relevant Literature (p 1-3)
The poor understanding of pain was perceived to be behind the current inadequacy in the management of postoperative pain (Guardini et al., 2008). A study sought to assess this and determine the cause through a course, consisting of pre-tests and post-tests and a questionnaire set to 168 participants in a public hospital in Udine, Italy from October 2002 to June 2003. The hospital had 710 beds and more than 30,000 admissions each year. Results showed a significant difference in 7 out of 10 test questions after a gap of 18 months, indicating that knowledge deteriorates if not updated by refresher courses (Guardini et al.). A similar study used a pre-test and a post-test in comparing the use of non-pharmacological methods in managing children's postoperative pain by Chinese nurses (He et al., 2008). Results revealed the increased use of this method, which in turn, improved the quality of care and the nurses' knowledge, concluding that sustained pain education among nurses was significant for hospitals (He et al.).
A multi-center observational study of 250 infants in 10 participating NICUs also sought to evaluate pain assessment practices and establish specific areas of improvement...
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