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Interventions related to pain.

K A Herr1, P R Mobily

  • 1College of Nursing, University of Iowa, Iowa City.

The Nursing Clinics of North America
|June 1, 1992
PubMed
Summary

Pain experts reached consensus on interventions and their activities using a Delphi survey. Interventions with specific activities and those including assessment/evaluation were rated highest.

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Area of Science:

  • Pain Management
  • Clinical Interventions
  • Expert Consensus

Background:

  • Pain interventions require clear definitions of associated activities.
  • Variability in pain types, causes, and patient populations complicates intervention standardization.
  • Expert opinion is crucial for defining effective pain management strategies.

Purpose of the Study:

  • To achieve expert consensus on 10 selected pain interventions and their characteristic activities.
  • To identify factors influencing the rating of pain interventions and activities.
  • To explore the role of assessment and evaluation within pain intervention strategies.

Main Methods:

  • A two-round Delphi survey methodology was employed.
  • Pain experts participated in rating selected pain interventions and their associated activities.
  • Consensus was achieved through iterative feedback and scoring.

Main Results:

  • High inter-rater reliability was observed for intervention and activity ratings.
  • Most activities were perceived as critical components of the interventions.
  • Interventions characterized by more specific activities received higher ratings.
  • Assessment and evaluation activities were consistently integrated into intervention strategies.

Conclusions:

  • Expert consensus can be achieved for pain interventions and activities, though complexity exists.
  • Specificity of activities and inclusion of assessment/evaluation enhance intervention ratings.
  • Further validation with diverse nursing experts in clinical settings is recommended.

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