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Implementing the Critical Care Pain Observation Tool using the Iowa Model
1St. Joseph's Hospital Health Center, Syracuse, NY, USA.
The Journal of the New York State Nurses' Association
|October 2, 2010
Summary
The Iowa Model effectively guided the implementation of the Critical Care Pain Observation Tool (CPOT) for assessing pain in nonverbal intensive care unit patients, improving nursing care.
Area of Science:
- Nursing
- Evidence-Based Practice
- Pain Management
Background:
- Assessing pain in nonverbal intensive care unit (ICU) patients presents significant challenges.
- Existing pain assessment scales may not be suitable for all nonverbal patient populations.
- The Iowa Model provides a structured approach for implementing evidence-based practice (EBP) changes in nursing.
Purpose of the Study:
- To implement and evaluate the Critical Care Pain Observation Tool (CPOT) for pain assessment in nonverbal ICU patients.
- To utilize the Iowa Model of EBP to facilitate the adoption of a new pain assessment tool.
- To improve the quality of nursing care through enhanced pain management strategies.
Main Methods:
- A pilot program was conducted in the surgical ICU at St. Joseph's Hospital Health Center.
- The Iowa Model of EBP was applied to guide the implementation process.
- The Critical Care Pain Observation Tool (CPOT) was selected based on psychometric soundness for nonverbal patients.
Main Results:
- The Iowa Model provided a systematic framework for nursing practice change.
- Implementation of the CPOT pilot program was successful in the surgical ICU.
- The study demonstrated the feasibility and positive impact of using CPOT for nonverbal patients.
Conclusions:
- The Iowa Model of EBP is a valuable framework for facilitating organizational change in nursing.
- Implementing the CPOT can improve pain assessment and management for nonverbal ICU patients.
- Evidence-based practice implementation positively impacts patient care processes across the healthcare continuum.
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