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Published on: July 7, 2023
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Nursing Workload, Knowledge about Pain, and Their Relation to Pain Records
David Zuazua-Rico1, Maria Pilar Mosteiro-Diaz1, Alba Maestro-Gonzalez1
1Medicine Department, Nursing Area, University Of Oviedo, Oviedo, Spain.
Summary
High nursing workload in intensive care units is linked to increased frequency of pain assessment. Further research is needed to understand factors influencing pain documentation.
Area of Science:
- Critical Care Medicine
- Nursing Science
- Pain Management
Background:
- Effective pain assessment and management are crucial in intensive care units (ICUs).
- Nursing workload can potentially impact the quality and frequency of patient care activities, including pain assessment.
Purpose of the Study:
- To investigate the relationship between the frequency of pain assessment and nursing workload in an ICU setting.
- To analyze how the frequency of pain assessment correlates with nursing professionals' knowledge and attitudes toward pain.
Main Methods:
- An ambispective study was conducted in a Spanish tertiary-level ICU from October 2017 to April 2018.
- Nursing workload was measured using the Nursing Activities Score (NAS).
- Pain knowledge and attitudes were assessed using the Knowledge and Attitudes Survey Regarding Pain (KASRP).
Main Results:
- A total of 1,207 measurements were recorded among 41 nurses and 1,838 patient assessments were conducted.
- The average nursing workload was high, recorded at 70.97 points.
- A statistically significant positive association was found between nursing workload and the frequency of pain assessment (p < .001), and between assessment frequency and patients with communicative capacity (p = .008).
Conclusions:
- Increased nursing workload in ICUs is associated with a higher frequency of pain assessment documentation.
- The study highlights the influence of nursing workload on pain registration and assessment practices.
- Further research is recommended to explore the impact of pain severity, patient gender, and nurse workload on pain assessment.
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