Related Experiment Video
Updated: Dec 15, 2025
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
9.1K
Nurse's Evaluation of a Pain Management Algorithm in Intensive Care Units
Brita F Olsen1, Tone Rustøen2, Berit T Valeberg3
1Intensive and Postoperative Unit, Østfold Hospital Trust, Grålum, Norway; Faculty of Health and Welfare, Østfold University College, Halden, Norway.
Summary
Nurses found a new pain management algorithm feasible but less useful for targeted pain treatment. Further focus on pain treatment actions and reassessment is needed to improve its clinical utility.
Area of Science:
- Critical Care Medicine
- Nursing
- Pain Management
Background:
- Intensive care unit (ICU) patients often experience pain, necessitating improved pain management strategies.
- Practice guidelines recommend routine, assessment-driven, protocol-based pain management.
- A pain-management algorithm was developed to guide clinical practice.
Purpose of the Study:
- To evaluate the feasibility and clinical utility of a newly developed pain-management algorithm.
- To assess nurses' perceptions of the algorithm's impact on pain treatment.
Main Methods:
- A descriptive survey design was employed.
- A pain-management algorithm, including assessment tools and a guide, was implemented in three ICUs across two Norwegian hospitals.
- Nurses (n=129) completed questionnaires on the algorithm's feasibility and clinical utility.
Main Results:
- Nurses perceived the pain-management algorithm as having high feasibility but lower clinical utility.
- Less than half of nurses believed pain treatment became more targeted with the assessment tools (45%) or the algorithm (24%).
Conclusions:
- Pain-management algorithms show potential utility in clinical practice.
- Enhancing clinical utility requires greater emphasis on pain treatment actions and patient pain reassessment.
- Improved implementation strategies and focus on pain treatment actions are crucial for optimizing algorithm effectiveness.
Related Concept Videos
01:20Angina V: Nursing Management
212
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
212
01:21Methods of Documentation III: PIE
1.9K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.9K
01:26Peripheral Artery Disease IV: Nursing Management
219
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
219
01:26Guidelines for Nursing Documentation II
1.5K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.5K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
218
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
218
01:25Analgesia and Pain Management
1.3K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
1.3K