An Information Model on Pain Management: Cultural Validation and Refinement

Area of Science:

• Healthcare Informatics
• Nursing Research
• Clinical Systems

Background:

• Effective pain management is crucial in hospital settings.
• Information models are essential for standardizing care and improving electronic health records.
• Adapting models to institutional culture enhances their applicability and effectiveness.

Purpose of the Study:

• To validate and refine an information model for pain management within a Brazilian hospital context.
• To incorporate institutional culture considerations into the pain management information model.
• To develop a reusable model for improving electronic systems and interventions.

Main Methods:

• An expert consensus approach was employed in two stages.
• Stage one involved a computerized questionnaire and Content Validity Index (CVI) calculation with 19 experts.
• Stage two utilized an online meeting with three experts for further validation and refinement.

Main Results:

• Out of 11 initial attributes, five were validated in the first stage (75% consensus).
• The second stage suggested including new attributes related to institutional culture.
• The final model comprised 23 revised attribute sets: 12 validated, 7 suggested, and 4 not validated.

Conclusions:

• The refined Brazilian pain management information model is suitable for supporting interventions.
• The model can guide improvements in the institution's electronic system.
• This adaptable model holds potential for reuse in other healthcare institutions.