Related Experiment Video
Updated: May 29, 2025
09:00
Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
Published on: July 7, 2023
3.2K
Effects of Repeated Feedback on Pain Documentation: A Cluster Randomized Trial
Salla Grommi1, Ari Voutilainen2, Anne Vaajoki3
1Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Summary
Pain documentation audits and repeated feedback may improve quality, but variation hinders significance. Continuous monitoring and addressing implementation barriers are recommended for better pain care documentation.
Area of Science:
- Nursing Practice
- Healthcare Quality Improvement
- Pain Management
Background:
- Effective pain management relies on accurate documentation.
- Assessing the impact of interventions on nursing documentation is crucial for quality care.
- The REFPAD intervention was developed to enhance pain documentation and knowledge among registered nurses.
Purpose of the Study:
- To evaluate the effect of pain documentation audits and repeated feedback (REFPAD intervention) on nurses' pain documentation and knowledge.
- To identify background variables influencing pain documentation and knowledge.
Main Methods:
- A cluster randomized trial involving thirty work units in a university hospital.
- Intervention group received monthly audits and feedback; control group did not.
- Pain knowledge tests and documentation quality assessments were conducted over 8 months using a linear mixed model.
Main Results:
- The REFPAD intervention showed a positive trend in improving pain documentation quality (from 35% to 44% in intervention group).
- Statistical significance was not achieved due to substantial within-unit variation.
- Only the number of pain assessments per patient per day influenced documentation quality; no effect on pain knowledge was observed.
Conclusions:
- The REFPAD intervention has potential to enhance pain documentation quality.
- Further analysis of implementation barriers and facilitators is necessary to minimize variations.
- Focusing on feedback implementation and continuous quality monitoring is recommended for improved pain care.
Related Concept Videos
02:07Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
01:26Guidelines for Nursing Documentation II
1.0K
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.
1.0K
01:26Methods of Documentation IV: Focus Charting
991
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
991
01:21Methods of Documentation III: PIE
1.3K
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:
1.3K
01:25Analgesia and Pain Management
443
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...
443
01:11Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K