Intensive Care Nurses' Use of the Critical-Care Pain Observation Tool

Area of Science:

• Critical Care Nursing
• Pain Management
• Patient Assessment

Background:

• Pain assessment is crucial in intensive care units (ICUs) for patients unable to self-report.
• Behavioral pain assessment tools, like the Critical Care Pain Observation Tool Japanese version (CPOT-J), are vital for accurate pain evaluation.
• Appropriate use of these tools by nurses is essential for effective pain management and preventing adverse physiological effects.

Purpose of the Study:

• To examine the utilization of the Critical Care Pain Observation Tool Japanese version (CPOT-J) by nurses in adult ICUs.
• To identify factors influencing CPOT-J use among nurses caring for non-self-reporting patients.
• To understand current practices in pain assessment within Japanese ICUs.

Main Methods:

• A descriptive, analytical, cross-sectional online survey was conducted.
• Nurses in Japanese ICUs were invited to complete a questionnaire on CPOT-J usage.
• Multivariable regression analysis was employed to identify factors associated with CPOT-J use.

Main Results:

• A total of 277 nurses from 55 facilities were included in the analysis (13.8% response rate).
• Formal education regarding CPOT-J use was significantly associated with its appropriate application.
• Integration of CPOT-J items into electronic health records also showed a significant association with increased tool utilization.

Conclusions:

• Formal education and electronic health record integration are key factors in promoting CPOT-J use by ICU nurses.
• Implementing these strategies can enhance pain assessment accuracy and improve patient outcomes in critical care settings.
• Healthcare organizations should prioritize education and technological integration to ensure consistent and effective pain management.