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Utilizing an outcomes approach to improve pain management by nurses: a pilot study
S Barnason1, M Merboth, B Pozehl
1Critical Care and Emergency Services, Bryan Memorial Hospital, Lincoln, Nebraska, USA.
Clinical Nurse Specialist CNS
|March 3, 1998
Summary
A pilot study found that a structured nursing intervention significantly improved pain management knowledge and patient satisfaction. This initiative enhanced nurses' ability to manage patient pain effectively.
Area of Science:
- Nursing
- Pain Management
- Clinical Outcomes Improvement
Background:
- Effective pain management remains a significant challenge in nursing practice.
- Existing literature highlights inconsistent and ineffective patient pain management.
- There is a need for structured interventions to standardize best practices.
Purpose of the Study:
- To evaluate the effectiveness of a structured intervention aimed at improving patient pain management by nurses.
- To assess the impact of the intervention on nurses' knowledge and clinical practice.
- To measure changes in patient satisfaction and pain assessment consistency.
Main Methods:
- Utilized the "Serial V" model for clinical outcomes improvement.
- Implemented a structured intervention comprising a self-study module and critical thinking exercises for nurses.
- Collected and analyzed outcome data on nurses' knowledge, patient satisfaction, and pain management consistency.
Main Results:
- Demonstrated significant improvement in nurses' cognitive knowledge of pain management (p < 0.001).
- Showed an increase in overall patient satisfaction with pain management during hospitalization.
- Observed enhanced consistency in patients' ability to rate pain intensity and identify acceptable pain levels.
- Documented more consistent pain management practice patterns among nursing staff.
Conclusions:
- The structured intervention effectively improved nurses' knowledge and pain management practices.
- Findings support the intervention's positive impact on patient satisfaction and pain assessment consistency.
- The pilot study provides a foundation for developing further strategies to optimize patient pain management.