Enhancing the use of pain assessment at emergency department: a best practice implementation project
Identifikátory výsledku
Kód výsledku v IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F22%3A00126982" target="_blank" >RIV/00216224:14110/22:00126982 - isvavai.cz</a>
Výsledek na webu
<a href="https://journals.lww.com/ijebh/Abstract/2022/08001/Enhancing_the_use_of_pain_assessment_at_emergency.3.aspx" target="_blank" >https://journals.lww.com/ijebh/Abstract/2022/08001/Enhancing_the_use_of_pain_assessment_at_emergency.3.aspx</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1097/XEB.0000000000000314" target="_blank" >10.1097/XEB.0000000000000314</a>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Enhancing the use of pain assessment at emergency department: a best practice implementation project
Popis výsledku v původním jazyce
Objectives: The main aim of the best practice implementation project was to enhance the use of pain assessment and the compliance with evidence-based criteria regarding pain assessment among incoming patients to emergency department. Introduction: Adequate approaches to pain assessment and documentation have been demonstrated beneficial for emergency department patients. Evidence-based recommendations establish a focus on education about the implications for evaluating and recording pain in order to improve outcome strategies and quality of care. Methods: The implementation project was undertaken in the emergency department following JBI Implementation framework in order to seek whether pain assessment was taken and registered as per protocols. Random selection for 100 anonymized emergency department admission episodes, which had to meet the specified inclusion criteria, was carried out. Results: The baseline audit showed low compliance in criterion 3 (C3) ‘Pain was documented in each assessment’ (6%), C4 ‘Pain was assessed after treatment’ (9%) and C5 ‘Pain was assessed prior to discharge’ (10%). In the follow-up audit, noticeable improvement was shown for four of the criteria; C3 (14%), C4 (22%) and for C5 (41%). C1 ‘Pain was assessed in a timely manner’ improved from 81% up to 95%. C2 ‘Use of a validated scoring tool’ had a compliance of 100% as the hospital's assessing system default has NRS-11 scale set up. Conclusion: We performed an audit of pain assessment documentation. Enhancing the use of pain assessment among emergency department nurses by means of specific training emphasizing the importance of documentation showed a positive impact on practice. Follow-up audit results justify the continuity of the implemented strategies.
Název v anglickém jazyce
Enhancing the use of pain assessment at emergency department: a best practice implementation project
Popis výsledku anglicky
Objectives: The main aim of the best practice implementation project was to enhance the use of pain assessment and the compliance with evidence-based criteria regarding pain assessment among incoming patients to emergency department. Introduction: Adequate approaches to pain assessment and documentation have been demonstrated beneficial for emergency department patients. Evidence-based recommendations establish a focus on education about the implications for evaluating and recording pain in order to improve outcome strategies and quality of care. Methods: The implementation project was undertaken in the emergency department following JBI Implementation framework in order to seek whether pain assessment was taken and registered as per protocols. Random selection for 100 anonymized emergency department admission episodes, which had to meet the specified inclusion criteria, was carried out. Results: The baseline audit showed low compliance in criterion 3 (C3) ‘Pain was documented in each assessment’ (6%), C4 ‘Pain was assessed after treatment’ (9%) and C5 ‘Pain was assessed prior to discharge’ (10%). In the follow-up audit, noticeable improvement was shown for four of the criteria; C3 (14%), C4 (22%) and for C5 (41%). C1 ‘Pain was assessed in a timely manner’ improved from 81% up to 95%. C2 ‘Use of a validated scoring tool’ had a compliance of 100% as the hospital's assessing system default has NRS-11 scale set up. Conclusion: We performed an audit of pain assessment documentation. Enhancing the use of pain assessment among emergency department nurses by means of specific training emphasizing the importance of documentation showed a positive impact on practice. Follow-up audit results justify the continuity of the implemented strategies.
Klasifikace
Druh
J<sub>imp</sub> - Článek v periodiku v databázi Web of Science
CEP obor
—
OECD FORD obor
30218 - General and internal medicine
Návaznosti výsledku
Projekt
—
Návaznosti
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Ostatní
Rok uplatnění
2022
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
JBI EVIDENCE IMPLEMENTATION
ISSN
2691-3321
e-ISSN
—
Svazek periodika
20
Číslo periodika v rámci svazku
Supplement 1
Stát vydavatele periodika
US - Spojené státy americké
Počet stran výsledku
8
Strana od-do
„S15“-„S22“
Kód UT WoS článku
000858607100003
EID výsledku v databázi Scopus
2-s2.0-85141680308