Impact of Implementing the Critical Care Pain Observation Tool on Nurses' Performance in Assessing and Managing Pain in the Critically Ill Patients.
Analgesic administration
Critical care pain observation tool
Intensive care unit
Journal
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
ISSN: 0972-5229
Titre abrégé: Indian J Crit Care Med
Pays: India
ID NLM: 101208863
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
entrez:
28
5
2019
pubmed:
28
5
2019
medline:
28
5
2019
Statut:
ppublish
Résumé
Pain management is one of the most important responsibilities of nurses in an intensive care unit (ICU). It is difficult to perform pain assessment appropriately in patients who are unable to report their pain. This study is aimed to determine the impact of implementing the critical care pain observation tool (CPOT) on the amount and frequency of analgesics' administration in ICUs. This interventional study was conducted in 2014. Sixty nurses and 240 patients were studied. This study was carried out in three phases: first the data about amount and frequency of analgesic administration were extracted from patients' medical files. Then the CPOT was implemented into the nursing assessment process and finally, nurses' performance regarding the amount and frequency of analgesic administration was recorded. This data obtained before and after intervention were analyzed using chi-square and independent t-test In this interventional study, we found that there was no difference in the demography and cause of ICU admission before and after implementation of CPOT (age Applying CPOT, as an objective mean of pain assessment, was effective in improving the performance of ICU nurses in assessment and management of patients' pain. It increased the amount and frequency of analgesic administration. We can recommend that COPT is a useful tool for assessment and management of pain in ICU patients and should be implemented in all ICUs. Modanloo M, Mohsenpour A,
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
Pain management is one of the most important responsibilities of nurses in an intensive care unit (ICU). It is difficult to perform pain assessment appropriately in patients who are unable to report their pain. This study is aimed to determine the impact of implementing the critical care pain observation tool (CPOT) on the amount and frequency of analgesics' administration in ICUs.
MATERIALS AND METHODS
METHODS
This interventional study was conducted in 2014. Sixty nurses and 240 patients were studied. This study was carried out in three phases: first the data about amount and frequency of analgesic administration were extracted from patients' medical files. Then the CPOT was implemented into the nursing assessment process and finally, nurses' performance regarding the amount and frequency of analgesic administration was recorded. This data obtained before and after intervention were analyzed using chi-square and independent t-test
RESULTS
RESULTS
In this interventional study, we found that there was no difference in the demography and cause of ICU admission before and after implementation of CPOT (age
CONCLUSION
CONCLUSIONS
Applying CPOT, as an objective mean of pain assessment, was effective in improving the performance of ICU nurses in assessment and management of patients' pain. It increased the amount and frequency of analgesic administration. We can recommend that COPT is a useful tool for assessment and management of pain in ICU patients and should be implemented in all ICUs.
HOW TO CITE THIS ARTICLE
UNASSIGNED
Modanloo M, Mohsenpour A,
Identifiants
pubmed: 31130786
doi: 10.5005/jp-journals-10071-23146
pmc: PMC6521825
doi:
Types de publication
Journal Article
Langues
eng
Pagination
165-169Déclaration de conflit d'intérêts
Source of support: Nil Conflict of interest: None
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