Measuring person-centred pain management: Development of a questionnaire using the fundamentals of care framework.
acute abdominal pain
fundamentals of care
instrument development
measurement
nursing
pain management
person-centred care
person-centredness
questionnaire
surgical care
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
revised:
21
03
2023
received:
08
06
2022
accepted:
23
04
2023
medline:
14
9
2023
pubmed:
20
5
2023
entrez:
20
5
2023
Statut:
ppublish
Résumé
To develop and test a questionnaire using the Fundamentals of Care framework to measure person-centred pain management. Cross-sectional exploratory descriptive design. Development in three phases: (a) literature search for questionnaires measuring person-centred pain management, (b) seven-step process developing items using thematic analysis, (c) initial feasibility and validity testing. Theoretical and empirical evidence was used, including the 'Strategic and Clinical Quality Indicators in Postoperative Pain management' questionnaire, the Fundamentals of Care framework and person-centredness principles. Theoretical experts (n = 2) reviewed the questionnaire, further evaluated by providers (n = 5) and patients (n = 5) using a think-aloud process, and by additional questions in the questionnaire answered by n = 100 patients. The questionnaire was tested February to March 2021, at four surgical wards in a university hospital. The evaluation showed initial support for feasibility and validity, and the questionnaire was found to represent and be sensitive to capture the patients' experiences of person-centred pain management and being easy to answer. The 100 patients with acute abdominal pain who answered the questionnaire (aged 18-89 years, 46 women and 54 men), identified missing elements of fundamental care in their pain management, indicating that the questionnaire is sensitive to capture specific areas for improvement. This first attempt at transforming the essential components of person-centred pain management into measurable items in a questionnaire was found promising. The questionnaire is suggested to be further tested for psychometric properties and patient benefit to provide clinical guidance in acute surgical care to meet the patient care need of pain management. The developed questionnaire addresses the need of nurses and nursing leaders to evaluate the delivery of person-centred pain management in acute surgical care, to relieve the patient from pain. Patients and providers were involved in testing the questionnaire.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3923-3934Subventions
Organisme : Forskningsrådet om Hälsa, Arbetsliv och Välfärd
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
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