کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
898262 915280 2008 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Documentation of postoperative pain by nurses in surgical wards
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Documentation of postoperative pain by nurses in surgical wards
چکیده انگلیسی

SummaryPurposeTo describe nursing documentation of pain assessment and management in the first 72 h postoperatively in surgical wards.MethodsA retrospective approach was used to collect data on nurses’ documentation from patients’ records. A total sample size of 322 records at six hospitals in Jordan were audited using three audit instruments; Pain and Anxiety Audit Tool, the North American Nursing Diagnosis Association (NANDA) form for characteristics of acute pain, and comprehensiveness assessment tool.ResultsThere was no evidence of pain assessment documentation on the first day of surgery in 113 (35%) of patient's records. Pain location was the most recorded information for pain assessment in 197 (61%) notes, and only 14 (4.3%) nurses used a pain scale. More than 53% of the records lacked information about medication for pain management. There was a significant difference (p < 0.05) in all the categories of pain documentation between the first day and the subsequent days. Nurses documented patients’ self-report of pain [297 (92.3%)], and patients’ crying [200 (62.1%)]. More than 80% (273) of the records were ranked below the minimum score for a satisfactory documentation.ConclusionThe results indicate the need to improve postoperative pain assessment and documentation, and the establishment of acute pain service.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Acute Pain - Volume 10, Issue 2, June 2008, Pages 73–81
نویسندگان
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