Central DuPage Hospital, Winfield, IL, USA.
J Pediatr Nurs. 2012 Aug;27(4):336-45. doi: 10.1016/j.pedn.2011.06.002. Epub 2011 Aug 15.
In response to unit nursing quality and patient satisfaction concerns, the shared governance councils identified opportunities to improve overall assessment and management of pain in hospitalized pediatric patients. Together, the unit-shared governance councils evaluated current practice and reviewed the literature to develop comprehensive Pediatric Pain Assessment and Management Guidelines. The purpose of this study was to evaluate the effectiveness of implementing an evidence-based pain assessment and management guideline on nurses' knowledge, ability to assess and manage the patients' pain, and patient/family satisfaction with staff's management of pain. This intervention study with a pre-post design included three assessment intervals described as baseline and 3 and 6 months after guideline implementation. The sample included pediatric and pediatric intensive care unit (PICU) nursing staff, retrospective chart reviews of pediatric and PICU patients, and patient/parent satisfaction scores. No differences were found between nurses' knowledge and attitudes regarding pain before and after implementation of the guideline. Significant increases in pain assessment, use of correct tool, and reassessment were found following implementation. Although improving, there was no difference in patient/family satisfaction after guideline implementation.
针对单元护理质量和患者满意度的问题，共同治理委员会确定了改善住院儿科患者整体评估和疼痛管理的机会。单位共同治理委员会共同评估了当前的实践，并审查了文献，以制定全面的儿科疼痛评估和管理指南。本研究的目的是评估实施基于证据的疼痛评估和管理指南对护士的知识、评估和管理患者疼痛的能力以及患者/家属对员工疼痛管理的满意度的有效性。这项干预性研究采用了前后设计，包括基线和指南实施后 3 个月和 6 个月的三个评估间隔。样本包括儿科和儿科重症监护病房（PICU）的护理人员、儿科和 PICU 患者的回顾性图表审查以及患者/家长满意度评分。在实施指南前后，护士对疼痛的知识和态度没有差异。实施后，疼痛评估、正确工具的使用和重新评估显著增加。尽管有所改善，但在实施指南后，患者/家属的满意度没有差异。
