Bonkowski Sara L, De Gagne Jennie C, Cade Makia B, Bulla Sally A
J Contin Educ Nurs. 2018 Apr 1;49(4):178-185. doi: 10.3928/00220124-20180320-08.
Nurses lack adequate pain management knowledge, which can result in poorly managed postsurgical pain. This study aimed to develop, implement, and evaluate pain management education and operational guidelines to improve nursing knowledge and pain management. This quality improvement project employed convenience samples of surgical oncology nurses and postoperative patients. The intervention involved an online module, live education, and operational guideline for pain management. Nurses completed pre- and postintervention practice and attitudes surveys. Random chart reviews of intravenous narcotic administrations the day before discharge were completed to evaluate whether narcotic administration changed after intervention. Readmissions and Hospital Consumer Assessment of Healthcare Providers and Systems data were collected to determine whether the intervention influenced patient satisfaction. A statistically significant improvement in nursing practice and intravenous narcotic administrations demonstrated changes to pain management practices employed by the nursing staff. Although not statistically significant, fewer pain-related readmissions occurred postintervention. Findings demonstrate that targeted pain management continuing education, paired with operational guidelines, improves nursing practice and decreases intravenous narcotic administrations prior to discharge. J Contin Educ Nurs. 2018;49(4):178-185.
护士缺乏足够的疼痛管理知识，这可能导致术后疼痛管理不善。本研究旨在制定、实施和评估疼痛管理教育及操作指南，以提高护理知识和疼痛管理水平。这个质量改进项目采用了肿瘤外科护士和术后患者的便利样本。干预措施包括一个在线模块、现场教育以及疼痛管理操作指南。护士在干预前后完成了实践和态度调查。对出院前一天静脉注射麻醉剂的病历进行随机抽查，以评估干预后麻醉剂的使用是否发生了变化。收集再入院情况以及医疗服务提供者和系统的医院消费者评估数据，以确定干预措施是否影响了患者满意度。护理实践和静脉注射麻醉剂使用情况有统计学意义的改善，表明护理人员采用的疼痛管理实践发生了变化。虽然没有统计学意义，但干预后与疼痛相关的再入院情况有所减少。研究结果表明，有针对性的疼痛管理继续教育与操作指南相结合，可改善护理实践并减少出院前静脉注射麻醉剂的使用。《护理继续教育杂志》。2018年；49(4):178 - 185。
