Shahar Irit, Mendelson Gad, Gerbi Shlomit, Ben Natan Merav
Dorot Geriatric Center, Natanya, Israel.
Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel.
Pain Manag Nurs. 2018 Oct;19(5):456-463. doi: 10.1016/j.pmn.2018.04.001.
Pain is a common subjective symptom among older adults in general and among older adult residents in long-term geriatric facilities in particular. Pain diminishes older adults' quality of life and may impair their ability to recover from various illnesses. Therefore, the Israeli Ministry of Health has issued guidelines on effectively assessing and treating pain in this population.
To examine discrepancies between the Ministry of Health's pain assessment guidelines and documented practice by nursing staff at a long-term geriatric care facility and whether these discrepancies correlate to characteristics of the nurses, the wards, and the patients' characteristics.
A descriptive cross-sectional design study conducted at a large geriatric facility in central Israel.
A random sample of 200 computerized patient records of pain assessment and management performed by 69 individual nurses.
The study used an original checklist based on Israeli Ministry of Health guidelines to assess nursing documentation regarding 19 aspects of pain assessment and management.
There were discrepancies found between the Ministry of Health's pain assessment guidelines and documented practice by the nursing staff. An average of 13.8 out of 19 aspects of pain assessment and management were documented. As nurses' knowledge about pain assessment and management increased and as staffing ratios improved, the greater was the adherence to Ministry of Health guidelines, resulting in fewer discrepancies between the guidelines and documented practice. There was less pain assessment and management documentation for mechanically ventilated patients and for male patients.
疼痛是老年人中常见的主观症状，在长期老年护理机构的老年居民中尤为如此。疼痛会降低老年人的生活质量，并可能损害他们从各种疾病中康复的能力。因此，以色列卫生部发布了关于有效评估和治疗该人群疼痛的指南。
研究卫生部的疼痛评估指南与一家长期老年护理机构护理人员的记录实践之间的差异，以及这些差异是否与护士、病房和患者的特征相关。
在以色列中部一家大型老年护理机构进行的描述性横断面设计研究。
从69名护士进行的200份疼痛评估和管理的计算机化患者记录中随机抽取样本。
该研究使用了一份基于以色列卫生部指南的原始检查表，以评估关于疼痛评估和管理19个方面的护理记录。
发现卫生部的疼痛评估指南与护理人员的记录实践之间存在差异。在疼痛评估和管理的19个方面中，平均记录了13.8个方面。随着护士对疼痛评估和管理知识的增加以及人员配备比例的提高，对卫生部指南的遵守程度越高，指南与记录实践之间的差异就越少。机械通气患者和男性患者的疼痛评估和管理记录较少。
