Effect of Repeated Feedback to RNs' Pain Nursing Documentation: A Cluster Randomized Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Change in RNs' pain documentation
Study Overview
Brief Summary
The aim of the study is to find out how pain nursing documentation audit and educational feedback effect to RN's pain nursing documentation, the average level of pain nursing documentation knowledge of unit RN's, patient satisfaction of pain management and number of pain nursing incident reports. In addition, how background variables are related to the pain nursing documentation.
Research hypothesis:
Pain nursing documentation audit and educational feedback increased RNs' pain nursing documentation and knowledge, patient satisfaction to pain management and effect to number of pain nursing incident reports.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Single (Participant)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Registered nurses (RN) who work at the Kuopio University Hospital in units of which patients potentially require pain management.
Exclusion Criteria
- •Professionals other than RN
- •RN who do not use pain management strategies in their work
Outcomes
Primary Outcomes
Change in RNs' pain documentation
Time Frame: Baseline (T0), month 1 (T1), month 2 (T2), month 3 (T3), month 4 (T4), month 5 (T5) month 6 (T6), month 7 (T7), month 8 (T8)
MEASUREMENT TOOL: Structured audit frame to evaluate pain assessment and management documentation. UNIT OF MEASURE: Information is collected as follows from EHR 1. Patient pain documented in the care chart 2. Patient need for pain management documented 3. Patient pain management goal documented 4. Patient pain assessment 5. Patient pain assessment in the previous 24 hours 6. Patient pain 7. Use of pain assessment tool 8. Non-pharmacological methods 9. Pharmacological interventions 10. Intervention (pharmacological or non-pharmacological effect assessment) Multiple measurements are aggregated to achieve one declared value as follows: First, each evaluated area results in 0 (not fulfilled) or 1 point (fulfilled). Second, the points are summed. Third, the sum is transformed to a 0-100 scale and reported as a single value reflecting pain documentation quality.
Change in RNs' pain knowledge
Time Frame: Baseline (T0), month 3 (T3), month (T7)
Pain knowledge questionnaire used in three time points
Secondary Outcomes
- Change in patient satisfaction of pain management(Before intervention (T0), month 3 (T3), month 6 (T6), month 8 (T8))
- Change in number of pain nursing incident reports(Before intervention (T0), month 8 (T8))