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首页> 外文期刊>Palliative medicine >Impact of a novel online learning module on specialist palliative care nurses' pain assessment competencies and patients' reports of pain: Results from a quasi-experimental pilot study
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Impact of a novel online learning module on specialist palliative care nurses' pain assessment competencies and patients' reports of pain: Results from a quasi-experimental pilot study

机译：新型在线学习模块对专业姑息护理护士的影响'疼痛评估能力和患者痛苦的报告：拟试点研究结果

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Background: Pain is a complex multidimensional phenomenon moderated by consumer, provider and health system factors. Effective pain management cuts across professional boundaries, with failure to screen and assess contributing to the burden of unrelieved pain. Aim: To test the impact of an online pain assessment learning module on specialist palliative care nurses pain assessment competencies, and to determine whether this education impacted positively on palliative care patients reported pain ratings. Design: A quasi-experimental pain assessment education pilot study utilising Qstream, an online methodology to deliver 11 casebased pain assessment learning scenarios, developed by an interdisciplinary expert panel and delivered to participants work emails over a 28-day period in mid-2012. The Self-Perceived Pain Assessment Competencies survey and chart audit data, including patientreported pain intensity ratings, were collected pre-intervention (T1) and post-intervention (T2) and analysed using inferential statistics to determine key outcomes. Setting/participants: Nurses working at two Australian inpatient specialist palliative care services in 2012. Results: The results reported conform to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Guidelines. Participants who completed the education intervention (n = 34) increased their pain assessment knowledge, assessment tool knowledge and confidence to undertake a pain assessment (p < 0.001). Participants were more likely to document pain intensity scores in patients medical records than non-participants (95% confidence interval = 7.3%-22.7%, p = 0.021). There was also a significant reduction in the mean patient-reported pain ratings between the admission and audit date at post-test of 1.5 (95% confidence interval = 0.7-2.3) units in pain score. Conclusion: This pilot confers confidence of the education interventions capacity to improve specialist palliative care nurses pain assessment practices and to reduce patient-rated pain intensity scores.
机译：背景：疼痛是消费者，提供者和卫生系统因素的复杂多维现象。有效的疼痛管理跨越专业界限，未能筛选和评估促进未升温疼痛的负担。目的：测试在线疼痛评估学习模块对专业姑息护理护理护理评估能力的影响，并确定这项教育是否对姑息治疗患者呈积极影响患者报告疼痛评级。设计：使用QSTREAM的准实验性疼痛评估教育试验研究，一种在线方法，以提供11个止痛评估学习情景的在线方法，由跨学科专家小组开发，并在2012年中期的28天期间交付给参与者工作电子邮件。自我感知的疼痛评估能力调查和图表审计数据，包括患者报告疼痛强度额定值，预先介入（T1）和干预后（T2），并使用推断统计分析以确定关键结果。设定/参与者：2012年在澳大利亚住院专家姑息治疗服务的护士。结果：结果符合加强流行病学（频闪）指南的观察研究报告。完成教育干预的参与者（n = 34）增加他们的疼痛评估知识，评估工具知识和承担疼痛评估的信心（P <0.001）。参与者更有可能在患者中记录患者的疼痛强度评分而不是非参与者（95％置信区间= 7.3％-22.7％，P = 0.021）。在疼痛评分中1.5（95％置信区间= 0.7-2.3）单位的止痛率的入场和审计日期间的平均患者报告的疼痛评级也有显着降低。结论：该试点赋予教育干预措施的信心改善专业姑息治疗护士疼痛评估实践，并降低患者额定疼痛强度评分。

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