Postoperative pain management - the influence of surgical ward nurses

Journal of Clinical Nursing
Kerstin Wickström EneB Sjöström

Abstract

To compare pain levels reported by patients with those documented by ward nurses and to find out to what extent the amount of opioids given correlated with the pain level. Secondly, to study if pain management and nurses' approaches to this task had improved during a two-year period, including an educational pain treatment program for ward staff. The management of postoperative pain continues to remain problematic and unsatisfactory and ward nurses play an important role for this task. The study was a cross-sectional, descriptive, two-part study based on survey data from both patients and nurses on two urology surgical wards. Part I of the study included 77 patients and 19 nurses. Part II took place approximately two years later and included 141 patients and 22 nurses. Data were collected the day after surgery by asking patients about 'worst pain' experienced. The pain scores given by the patients were compared with those documented in the patients' records and with the doses of opioids administered. Nurses' approaches to pain management were sought after, by using a categorical questionnaire. The nurses' ability to assess pain in accordance with the patients' reports had increased slightly after two years even if and the numbe...Continue Reading

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Citations

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