Nurses' reassessment of postoperative pain after analgesic administration

Bucknall, Tracey, Manias, E. and Botti, Mari 2007, Nurses' reassessment of postoperative pain after analgesic administration, Clinical journal of pain, vol. 23, no. 1, pp. 1-7, doi: 10.1097/01.ajp.0000210936.50816.49.

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Title Nurses' reassessment of postoperative pain after analgesic administration
Author(s) Bucknall, TraceyORCID iD for Bucknall, Tracey
Manias, E.ORCID iD for Manias, E.
Botti, MariORCID iD for Botti, Mari
Journal name Clinical journal of pain
Volume number 23
Issue number 1
Start page 1
End page 7
Publisher Lippincott Williams & Wilkins
Place of publication Hagerstown, Md
Publication date 2007-01
ISSN 0749-8047
Keyword(s) evaluation
pain reassessment
pain management
acute pain
nurses' decision making
Summary Objectives: To identify when and how nurses reassess patients' pain after analgesic administration in the postoperative context.
Methods: Fifty-two nurses were observed caring for postoperative patients (N = 364) in 2 surgical settings in a major metropolitan hospital. Seventy-four observation periods of 2 hours duration were studied. The research assistant observed nurses' activities in caring for the allocated patients'. detailing behavioral and verbal responses onto audiotape.
Results: Of the 316 pain activities Ihat occurred in 74 observation periods. 14 (4.4%) were reassessments after analgesic administration. Four themes were evident from the 14 reassessments: opportunistic reassessment. the use of simple questioning, a focus on surgical wound pain not procedural
pain, and nurse-initiated reassessment.
Conclusions: Despite the focus on meeting standards of care in the area of pain management, there was an extraordinary lack of patient reassessment by nurses after the administration of analgesics. Given Ihe raised awareness internationally on assessment generally and a lack of evidence focused on reassessment after an intervention, this may explain why research is failing to identify shifts in pain severity scores and indeed patient pain.
Language eng
DOI 10.1097/01.ajp.0000210936.50816.49
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006, Lippincott Williams & Wilkins
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