Affiliation:
1. Department of Nursing Science , University of Turku, 20014 University of Turku , Turku , Finland
2. Turku University Hospital , Kiinamyllynkatu 4-8, 20520 Turku , Finland
Abstract
Abstract
Background and aims
Nursing documentation supports continuity of care and provides important means of communication among clinicians. The aim of this topical review was to evaluate the published empirical studies on postoperative pain documentation in a hospital setting.
Methods
The review was conducted through a systematic search of electronic databases: Web of Science, PubMed/Medline, CINAHL, Embase, Ovid/Medline, Scopus and Cochrane Library. Ten studies were included. Study designs, documented postoperative pain information, quality of pain documentation, reported quality of postoperative pain management and documentation, and suggestions for future research and practice improvements were extracted from the studies.
Results
The most commonly used study design was a descriptive retrospective patient record review. The most commonly reported types of information were pain assessment, use of pain assessment tools, useof pain management interventions, reassessment, types of analgesics used, demographic information and pain intensity. All ten studies reported that the quality of postoperative pain documentation does not meet acceptable standards and that there is a need for improvement. The studies found that organization of regular pain management education for nurses is important for the future.
Conclusions
Postoperative pain documentation needs to beimproved. Regular educational programmes and development of monitoring systems for systematic evaluation of pain documentation are needed. Guidelines and recommendations should be based on the latest research evidence, and systematically implemented into practice.
Implications
Comprehensive auditing tools for evaluation of pain documentation can make quality assessment easier and coherent. Specific and clear documentation guidelines are needed and existing guidelines should be better implemented into practice. There is a need to increase nurses’ knowledge of postoperative pain management, assessment and documentation. Studies evaluating effectiveness of high quality pain documentation are required.
Subject
Anesthesiology and Pain Medicine,Neurology (clinical)
Reference53 articles.
1. Aslan FE, Badir A, Arli SK, Cakmakci H. Patients’ experience of pain after cardiac surgery. Contemp Nurse 2009;34:48–54.20230171
2. Cogan J. Pain management after cardiac surgery. Semin in Cardiothor Vasc An 2010;14:201–4.10.1177/1089253210378401
3. Jafari H, Zeydi AE, Khani S, Esmaeili R, Soleimani A. The effects of listening to preferred music on pain intensity after open heart surgery. Iran J Nurs Midwif Res 2012;17:1–6.
4. Manias E, Bucknall T, Botti M. Nurses’strategies for managing paininthe posto-peative setting. Pain Manag Nurs 2005;6:18–29.15917741
5. Milgrom LB, Brooks JA, Qi R, Bunnel K, Wuestefeld S, Beckman D. Pain levels experienced with activities after cardiac surgery. Am J Crit Care 2004;13:116–25.15043239
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