Congruence of pain assessment between nurses and emergency department patients: a replication.

Abstract:

AIM:To ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. METHODS:This study adopted a replication methodology which aimed to ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. Raw statistical data was analysed using SPSS for windows. RESULTS:This study supports the findings of the original US study that emergency nurses frequently underestimate patients' pain intensity. However, this study also found incidents where nurses accurately assessed their patients' pain intensity, and incidences of overestimation. CONCLUSIONS:This study illustrates underestimation of patients' pain intensity by emergency nurses which is both clinically and statistically significant. RELEVANCE TO CLINICAL PRACTICE:Implications for nursing practice include a need for assessment of patients' pain intensity, the development of pain management protocols, and increased emphasis on education in both undergraduate and postgraduate nursing curricula. Also there needs to be continued clinical audit of pain management standards.

journal_name

Int Emerg Nurs

authors

Duignan M,Dunn V

doi

10.1016/j.ienj.2007.09.003

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

23-8

issue

1

eissn

1755-599X

issn

1878-013X

pii

S1755-599X(07)00101-2

journal_volume

16

pub_type

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