对无法自我报告的危重症成人，提高重症护理护士使用行为疼痛评估工具频率的因素

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-05-12 DOI:10.1016/j.apnr.2025.151963

Yuan-Mei Liao , Shu-Fen Niu , Louise Rose , Tzu-Ying Wu , Yen-Kuang Lin , Jui-Chen Tsai , Zhi-Han Cai , Ying-Shan Chen

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引用次数: 0

摘要

目的探讨护士对不能自我报告的危重成人患者使用行为疼痛评估工具的相关因素。背景很少有研究探讨重症护理护士使用行为疼痛评估工具频率的相关因素。方法采用问卷调查的方法对重症监护护士进行调查。使用描述性统计和多元多项式逻辑回归分析来呈现收集到的数据并确定相关因素。结果共收到477名护士的反馈。受访者被分为三个使用频率组-不经常（≤50%），经常（51 - 75%）或常规(> 75%) -使用行为疼痛评估工具。与护士经常或常规使用行为疼痛评估工具相关的因素包括接受相关培训，认为疼痛评估工具和频繁的疼痛评估和记录非常重要，以及在有疼痛评估工具的机构工作。在外科单位工作与经常使用行为疼痛评估工具有关，而在护理交接期间对疼痛评估结果的常规讨论与常规使用有关。结论护理交接时对疼痛评估结果的常规讨论影响护士对行为疼痛评估工具的使用频率。确定的相关因素是可修改的，因此适用于医疗保健质量改进项目。应定期提供结构良好的干预措施和跨专业教育计划，包括在护理移交期间讨论疼痛评估结果，疼痛医疗质量的优先级，使用适当的工具来评估疼痛，以及医疗保健提供者之间有效沟通的策略。

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Factors enhancing critical care nurses' utilization frequency of behavioral pain assessment tools for critically ill adults unable to self-report

Aim

This study investigated the factors associated with nurses' often and routine utilization of behavioral pain assessment tools for critically ill adults unable to self-report.

Background

Few studies have explored the factors associated with critical care nurses' utilization frequency of behavioral pain assessment tools.

Methods

This cross-sectional study used a questionnaire to collect data from critical care nurses. Descriptive statistics and multivariate multinomial logistic regression analysis were used to present collected data and identify the associated factors.

Results

We received responses from 477 nurses. Respondents were classified into three utilization frequency groups–infrequent (≤50 %), often (51–75 %), or routine (>75 %)–use of behavioral pain assessment tools. Factors associated with nurses' often or routine use of behavioral pain assessment tools included receipt of relevant training, perceptions that pain assessment tools and frequent pain assessment and documentation as being extremely important, and being employed at institutions where pain assessment tools were available. Working in surgical units was associated with often use of behavioral pain assessment tools, whereas routine discussion of pain assessment findings during nursing handovers was associated with routine use.

Conclusions

Routine discussion of pain assessment findings during nursing handovers influenced nurses' utilization frequency of behavioral pain assessment tools. The identified associated factors are modifiable and, therefore, amenable to healthcare quality improvement projects. Well-structured interventions and interprofessional educational programs, including discussion of pain assessment findings during nursing handovers, prioritization of pain healthcare quality, utilization of adequate tools to assess pain, and strategies for effective communication between healthcare providers, should be delivered regularly.

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.