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Implementation and evaluation of a pain management core competency education program for surgical nurses

机译:外科护士疼痛管理核心能力教育计划的实施与评价

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ObjectiveTo investigate the effect of a pain management core competency education program on surgical nurses’ pain knowledge and pain management nursing practice behaviors.MethodsAn 8-h education program focused on pain management core competency was provided twice in two weeks including the multidimensional nature of pain, pain assessment, pharmacological and non-pharmacological management, and knowledge application was developed and implemented for surgical nurses by a multidisciplinary team. Multimodal teaching approaches such as didactic teaching and vignettes of cases for nurses to discuss were used. The Clinical Pain Knowledge Test (CPKT) was completed by 135 and 107 nurses from 17 surgical wards pre and post-program, respectively. Two hundred and three patients’ medical records were randomly sampled according to the number of operations in each ward one week before and in the fifth week after the intervention, respectively. Documentation of patients’ postoperative pain management nursing practice behaviors and pain intensity scores were collected.ResultsAfter the intervention, the CPKT scores of nurses significantly increased from 45.6%?±?12.3% to 54.2%?±?10.2% (t?=?5.786,P?
机译:ObjectiveTo调查疼痛管理核心竞争力教育计划对手术护士的痛苦知识和疼痛管理护理实践行为的行为。在两周内,在两周内提供两次疼痛管理核心竞争力的患者8-H教育计划,包括疼痛的多维本质,由多学科团队开发并实施了疼痛评估,药理和非药理学管理和知识申请,为手术护士制定和实施。使用多式化教学方法,如教护士讨论的案件的教学和渐晕。临床疼痛知识测试(CPKT)分别由135岁及107名护士完成,分别从17个外科病房预先和后期进行。两三名患者的医疗记录是根据每个病房的行动数量在干预后的第五周前一周的行动数量对。患者术后疼痛管理护理实践行为和疼痛强度分数的文件被收集。干预后,护理人员评分从45.6%Δ±12.3%至54.2%?±10.2%(t?= 5.786 ,p?<?0.001)。护士术后疼痛管理护理实践得到改善,疼痛评估文件的比例从59.6%(121/203)增加到74.9%(152/203)(χ2?=?10.746,p?= 0.001),那些使用疼痛强度的人评估工具从81.8%(99/121)增加到95.4%(145/152)(χ2?= 13.079,p?<0.001),并且肌内注射非缺点从12.6%(13/103)降至2.7% (3/111)(χ2?=?7.598,p?= 0.006)。患者的平均疼痛评分在手术日上显着降低(Z?= ?? 2.486,P?= 0.013),并且从第一至第三术后一天的分数也降低(Z?= ?? 2.172,P?= ?0.030)。控制痛苦管理核心竞争力教育计划的控制,可以提高他们对疼痛管理核心竞争力的了解,改善选定的疼痛管理实践,降低患者的术后疼痛强度。

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