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Sustaining Pain Assessment and Reassessment Nursing Care Standards During COVID-19

Received: 14 December 2020     Accepted: 21 December 2020     Published: 31 December 2020
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Abstract

Coronavirus pandemic globally overwhelmed the hospitals to deliver care as used to be employed by nurses. The two University hospitals in Riyadh, Saudi Arabia despite exhausted were still sustaining the pain management nursing care standards during the pandemic settings. The implementation of the pain management quality project enhanced sustaining the pain management nursing care standards related to pain assessment and reassessment after interventions. The aim of this quality improvement of pain management was to improve nurses’ compliance regarding pain assessment during arrival to the clinics, emergency department or in the wards and reassessment after interventions for patients who experienced pain. Retrospective pain audits were performed monthly from electronic patients’ medical records by the pain team nurses. Analysis of the audits data findings of the two University hospitals were compared for the first six months of 2019 and 2020 to demonstrate the trend for compliance rate that was sustained. The average rate for initial pain screening for outpatients’ clinics in 2019 was 98% for hospital A and 99% for hospital B, while in 2020 was 99% for hospital A and 97% for hospital B. Secondly the average rate for initial pain assessment for inpatients/emergency units in 2019 was 99% for hospital A and 100% for hospital B, while in 2020 was 100% for hospital A and 99% for hospital B. Thirdly, for pain reassessment in 2019 was 99% for hospital A and 93% for hospital B, though in 2020 was 98% for hospital A and 99% for hospital B. Pain reassessment for University hospital B in 2019 indicated that there was a need for improvement in February and April, while in 2020 compliance rate significantly improved by 7% despite the pandemic settings. On this basis, for sustainability it is recommended to continue monitoring the compliance of nurses to conduct pain assessment and reassessment after interventions for patients who experienced pain as part to enhance quality improvement of pain management and patient safety.

Published in American Journal of Nursing and Health Sciences (Volume 1, Issue 1)
DOI 10.11648/j.ajnhs.20200101.14
Page(s) 22-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Pain Assessment, Compliance Rate, Nursing Care Standards, Pain Reassessment

References
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Cite This Article
  • APA Style

    Litaba Efraim Kolobe. (2020). Sustaining Pain Assessment and Reassessment Nursing Care Standards During COVID-19. American Journal of Nursing and Health Sciences, 1(1), 22-28. https://doi.org/10.11648/j.ajnhs.20200101.14

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    ACS Style

    Litaba Efraim Kolobe. Sustaining Pain Assessment and Reassessment Nursing Care Standards During COVID-19. Am. J. Nurs. Health Sci. 2020, 1(1), 22-28. doi: 10.11648/j.ajnhs.20200101.14

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    AMA Style

    Litaba Efraim Kolobe. Sustaining Pain Assessment and Reassessment Nursing Care Standards During COVID-19. Am J Nurs Health Sci. 2020;1(1):22-28. doi: 10.11648/j.ajnhs.20200101.14

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  • @article{10.11648/j.ajnhs.20200101.14,
      author = {Litaba Efraim Kolobe},
      title = {Sustaining Pain Assessment and Reassessment Nursing Care Standards During COVID-19},
      journal = {American Journal of Nursing and Health Sciences},
      volume = {1},
      number = {1},
      pages = {22-28},
      doi = {10.11648/j.ajnhs.20200101.14},
      url = {https://doi.org/10.11648/j.ajnhs.20200101.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20200101.14},
      abstract = {Coronavirus pandemic globally overwhelmed the hospitals to deliver care as used to be employed by nurses. The two University hospitals in Riyadh, Saudi Arabia despite exhausted were still sustaining the pain management nursing care standards during the pandemic settings. The implementation of the pain management quality project enhanced sustaining the pain management nursing care standards related to pain assessment and reassessment after interventions. The aim of this quality improvement of pain management was to improve nurses’ compliance regarding pain assessment during arrival to the clinics, emergency department or in the wards and reassessment after interventions for patients who experienced pain. Retrospective pain audits were performed monthly from electronic patients’ medical records by the pain team nurses. Analysis of the audits data findings of the two University hospitals were compared for the first six months of 2019 and 2020 to demonstrate the trend for compliance rate that was sustained. The average rate for initial pain screening for outpatients’ clinics in 2019 was 98% for hospital A and 99% for hospital B, while in 2020 was 99% for hospital A and 97% for hospital B. Secondly the average rate for initial pain assessment for inpatients/emergency units in 2019 was 99% for hospital A and 100% for hospital B, while in 2020 was 100% for hospital A and 99% for hospital B. Thirdly, for pain reassessment in 2019 was 99% for hospital A and 93% for hospital B, though in 2020 was 98% for hospital A and 99% for hospital B. Pain reassessment for University hospital B in 2019 indicated that there was a need for improvement in February and April, while in 2020 compliance rate significantly improved by 7% despite the pandemic settings. On this basis, for sustainability it is recommended to continue monitoring the compliance of nurses to conduct pain assessment and reassessment after interventions for patients who experienced pain as part to enhance quality improvement of pain management and patient safety.},
     year = {2020}
    }
    

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    AB  - Coronavirus pandemic globally overwhelmed the hospitals to deliver care as used to be employed by nurses. The two University hospitals in Riyadh, Saudi Arabia despite exhausted were still sustaining the pain management nursing care standards during the pandemic settings. The implementation of the pain management quality project enhanced sustaining the pain management nursing care standards related to pain assessment and reassessment after interventions. The aim of this quality improvement of pain management was to improve nurses’ compliance regarding pain assessment during arrival to the clinics, emergency department or in the wards and reassessment after interventions for patients who experienced pain. Retrospective pain audits were performed monthly from electronic patients’ medical records by the pain team nurses. Analysis of the audits data findings of the two University hospitals were compared for the first six months of 2019 and 2020 to demonstrate the trend for compliance rate that was sustained. The average rate for initial pain screening for outpatients’ clinics in 2019 was 98% for hospital A and 99% for hospital B, while in 2020 was 99% for hospital A and 97% for hospital B. Secondly the average rate for initial pain assessment for inpatients/emergency units in 2019 was 99% for hospital A and 100% for hospital B, while in 2020 was 100% for hospital A and 99% for hospital B. Thirdly, for pain reassessment in 2019 was 99% for hospital A and 93% for hospital B, though in 2020 was 98% for hospital A and 99% for hospital B. Pain reassessment for University hospital B in 2019 indicated that there was a need for improvement in February and April, while in 2020 compliance rate significantly improved by 7% despite the pandemic settings. On this basis, for sustainability it is recommended to continue monitoring the compliance of nurses to conduct pain assessment and reassessment after interventions for patients who experienced pain as part to enhance quality improvement of pain management and patient safety.
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Author Information
  • Department of Nursing Pain Management, King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia

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