Brita F Olsen1, Tone Rustøen2, Leiv Sandvik3, Christine Miaskowski4, Morten Jacobsen5, Berit T Valeberg6. 1. Østfold Hospital Trust, Fredrikstad, Norway; Oslo University Hospital, Division of Emergencies and Critical Care, Oslo, Norway. Electronic address: Brita.Fosser.Olsen@so-hf.no. 2. Oslo University Hospital, Division of Emergencies and Critical Care, Oslo, Norway; Faculty of Medicine, University of Oslo, Norway. 3. Oslo Center for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway. 4. School of Nursing, University of California, San Francisco, CA, USA. 5. Østfold Hospital Trust, Fredrikstad, Norway; Faculty of Medicine, University of Oslo, Norway; Norwegian University of Life Sciences, Aas, Norway. 6. Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
Abstract
OBJECTIVES: To implement a pain management algorithm in intensive care units (ICU) and to evaluate nurses' level of adherence with the algorithm. BACKGROUND: Many ICU patients experience pain. Therefore, an evidence-based algorithm for pain management was developed. METHODS: A pain management algorithm was implemented in three units over three weeks. Nurses' level of adherence with the algorithm and associations between level of adherence and patient and unit characteristics over 22 weeks were evaluated using multivariate regression analysis. RESULTS: Nurses' level of adherence was 74.6%. Adherence rates were lower on the evening and night shifts compared to the day shift. Males were assessed significantly less frequently than females. Patients with "injury, poisoning, or certain other consequences of external causes" were assessed significantly less frequently than patients with "diseases of the respiratory system." CONCLUSIONS: ICU nurses can use a pain management algorithm consistently. Findings from this study suggest that a pain management algorithm is a useful tool to increase ICU nurses' adherence with pain assessment.
OBJECTIVES: To implement a pain management algorithm in intensive care units (ICU) and to evaluate nurses' level of adherence with the algorithm. BACKGROUND: Many ICU patients experience pain. Therefore, an evidence-based algorithm for pain management was developed. METHODS: A pain management algorithm was implemented in three units over three weeks. Nurses' level of adherence with the algorithm and associations between level of adherence and patient and unit characteristics over 22 weeks were evaluated using multivariate regression analysis. RESULTS: Nurses' level of adherence was 74.6%. Adherence rates were lower on the evening and night shifts compared to the day shift. Males were assessed significantly less frequently than females. Patients with "injury, poisoning, or certain other consequences of external causes" were assessed significantly less frequently than patients with "diseases of the respiratory system." CONCLUSIONS: ICU nurses can use a pain management algorithm consistently. Findings from this study suggest that a pain management algorithm is a useful tool to increase ICU nurses' adherence with pain assessment.
Authors: Caíque Jordan Nunes Ribeiro; Andra Carla Santos de Araújo; Saulo Barreto Brito; Daniele Vieira Dantas; Mariangela da Silva Nunes; José Antonio Barreto Alves; Maria do Carmo de Oliveira Ribeiro Journal: Rev Bras Ter Intensiva Date: 2018-03