Optimizing the Assessment of Pain in Children Who Are Cognitively Impaired Through the Quality Improvement Process

被引：35

作者：

Chen-Lim, Mei Lin ^{[1
]}

Zarnowsky, Colleen ^{[1
]}

Green, Renee ^{[1
]}

Shaffer, Susan ^{[1
]}

Holtzer, Brenda ^{[1
]}

Ely, Elizabeth ^{[1
]}

机构：

[1] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA

来源：

JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES | 2012年 / 27卷 / 06期

关键词：

Pain; Assessment; Children; Cognitive impairment; Quality improvement; Evidence based review; Pain assessment tool; Family advisory; Non-verbal; Developmental delay; rFLACC; Staff nurse; MANAGEMENT; TOOL; RELIABILITY; VALIDITY; PROFILE;

D O I：

10.1016/j.pedn.2012.03.023

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Pain assessment in children with cognitive impairment (CI) is challenging. A quality improvement (QI) project involving evidence-based review of pain assessment tools, feedback from the Family Advisory Council, trialing of selected tools within clinical settings including obtaining feedback from nurses, and parents caring for nonverbal children with developmental delay was reported. Synthesized evidence supported the adoption of revised Faces, Legs, Activity, Cry, and Consolability pain assessment tool into clinical practice. Results of postimplementation audit and challenges of staff nurse involvement in the QI process were also discussed. The 24-month-long QI process and its impact on changing practice were described in detail. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：750 / 759

页数：10

共 20 条

[1]

[Anonymous], NDNQI CASE STUDIES N

[2]

Breau LM, 2011, DEV MED CHILD NEUROL, V53, pe1, DOI 10.1111/j.1469-8749.2010.03842.x

[3]

Charlton J., 2005, CORE CURRICULUM PROF

[4] Implementing best practice pain management in a pediatric hospital [J].

Ellis, Jacqueline A. ;

McCleary, Lynn ;

Blouin, Renee ;

Dube, Karen ;

Rowley, Betty ;

MacNeil, Mary ;

Cooke, Carol .

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, 2007, 12 (04) :264-277

[5]

Ely E., 2011, J PEDIAT NU IN PRESS

[6]

FINLEY GA, 2005, PAIN CLIN UPDATES, V12, P1

[7]

Granger B., 1999, RES STRATEGIES CLIN

[8] Pain in children with cerebral palsy: common triggers and expressive behaviors [J].

Hadden, KL ;

von Baeyer, CL .

PAIN, 2002, 99 (1-2) :281-288

[9] Clinical validation of the paediatric pain profile [J].

Hunt, A ;

Goldman, A ;

Seers, K ;

Crichton, N ;

Mastroyannopoulou, K ;

Moffat, V ;

Oulton, K ;

Brady, M .

DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2004, 46 (01) :9-18

[10] Development of the paediatric pain profile: Role of video analysis and saliva cortisol in validating a tool to assess pain in children with severe neurological disability [J].

Hunt, Anne ;

Wisbeach, Alison ;

Seers, Kate ;

Goldman, Ann ;

Crichton, Nicola ;

Perry, Leslie ;

Mastroyannopoulou, Kiki .

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2007, 33 (03) :276-289

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