Enhancing Pain Assessment Among Post-Surgery Patients at a Tertiary Hospital in China: A Best Practice Implementation Project.

IF 1.7 4区 医学 Q3 NURSING Journal of nursing care quality Pub Date : 2025-07-01 Epub Date: 2025-02-25 DOI:10.1097/NCQ.0000000000000852
Chengxiang Liu, Sainan Li, Juan Zhou, Huihui Zhao, Ruhuan Zhou, Chen Zhu, Shan Chen, Hong Chen, Miao Zhang
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Abstract

Background: Postoperative pain is a common complication that can delay recovery and increase hospital stays and costs. Accurate pain assessments are essential for effective management.

Local problem: Compliance with evidence-based pain assessment protocols in the Anesthesia Intensive Care Unit (AICU) at a teaching hospital in Hefei, China, was suboptimal.

Methods: This evidence-based implementation project, conducted from December 2023 to August 2024, utilized the Joanna Briggs Institute (JBI) Implementation Framework and Model of Evidence-Based Health Care. A baseline audit of 23 nurses and 50 patients was followed by a post-implementation audit. Data were analyzed using JBI's PACES software.

Interventions: Educational programs and stakeholder focus groups were introduced to enhance compliance with pain assessment protocols.

Results: Compliance with 3 audit criteria increased by 66% to 92% following the intervention.

Conclusions: The project successfully enhanced compliance with evidence-based pain assessment, improving postoperative pain management in the AICU.

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加强三级医院术后患者疼痛评估:最佳实践实施项目
背景:术后疼痛是一种常见的并发症,可延迟恢复,增加住院时间和费用。准确的疼痛评估对有效的治疗至关重要。局部问题:中国合肥某教学医院麻醉重症监护病房(AICU)对循证疼痛评估方案的依从性不够理想。方法:本循证实施项目于2023年12月至2024年8月实施,采用乔安娜布里格斯研究所(JBI)循证卫生保健实施框架与模式。对23名护士和50名患者进行了基线审计,随后进行了实施后审计。使用JBI的PACES软件分析数据。干预措施:引入教育项目和利益相关者焦点小组,以提高对疼痛评估协议的依从性。结果:干预后3项审核标准的符合性提高66% ~ 92%。结论:该项目成功提高了循证疼痛评估的依从性,改善了重症监护室术后疼痛管理。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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