评价疼痛管理.docVIP

我只翻译了大概的内容，这篇文章主要是评价护士对手术后遭受剧烈急性疼痛病人的护理工作。 评价责任护士的疼痛护理 因为疼痛管理是一个复杂的过程，很难评价其疗效。这篇文章描述了一个有保证的研究， PURPOSE AND DESIGN OF THE QUALITYASSURANCE PROJECT The purpose of this quality assurance project was to ? develop a quality assurance tool based on nursing research to track the effective- ness of painmanagement outcomes at the unit level, ? determine whether the data collected by the tool would enhance the managers’ ability to identify weaknesses and strengths of a pain management delivery system, and ? facilitate improvements in the pain delivery system on a general surgical unit. The variables investigated were the nurses’knowledge and attitudes toward pain management, nursing interventions for pain and pain medication side effects, environmental barriers, and pharmacologic management. Thestudy took place at an urban community teaching hospital. Approval for the study was obtained from the Institutional Review Board and the Nursing Research Committee. 研究的变量是护士对疼痛医学的知识和态度，疼痛护理的干预和疼痛药物治疗的副作用，环境因素和药理学的管理。研究的地点是城区的教学医院。获得了这两个机构的批准the Institutional Review Board and the Nursing Research Committee Twenty-three nurses (60% response rate) on a general surgical unit completed the knowledge and attitudes test. In the same unit, a retrospective chart review (convenience sample) of 30 patients was completed on their second postoperative day following amajor abdominal surgery. 普通外科病房的23位护士完成了知识和态度的考试。同一个病区，在经历腹部手术的第二天，30位病人完成了回顾性的图表（抽样样本） An investigator-modified version of the1997 Ferrell and McCaffery’s Knowledge and Attitudes Survey Regarding Pain was used to test the nurses. This test has been used extensively since 1987. It has a reported test-retestreliability (r)greater than .80 and an internal reliability (r)greater than .70. Permission was obtained from the author to use the tool inwhole or in part.意思是量表的来历，得到量表作者的同意使用量表 The test was modified to eliminate questions about children’s pain and cancer pain because the focus on a general surgical unit is acute postoperative pain