Impact of a Training Intervention on the Pain Assessment in Advanced Dementia (PAINAD) Scale in Noncommunicative Inpatients
Por:
Munoz-Narbona, L, Roldan-Merino, J, Lluch-Canut, T, Juve-Udina, E, Llorca, MB and Cabrera-Jaime, S
Publicada:
1 oct 2019
Ahead of Print:
15 may 2019
Categoría:
Advanced and specialized nursing
Resumen:
Background: Public hospitals in Catalonia (Spain) recommend using the Spanish version of the Pain Assessment in Advanced Dementia (PAINAD-Sp) scale for assessing pain in adult patients unable to self-report. However, since its inclusion in Catalonian nursing care plans in 2010, there have been no training programs for nurses, contributing to its current underuse.
Aims: The aim of this study was to assess the impact of a nurse training intervention on the PAINAD-Sp scale in noncommunicative inpatients unable to self-report.
Design: Before-after study.
Settings: Two public hospitals in Catalonia (Spain).
Participants/Subjects: Four hundred and one nurses participated in the training course and 219 patients received PAINAD-Sp assessments.
Methods: We used a before-after study design, evaluating the use of the PAINAD-Sp scale over two 6-month periods before and after an online training intervention for nurses in February 2017, in two public hospitals. Data were collected from patient records in each center. The primary outcome was the number of patients receiving PAINAD-Sp assessments during admission. Secondary outcomes were the number of assessments undertaken per patient during admission, the total (0-10) and item-specific (0-2) PAINAD-Sp score, and pharmacologic treatment administered.
Results: There were 401 nurses who took part in the training program. Over the study period, 219 patients received PAINAD-Sp assessments: 29 in the preintervention period and 190 in the postintervention period (p <.001). Administration of analgesics and antipyretics decreased (p <.001) after the intervention, whereas use of hypnotic drugs and sedatives increased.
Conclusions: Theoretical and practical training may be an effective way to improve nurses' approach to identifying, assessing, and managing pain in patients unable to self-report. (c) 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
Filiaciones:
:
Germans Trias & Pujol IGTP, Inst Hlth Sci Res, Dept Neurosci, Ctra Canyet S-N, Barcelona 08916, Spain
Hlth Inst Carlos III, RETICS Res Grp Redes Temat Invest Cooperat Salud, Madrid, Spain
Roldan-Merino, J:
Univ Barcelona, St Joan de Deu Fundacio Privada Sch Nursing, Teaching Campus, Barcelona, Spain
Grp Invest Enfermeria Educ & Soc, GIES Res Grp, Barcelona, Spain
Grp Estudios Invarianza Instrumentos Medida & Ana, Grp Consolidad 2017 1681, GEIMAC Res Grp, Barcelona, Spain
Int Researchers Grp Mental Hlth Nursing Care, GIRISAME Res Grp, Madrid, Spain
Red Espanola Invest Enfermeria Cuidados Salud Men, REICESMA Res Grp, Madrid, Spain
Lluch-Canut, T:
Grp Estudios Invarianza Instrumentos Medida & Ana, Grp Consolidad 2017 1681, GEIMAC Res Grp, Barcelona, Spain
Univ Barcelona, Fac Med & Hlth Sci, Sch Nursing, Barcelona, Spain
Juve-Udina, E:
Univ Barcelona, Fac Med & Hlth Sci, Sch Nursing, Barcelona, Spain
Biomed Res Inst, IDIBELL, Nursing Res Grp GRIN, Barcelona, Spain
Llorca, MB:
Univ Hosp Germans Trias & Pujol, Barcelona, Spain
:
Biomed Res Inst, IDIBELL, Nursing Res Grp GRIN, Barcelona, Spain
Inst Catala Oncol, Nursing Res, Barcelona, Spain
Univ Barcelona, Univ Sch Nursing Hlth Sci, Campus Bellvitge, Barcelona, Spain
Inst Catala Oncol, Care Management, Barcelona, Spain
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