Differences between nurse and patient assessments on postoperative pain management in two hospitals

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Fältnamn	Indikatorer	Metadata
000		03637naa a2200361 4500
001		oai:DiVA.org:liu-29377
003		SwePub
008		091009s2005 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-293772 URI
024	7	a https://doi.org/10.1111/j.1365-2753.2005.00555.x2 DOI
040		a (SwePub)liu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Idvall, Ewa,d 1950-u Linköpings universitet,Hälsouniversitetet,Omvårdnad4 aut0 (Swepub:liu)ewaid50
245	1 0	a Differences between nurse and patient assessments on postoperative pain management in two hospitals
264	1	b Wiley,c 2005
338		a print2 rdacarrier
520		a Rationale: Differences between patient and professional assessments on pain and pain management have been reported, but no further analysis has described the statistical problems of pseudocorrelation concerning the nature of these differences. Aim: The aim of the present study was: (1) to investigate the differences between nurse and patient assessments of post-operative pain management in two hospitals, and (2) to discuss the nature and scope of these differences. Method: The subjects were 209 inpatients and 63 nurses from a central county hospital and 77 inpatients and 34 nurses from a university hospital. The 'Strategic and Clinical Quality Indicators in Postoperative Pain Management' questionnaire was used, comprising 14 items in four sub-scales (communication, action, trust and environment) and two questions concerning the worst pain experienced during the past 24 hours and general satisfaction. Result: Except for the trust sub-scale in one hospital, the correlations between patient and nurse ratings concerning all assessments were significant in both hospitals (r = 0.22 - 0.59). Both groups of patients had significantly higher (better) scores than judged by the nurses on the environment sub-scale and general satisfaction. In contrast, nurses from both hospitals tended to significantly underestimate patients' worst pain during the past 24 hours. Other differences between patient and nurse assessments were either non-significant or inconsistent between hospitals. Using so-called Oldham plots nurses tended to under-estimate severe pain more often than mild pain, as judged by the patients, but this association was weak and statistically significant in one hospital only. Conclusion: Although the effects of pseudocorrelation are minimized by using Oldham plots, they are not cancelled. This issue is discussed, and we conclude that this study does not support the notion that the nurses tend to underestimate severe pain more often than mild pain. © 2005 Blackwell Publishing Ltd.
653		a pain
653		a patient and nurse assessments
653		a postoperative
653		a quality of care
653		a MEDICINE
653		a MEDICIN
700	1	a Berg, Katarina,d 1959-u Linköpings universitet,Hälsouniversitetet,Omvårdnad4 aut0 (Swepub:liu)katbe24
700	1	a Unosson, Mitra,d 1945-u Linköpings universitet,Hälsouniversitetet,Omvårdnad4 aut0 (Swepub:liu)mitun30
700	1	a Brudin, Lars,d 1946-u Linköpings universitet,Hälsouniversitetet,Klinisk fysiologi4 aut0 (Swepub:liu)larbr27
710	2	a Linköpings universitetb Hälsouniversitetet4 org
773	0	t Journal of Evaluation In Clinical Practiced : Wileyg 11:5, s. 444-451q 11:5<444-451x 1356-1294x 1365-2753
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-29377
856	4 8	u https://doi.org/10.1111/j.1365-2753.2005.00555.x

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Av författaren/redakt...: Idvall, Ewa, 195 ...; Berg, Katarina, ...; Unosson, Mitra, ...; Brudin, Lars, 19 ...

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Av lärosätet: Linköpings universitet

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