Effect of Repeated Feedback to Registered Nurses Pain Nursing Documentation

Study Overview
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Brief Summary
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The aim of the study is to find out how pain nursing documentation audit and educational feedback effect to RN's pain nursing documentation, the average level of pain nursing documentation knowledge of unit RN's, patient satisfaction of pain management and number of pain nursing incident reports. In addition, how background variables are related to the pain nursing documentation. Research hypothesis: Pain nursing documentation audit and educational feedback increased RNs' pain nursing documentation and knowledge, patient satisfaction to pain management and effect to number of pain nursing incident reports.

Official Title
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Effect of Repeated Feedback to RNs' Pain Nursing Documentation: A Cluster Randomized Trial

Conditions
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Education, Nurse's Role, Pain

Intervention / Treatment
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* Other: Repeated feedback
* Other: Pain documentation audit


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Registered nurses (RN) who work at the Kuopio University Hospital in units of which patients potentially require pain management. Exclusion Criteria: Professionals other than RN RN who do not use pain management strategies in their work
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Units serve as a statistical units. Number of units 30, number of individual participants 800-1000.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pain documentation audit and repeated feedback<br>Pain documentation audit and repeted feedback | Other: Repeated feedback<br>* Repeated feedback monthly based on previous month pain documentation audit results.<br>Other: Pain documentation audit<br>* Monthly pain documentation audit<br>|
| Active Comparator: Pain documentation audit<br>Pain documentation audit | Other: Pain documentation audit<br>* Monthly pain documentation audit<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in RNs' pain documentation | MEASUREMENT TOOL: Structured audit frame to evaluate pain assessment and management documentation. UNIT OF MEASURE: Information is collected as follows from EHR Patient pain documented in the care chart Patient need for pain management documented Patient pain management goal documented Patient pain assessment Patient pain assessment in the previous 24 hours Patient pain Use of pain assessment tool Non-pharmacological methods Pharmacological interventions Intervention (pharmacological or non-pharmacological effect assessment) Multiple measurements are aggregated to achieve one declared value as follows: First, each evaluated area results in 0 (not fulfilled) or 1 point (fulfilled). Second, the points are summed. Third, the sum is transformed to a 0-100 scale and reported as a single value reflecting pain documentation quality. | Baseline (T0), month 1 (T1), month 2 (T2), month 3 (T3), month 4 (T4), month 5 (T5) month 6 (T6), month 7 (T7), month 8 (T8) | 
| Change in RNs' pain knowledge | Pain knowledge questionnaire used in three time points | Baseline (T0), month 3 (T3), month (T7) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in patient satisfaction of pain management | Nursing patient feedback questionnaire analyzed at two time points | Before intervention (T0), month 3 (T3), month 6 (T6), month 8 (T8) | 
| Change in number of pain nursing incident reports | Pain nursing incident reports analyzed at two time points | Before intervention (T0), month 8 (T8) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain management, Pain documentation, Audit and feedback, Education, Randomized Controlled Trial, Nursing sensitive quality, Nursing sensitive outcomes, RN, Pain nursing, Pain assessment