State of Fifth Vital Sign St' Joseph Hospital

1
State of Fifth Vital SignSt. Joseph Hospital

• Presented by
• Maureen Mikuleky RN, BA, MA
• Director of Cancer Services

2
Knowledge and Attitudes of SJH Nurses on
Pain Management (NKAA)

• __________________________________
• NURSING RESEARCH
• IRB Approved Protocol
• Research on Pain is occurring in every area where
  RNS practice at SJH

3
Knowledge and Attitudes of SJH Nurses on
Pain Management (NKAA)

• February 2006
• 486 nurses participated in research by completing
  the NKAA questionnaire
• Score 70 goal 95
• Overall 45 participation

4
Knowledge and Attitudes of SJH Nurses on Pain
Management (NKAA)

• In addition to scores SJH nurses said
• Self-report of pain is gold standard
• Factors such as
• Developmental stage
• Religious beliefs
• Individual response to stimuli effect pain and
  its presentation
• Administering placebo is inappropriate
• Chronic and post-operative pain is managed around
  the clock.

5
Knowledge and Attitudes of SJH Nurses on Pain
Management (NKAA)

• Research identified learning needs
• Medication knowledge
• Equalanalgesic doses of medications
• Myths about respiratory depression and opiods
• Managing a patient with substance abuse
• Evaluating pain assessment scores
• Teaching patients about pain scores and their
  meaning.

6
What will happen with this research project now

• Education for nurses on
• Pain medications
• Pain Tool Kits to every unit
• Education based on EVIDENCE BASED PRACTICE OF
  PATIENT PAIN MANAGEMENT
• FACT Sheets are being produced

7
Can we compare SJH pain management To a national
database?

• SJH Avatar Database
• Did you need medicine for pain?
  93 91
• How often was your pain well controlled?
  93 93
• How often did the hospital staff do everything
  76 72
• they could to help you with your pain?

8
IN SUMMARY

• Is Nursing Research occurring at SJH?

YES
9
IN SUMMARY

• State an example of IRB approved
• Protocol for Nursing Research
• _________________________________

Nurses Knowledge and Attitudes on Pain Management

10
IN SUMMARY

• Is Pain Management at St. Joseph
• Evidence Based?
• ______________________________

YOU BETTER BELIEVE IT!Ex Pain Scores
Assessment Evaluation of pain measures.