Participating in a National Study to Develop Nurse-Sensitive Indicators of Pain Care - Crozer-Keystone Health System - PA

Participating in a National Study to Develop Nurse-Sensitive Indicators of Pain Care

On the frontlines of patient care, nurses are keenly aware of the importance of effective pain management in their patients, and how patients perceive their experience of care.

As such, nurses are key stakeholders in identifying and using nurse-sensitive indicators of patient pain management, such as those developed by the National Database of Nursing Quality Indicators® (NDNQI).

As a member of the NDNQI® national collaborative, Crozer was chosen to participate in Phase I of a research study designed to measure outcomes of implementing a structured survey on patient’s pain intensity. NDNQI, created by the American Nurses’ Association, is the only national nursing database that collects and reports quarterly information on structure, process and outcomes indicators to evaluate nursing care at the unit level.

According to Gail Turley, MSN, RNC-OB, NEA-BC, administrative director of Nursing Informatics at Crozer-Keystone, “The study gave us the opportunity to introduce our nurses to the research process… and the rigors of research. Managing patient pain is a key care commitment important to patient care.”

To participate in the study, inpatients across various medical services were asked whether they experienced pain in the 24 hours prior to the survey, and about key nurse-sensitive indicators of pain management such as (1) relief from pain following treatment, (2) perception of nurses’ beliefs about their reports of pain, (3) if nurses suggested approaches to manage pain (4) if nurses discussed the side effects of the medication to relieve pain and (4) if the healthcare team involved the patient in decisions around pain management.

Following Crozer’s participation in Phase I of the study, which was completed in November 2011, NDNQI® provided feedback to the hospital on its patient data. This will be used to identify nursing best practices at the unit level to achieve better consistency in pain management across services.

Says Turley of the hospital-specific outcomes, “On the whole, the nurses believed patient reports about pain…this is encouraging because it suggests we have good trust with patients. The healthcare team involves patients in pain decisions consistently across services affirming that we are having the right conversations with our patients.”