Effect of Repeated Feedback to Registered Nurses Pain Nursing Documentation

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

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.

Study Overview

• Status: Completed
• Conditions: Pain; Education; Nurse's Role
• Intervention / Treatment: Other: Pain documentation audit; Other: Repeated feedback

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Finland
  • Kuopio, Finland
    • Kuopio University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

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

What is the study measuring?

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)

Collaborators and Investigators

• Sponsor: Kuopio University Hospital
• Collaborators: University of Eastern Finland

Study record dates

Study Major Dates

• Study Start (Actual): March 4, 2022
• Primary Completion (Actual): November 30, 2022
• Study Completion (Actual): December 31, 2022

Study Registration Dates

• First Submitted: February 22, 2022
• First Submitted That Met QC Criteria: May 9, 2022
• First Posted (Actual): May 13, 2022

Study Record Updates

• Last Update Posted (Actual): October 25, 2023
• Last Update Submitted That Met QC Criteria: October 23, 2023
• Last Verified: November 1, 2022

More Information

Terms related to this study

• Keywords: Pain management; Randomized Controlled Trial; Education; Pain assessment; Audit and feedback; Pain documentation; RN; Pain nursing; Nursing sensitive quality; Nursing sensitive outcomes
• Other Study ID Numbers: 50UL015

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No