St. Paul’s Hospital of Iloilo, Inc.
Background of the Study
Pain is a personal experience, and every experience of it is unique. It is not just a physical sensation but is bound up with an emotional response and an act of reasoning; this is why pain is known as a multidimensional experience (Fillingim et al, 2014). Interestingly, manifestation of pain varies through culture, race, age, gender and medical and psychiatric conditions of our patients. Successful assessment and management of pain experienced are key components to their recovery. We can never proceed to managing them without performing a complete assessment. It is an important tool that provides us with an overview of their current status upon admission and transfer.
This study aimed to increase the compliance of staff nurses to complete pain assessment among verbally able and oriented adult patients from 47.64% to 100%; improved patient outcomes as to level of patient participation to management and patient satisfaction.
The Plan, Do, Study and Act (PDSA) cycle and Clinical Improvement Practice Program of Continuous Quality Improvement were used to achieve the objective. With this, both qualitative and quantitative approach were utilized in problem identification, establishment of key tasks, standard performance, measurements and targets of complete pain assessment, procedures, analysis, validation of causes, potential problem analysis, program formulation, implementation and evaluation.
After formulation of a Clinical Improvement Practice Program in complete pain assessment which involved: a. revision of hospital policy, procedure and guidelines with regards to pain assessment, b. formulation of a pain assessment checklist among verbally able adults in collaboration with the medical team, c. creation of a handy visual guide readily available for staff use, d. daily monitoring of compliance of nurses to pain assessment and e. inclusion of unit update and simulation activities relevant to pain assessment during unit assembly, there is 100% compliance of nurses to complete pain assessment among verbally able and oriented adults, improved patient outcomes as to high and active participation of patients and high patient satisfaction as to nursing care and assessment.