Reevaluation of the Critical-Care Pain Observation Tool in Intubated Adults After Cardiac Surgery
| Autor: | Nancy B. Opaluch-Bushy, Amy Brucker, Sandra M. Linde, Ruth D. Navedo Roy, Kristen Martin, Jennifer Beaudry, Jason T. Machan, James M. Badger |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Critical Care Concurrent validity Validity Observation Critical Care Nursing law.invention law Pain assessment Intensive care medicine Humans Pain Management Prospective Studies Nonverbal Communication Prospective cohort study Aged Pain Measurement Aged 80 and over Observer Variation Postoperative Care business.industry Reproducibility of Results Rhode Island General Medicine Middle Aged Thoracic Surgical Procedures Intensive care unit Inter-rater reliability Anesthesia Physical therapy Female Observational study Intubation business |
| Zdroj: | American Journal of Critical Care. 22:491-497 |
| ISSN: | 1937-710X 1062-3264 |
| Popis: | BACKGROUND: Pain assessment in critically ill patients who are intubated, sedated, and unable to verbalize their needs remains a challenge. No universally accepted pain assessment tool is used in all intensive care units. OBJECTIVES: To examine concurrent validation of scores on the Critical-Care Pain Observation Tool for a painful and a non-painful procedure and to examine interrater reliability of the scores between 2 nurse raters. METHODS: A prospective, repeated-measures within-subject design was used. A convenience sample of 35 patients was recruited to achieve enrollment of 30 patients during a 5-month period. Observational data were collected on patients intubated after cardiac surgery during routine turning and during dressing changes for central catheters. RESULTS: Raters' mean scores did not increase significantly during dressing changes (increase, +0.25; 95% CI, -0.07 to 0.57; P = .12) but did increase significantly during turning (increase, +3.04; 95% CI 2.11-3.98; P < .001). The degree to which mean scores increased was significantly greater during turning than during dressing changes (increase, +2.80; 95% CI, 1.84-3.75; P < .001). The Fleiss-Cohen weighted κ for the inter-rater reliability of the ratings of research nurses was 0.87 (95% CI, 0.79-0.94). CONCLUSION: The results support previous research investigations on validity and reliability of the Critical-Care Pain Observation Tool for evaluating pain in intubated, critically ill adults. |
| Databáze: | OpenAIRE |
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