Development of Nursing Practice Guidelines for Pain Management in Severe Traumatic Brain Injury and Multiple Injury Patients
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Abstract
The development of nursing practice guidelines for pain management in severe traumatic brain injury and multiple injury patients employed the evidence-based practice model of Soukup in 2000 which consisted of 1) pain assessment, 2) pain management, and 3) prevention of risk factors of pain stimulating severity of pathology. The content validity was performed (CVI=.93). The practice guidelines was applied by 29 nurses in an accident and surgery department. The possibility of application, and satisfaction with the application of the guideline were assessed. It was found that 1) the possibility of application was good at 72.9 percent, 2) the satisfaction with the application was good at 86.5 percent, and 3) the satisfaction with the nursing practice regarding pain mangement with medicines and involvement with the practice development was good at 75.86 percent. The practice also gave the nurses confidence to perform their role independently in order to manage pain, which was good at 75.17 percent. The nursing practice followed the pain management practice guidline at 80 percent. The nurses were satisfied with the pain assessment applied with the patients who were not able to communicate, especially those who were unconscious and those whohad pain killer injection (12 patients). They were closely monitored for side effects of the medicines. application was good at 72.9 percent, 2) the satisfaction with the application was good at 86.5 percent, and 3) the satisfaction with the nursing practice regarding pain mangement with medicines and involvement with the practice development was good at 75.86 percent. The practice also gave the nurses confidence to perform their role independently in order to manage pain, which was good at 75.17 percent. The nursing practice followed the pain management practice guidline at 80 percent. The nurses were satisfied with the pain assessment applied with the patients who were not able to communicate, especially those who were unconscious and those whohad pain killer injection (12 patients). They were closely monitored for side effects of the medicines.
Article Details
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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