A pain in the act: musings on the meaning for critical care nurses of the pain management standards of the joint commission on accreditation of healthcare organizations

2001 ◽  
Vol 21 (3) ◽  
pp. 8-8 ◽  
Author(s):  
LS Franck
Keyword(s):  
Critical Care ◽  
Pain Management ◽  
Critical Care Nurses ◽  
Joint Commission ◽  
Healthcare Organizations ◽  
Management Standards ◽  
The Joint Commission

Sucrose for Neonatal Procedural Pain

2001 ◽  
Vol 20 (7) ◽  
pp. 63-67 ◽  
Author(s):  
Barbara Noerr
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Joint Commission ◽  
Procedural Pain ◽  
Healthcare Organizations ◽  
Neonatal Pain ◽  
Management Standards ◽  
Widespread Interest ◽  
The Joint Commission

EFFECTIVE JANUARY 1, 2001, ALL hospitals accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) must comply with newly approved pain management standards.1 Although such standards present us with an important opportunity to improve pain assessment and interventions for neonates, it is unfortunate that an accrediting body mandate provided the momentum for the now widespread interest in the management of neonatal pain.

Improving Patient Safety – One Standard at a Time

2005 ◽  
Vol 40 (10) ◽  
pp. 921-924 ◽  
Author(s):  
Sondra K. May
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health Care Organizations ◽  
Medication Management ◽  
Joint Commission ◽  
Healthcare Organizations ◽  
Management Standards ◽  
Practical Information ◽  
The Joint Commission

Learning from the experiences of others is one of our most effective tools for improving patient safety. This column will inform readers about how various health care organizations have effectively implemented the Joint Commission on Accreditation of Healthcare Organizations’ (JCAHO) Medication Management Standards. Practical information on what worked and how organizations have been surveyed regarding the Medication Management Standards will be provided along with updates on standard revisions and recommendations being established by JCAHO.

A Unit-Based Approach to Outcome Centered Nursing Quality Assurance in Critical Care

1991 ◽  
Vol 2 (1) ◽  
pp. 44-48
Author(s):  
Geri Day ◽  
Marcia E. Powell
Keyword(s):  
Quality Assurance ◽  
Critical Care ◽  
Joint Commission ◽  
Quality Assurance Program ◽  
Healthcare Organizations ◽  
Outcome Indicators ◽  
Nursing Quality ◽  
The Joint Commission

This chapter describes a unit-based nursing quality assurance program in critical care. It outlines a unit-based structure, implementation of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) ten steps and joint nurse/physician outcome indicators

Strategies to Enhance Patient Care and Compliance with Pain Order Duplications and Gaps

2021 ◽  
pp. 001857872110323
Author(s):  
Shayna Cruz ◽  
Amberene Daya ◽  
Andrea Quinn ◽  
Amanda Ries
Keyword(s):  
Pain Management ◽  
Patient Care ◽  
Visual Analog Scale ◽  
Patient Preferences ◽  
Joint Commission ◽  
Hospital Level ◽  
Analog Scale ◽  
Vas Scores ◽  
Enhance Patient Care ◽  
The Joint Commission

According to the Joint Commission every patient has a right to pain management. Due to multimodal pain management, pain orders have the potential for duplication as well as gaps in therapy. At our institution, we evaluated pain orders and implemented strategies that aimed to reduce those gaps. We found that current ordering practices permitted the use of varying visual analog scale (VAS) ranges (e.g., VAS 1-3 and 1-5) which inherently increased the potential for duplicate therapies. When gaps in therapy occurred, medication orders for corresponding VAS scores were not available and thus, therapy was delayed. Additionally, current administration policies did not take into account patient preferences for less potent agents which can also cause a delay in care. In summary, simple strategies, discussed in this article, may be implemented at the hospital level to optimize patient care while maintaining recommendations by the Joint Commission for clear medication orders.

A survey of pediatric critical care nurses' knowledge of pain management

1997 ◽  
Vol 6 (4) ◽  
pp. 289-295 ◽  
Author(s):  
C Pederson ◽  
D Matthies ◽  
S McDonald
Keyword(s):  
Critical Care ◽  
Pain Management ◽  
Signs And Symptoms ◽  
Educational Interventions ◽  
Critical Care Nurses ◽  
Toxic Metabolite ◽  
Pediatric Critical Care ◽  
Related Information ◽  
Item Scale ◽  
Nurses Knowledge

BACKGROUND: Although nurses are accountable for pain management, it cannot be assumed that they are well informed about pain. Nurses' knowledge base underlies their pain management; therefore, it is important to measure their knowledge. OBJECTIVE: To measure pediatric critical care nurses' knowledge of pain management. METHOD: A descriptive, exploratory study was done. After a pilot study, an investigator-developed Pain Management Knowledge Test was distributed to 50 pediatric ICU nurses. Test responses were collected anonymously and coded by number. Item analysis was done, and descriptive statistics were calculated. Modified content analysis was used on requests for pain-related information. RESULTS: The test return rate was 38%. The overall mean score was 63%. Mean scores within test subsections varied from 50% to 92%. Other mean scores were 85% on a nine-item scale of drug-action items and 92% on a two-item scale of intervention items. However, no nurse recognized that cognitive-behavioral techniques can inhibit transmission of pain impulses; only 32% indicated that meperidine converts to a toxic metabolite, only 47% recognized nalbuphine as a drug that may cause signs and symptoms of withdrawal if given to a patient who has been receiving an opioid; and only 63% indicated that when a child states that the child has pain, pain exists. Thirteen nurses requested pain-related information, and all requests focused on analgesic medications. CONCLUSIONS: Testing nurses' knowledge of pain indicated gaps that can be addressed through educational interventions. Research is needed in which the test developed for this study is used as both pretest and posttest in an intervention study with pediatric critical care nurses or is modified for use with nurses in other clinical areas.

Moral distress of critical care nurses

1995 ◽  
Vol 4 (4) ◽  
pp. 280-285 ◽  
Author(s):  
MC Corley
Keyword(s):  
Factor Analysis ◽  
Critical Care ◽  
Intensive Care ◽  
Private Hospital ◽  
Moral Distress ◽  
Medical Center ◽  
Critical Care Nurses ◽  
Moral Integrity ◽  
Healthcare Organizations ◽  
Aggressive Care

BACKGROUND: Constraint of nurses by healthcare organizations, from actions the nurses believe are appropriate, may lead to moral distress. OBJECTIVE: To present findings on moral distress of critical care nurses, using an investigator-developed instrument. METHODS: An instrument development design using consensus by three expert judges, test-retest reliability, and factor analysis was used. Study participants (N = 111) were members of a chapter of the American Association of Critical-Care Nurses, critical care nurses employed in a large medical center, and critical care nurses from a private hospital. A 32-item instrument included items on prolonging life, performing unnecessary tests and treatments, lying to patients, and incompetent or inadequate treatment by physicians. RESULTS: Three factors were identified using factor analysis after expert consensus on the items: aggressive care, honesty, and action response. Nurses in the private hospital reported significantly greater moral distress on the aggressive care factor than did nurses in the medical center. Nurses not working in intensive care experienced higher levels of moral distress on the aggressive care factor than did nurses working in intensive care. Of the 111 nurses, 12% had left a nursing position primarily because of moral distress. CONCLUSIONS: Although the mean scores showed somewhat low levels of moral distress, the range of responses revealed that some nurses experienced high levels of moral distress with the issues. Research is needed on conditions organizations must provide to support the moral integrity of critical care nurses.

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