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Validation of the Behavioural Indicators of Pain Scale ESCID for pain assessment in non‐communicative and mechanically ventilated critically ill patients: a research protocol
Author(s) -
LatorreMarco Ignacio,
SolísMuñoz Montserrat,
AcevedoNuevo María,
HernándezSánchez María Leonor,
LópezLópez Candelas,
SánchezSánchez María del Mar,
WojtysiakWojcicka Mónika,
De las PozasAbril Julia
Publication year - 2016
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12808
Subject(s) - critically ill , pain assessment , protocol (science) , scale (ratio) , medicine , psychology , pain management , intensive care medicine , physical therapy , alternative medicine , physics , pathology , quantum mechanics
Abstract Aim To investigate the validity and reliability of the Behavioural Indicators of Pain Scale ( ESCID ) in medically and surgically non‐communicative and mechanically ventilated critical patients. Background Scales based on behavioural indicators of pain are suggested to measure pain in non‐communicative critically ill patients. Scales proposed thus far have a range not comparable to those used with patients who can report their pain. A scale with a 0‐10 range and more behavioural indicators is proposed to improve the detection and measurement of pain. Design A multicentre prospective observational design to validate a scale‐measuring instrument. Methods Three hundred non‐communicative and mechanically ventilated critical patients from 20 different intensive care units will be observed for 5 minutes before, during and 15 minutes after three procedures: turning, tracheal suctioning and soft friction with gauze on healthy tissue. Two independent observers will assess the pain of subjects with the Behavioural Pain Scale and the ESCID scale simultaneously. Descriptive and inferential statistics will be used. Student's t‐test will be used to compare components of the twos scales. Inter‐rater and intrarater agreement will be investigated. The reliability scale will be measured using Cronbach's alpha. Approval date for this protocol was January 2012. Discussion A greater number of behavioural indicators in the ESCID scale than in previously validated scales, with a 0‐10 score range, can improve the detection and measurement of pain in non‐communicative and mechanically ventilated critical patients. Funding granted in 2011 by the Spanish Health Research Fund ( PI 11/00766, Health Ministry). Trial registration : Study registered with www.clinicaltrials.gov ( NCT 01744717).