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Assessment of post‐operative pain management among acutely and electively admitted patients – a S wedish ward perspective
Author(s) -
Magidy Mahnaz,
WarrénStomberg Margareta,
Bjerså Kristofer
Publication year - 2016
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12475
Subject(s) - medicine , acute pain , pain management , intervention (counseling) , postoperative pain , significant difference , quality management , physical therapy , emergency medicine , surgery , anesthesia , nursing , management system , management , economics
Rationale, aims and objectives S wedish health care is regulated to involve the patient in every intervention process. In the area of post‐operative pain, it is therefore important to evaluate patient experience of the quality of pain management. Previous research has focused on mapping this area but not on comparing experiences between acutely and electively admitted patients. Hence, the aim of this study was to investigate the experiences of post‐operative pain management quality among acutely and electively admitted patients at a S wedish surgical department performing soft‐tissue surgery. Methods A survey study design was used as a method based on a multidimensional instrument to assess post‐operative pain management: S trategic and C linical Q uality I ndicators in P ostoperative P ain M anagement ( SCQIPP ). Consecutive patients at all wards of a university hospital's surgical department were included. Data collection was performed at hospital discharge. Results In total, 160 patients participated, of whom 40 patients were acutely admitted. A significant difference between acutely and electively admitted patients was observed in the SCQIPP area of environment, whereas acute patients rated the post‐operative pain management quality lower compared with those who were electively admitted. Conclusions There may be a need for improvement in the areas of post‐operative pain management in S weden, both specifically and generally. There may also be a difference in the experience of post‐operative pain quality between acutely and electively admitted patients in this study, specifically in the area of environment. In addition, low levels of the perceived quality of post‐operative pain management among the patients were consistent, but satisfaction with analgesic treatment was rated as good.