Impact of a novel online learning module on specialist palliative care nurses’ pain assessment competencies and patients’ reports of pain: Results from a quasiexperimental pilot study

Article


Phillips, Jane L., Heneka, Nicole, Hickman, Louise, Lam, Lawrence and Shaw, Tim. 2014. "Impact of a novel online learning module on specialist palliative care nurses’ pain assessment competencies and patients’ reports of pain: Results from a quasiexperimental pilot study." Palliative Medicine. 28 (6), pp. 521-529. https://doi.org/10.1177/0269216314527780
Article Title

Impact of a novel online learning module on specialist palliative care nurses’ pain assessment competencies and patients’ reports of pain: Results from a quasiexperimental pilot study

ERA Journal ID13744
Article CategoryArticle
AuthorsPhillips, Jane L., Heneka, Nicole, Hickman, Louise, Lam, Lawrence and Shaw, Tim
Journal TitlePalliative Medicine
Journal Citation28 (6), pp. 521-529
Number of Pages9
YearJun 2014
PublisherSAGE Publications India
Place of PublicationUnited Kingdom
ISSN0269-2163
1477-030X
Digital Object Identifier (DOI)https://doi.org/10.1177/0269216314527780
Web Address (URL)https://journals.sagepub.com/doi/10.1177/0269216314527780
Abstract

Background: Pain is a complex multidimensional phenomenon moderated by consumer, provider and health system factors. Effective pain management cuts across professional boundaries, with failure to screen and assess contributing to the burden of unrelieved pain.

Aim: To test the impact of an online pain assessment learning module on specialist palliative care nurses pain assessment competencies, and to determine whether this education impacted positively on palliative care patients reported pain ratings.

Design: A quasi-experimental pain assessment education pilot study utilising Qstream, an online methodology to deliver 11 casebased pain assessment learning scenarios, developed by an interdisciplinary expert panel and delivered to participants work emails over a 28-day period in mid-2012. The Self-Perceived Pain Assessment Competencies survey and chart audit data, including patientreported pain intensity ratings, were collected pre-intervention (T1) and post-intervention (T2) and analysed using inferential statistics to determine key outcomes.

Setting/participants: Nurses working at two Australian inpatient specialist palliative care services in 2012.

Results: The results reported conform to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Guidelines. Participants who completed the education intervention (n = 34) increased their pain assessment knowledge, assessment tool knowledge and confidence to undertake a pain assessment (p < 0.001). Participants were more likely to document pain intensity scores in patients medical records than non-participants (95% confidence interval = 7.3%-22.7%, p = 0.021). There was also a significant reduction in the mean patient-reported pain ratings between the admission and audit date at post-test of 1.5 (95% confidence interval = 0.7-2.3) units in pain score.

Conclusion: This pilot confers confidence of the education interventions capacity to improve specialist palliative care nurses pain assessment practices and to reduce patient-rated pain intensity scores.

KeywordsPalliative care; nurses; pain assessment; learning; education-professional; intervention; translational medical research; teaching materials; patient-centred outcome research; inpatient
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Byline AffiliationsUniversity of Notre Dame Australia
University of Technology Sydney
Hong Kong Institute of Education, China
University of Sydney
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