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 ID	13744
Article Category	Article
Authors	Phillips, Jane L., Heneka, Nicole, Hickman, Louise, Lam, Lawrence and Shaw, Tim
Journal Title	Palliative Medicine
Journal Citation	28 (6), pp. 521-529
Number of Pages	9
Year	Jun 2014
Publisher	SAGE Publications India
Place of Publication	United Kingdom
ISSN	0269-2163
	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.
Keywords	Palliative care; nurses; pain assessment; learning; education-professional; intervention; translational medical research; teaching materials; patient-centred outcome research; inpatient
Public Notes	Files associated with this item cannot be displayed due to copyright restrictions.
Byline Affiliations	University of Notre Dame Australia
	University of Technology Sydney
	Hong Kong Institute of Education, China
	University of Sydney

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