Assessment and management of burn pain at the Komfo Anokye Teaching Hospital: a best practice implementation project

Article

Bayuo, Jonathan, Munn, Zachary and Campbell, Jared. 2017. "Assessment and management of burn pain at the Komfo Anokye Teaching Hospital: a best practice implementation project." The JBI Database of Systematic Reviews and Implementation Reports. 15 (9), pp. 2398-2418. https://doi.org/10.11124/JBISRIR-2016-003272
Article Title

Assessment and management of burn pain at the Komfo Anokye Teaching Hospital: a best practice implementation project

ERA Journal ID201593
Article CategoryArticle
AuthorsBayuo, Jonathan, Munn, Zachary and Campbell, Jared
Journal TitleThe JBI Database of Systematic Reviews and Implementation Reports
Journal Citation15 (9), pp. 2398-2418
Number of Pages21
Year2017
PublisherLippincott Williams & Wilkins
Place of PublicationAustralia
ISSN1838-2142
2202-4433
Digital Object Identifier (DOI)https://doi.org/10.11124/JBISRIR-2016-003272
Web Address (URL)https://journals.lww.com/jbisrir/fulltext/2017/09000/assessment_and_management_of_burn_pain_at_the.18.aspx
Abstract

Background
Pain management is a significant issue in health facilities in Ghana. For burn patients, this is even more challenging as burn pain has varied facets. Despite the existence of pharmacological agents for pain management, complaints of pain still persist.

Objectives
The aim of this project was to identify pain management practices in the burns units of Komfo Anokye Teaching Hospital, compare these approaches to best practice, and implement strategies to enhance compliance to standards.

Methods
Ten evidence-based audit criteria were developed from evidence summaries. Using the Joanna Briggs Institute Practical Application of Clinical Evidence Software (PACES), a baseline audit was undertaken on a convenience sample of ten patients from the day of admission to the seventh day. Thereafter, the Getting Research into Practice (GRiP) component of PACES was used to identify barriers, strategies, resources and outcomes. After implementation of the strategies, a follow-up audit was undertaken using the same sample size and audit criteria.

Results
The baseline results showed poor adherence to best practice. However, following implementation of strategies, including ongoing professional education and provision of assessment tools and protocols, compliance rates improved significantly. Atlhough the success of this project was almost disrupted by an industrial action, collaboration with external bodies enabled the successful completion of the project.

Conclusion
Pain management practices in the burns unit improved at the end of the project which reflects the importance of an audit process, education, providing feedback, group efforts and effective collaboration.

KeywordsAssessment and management of burn pain; best practice; clinical audit; mplementation project
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020320218. Pain
420599. Nursing not elsewhere classified
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Byline AffiliationsKomfo Anokye Teaching Hospital, Ghana
Presbyterian University College, Ghana
University of Adelaide
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The extended case method in nursing research: Unpacking the 'what', 'why' and 'how'
Bayuo,Jonathan and Kuug, Anthony Kolsabilik. 2023. "The extended case method in nursing research: Unpacking the 'what', 'why' and 'how'." Journal of Advanced Nursing. 79 (11), pp. 4245-4254. https://doi.org/10.1111/jan.15843
Hospital Fire Outbreaks Before and During the COVID-19 Pandemic in Low- and Middle-Income Settings
Bayuo, Jonathan and Duodu, Precious Adade. 2023. "Hospital Fire Outbreaks Before and During the COVID-19 Pandemic in Low- and Middle-Income Settings." Journal of Patient Safety. 19 (4), pp. 223-228. https://doi.org/10.1097/PTS.0000000000001124
Global epidemiology of geriatric burns, capacities of care, and injury outcomes: Perspectives from the World Health Organization global burn registry
Bayuo, Jonathan, Agbeko, Anita Eseenam, Wong, Arkers Kwan Ching, Wong, Frances Kam Yuet, Baafi, Elisha Oduro, Baffour, Prince Kyei, Naw, Hser Eh and Agbenorku, Pius. 2023. "Global epidemiology of geriatric burns, capacities of care, and injury outcomes: Perspectives from the World Health Organization global burn registry." Burns. 49 (8), pp. 1796-1807. https://doi.org/10.1016/j.burns.2023.09.020
Technology: A metaparadigm concept of nursing
Bayuo, Jonathan, Abu-Odah, Hammoda, Su, Jing Jing and Aziato, Lydia. 2023. "Technology: A metaparadigm concept of nursing." Nursing Inquiry. 30 (4). https://doi.org/10.1111/nin.12592
Components, Models of Integration, and Outcomes Associated with Palliative/ end-of-Life Care Interventions in the Burn Unit: A Scoping Review
Bayuo, Jonathan, Abu-Odah, Hammoda and Koduah, Adwoa Owusuaa. 2023. "Components, Models of Integration, and Outcomes Associated with Palliative/ end-of-Life Care Interventions in the Burn Unit: A Scoping Review." Journal of Palliative Care. 38 (2), pp. 239-253. https://doi.org/10.1177/08258597221102735
A meta-synthesis of the transitioning experiences and career progression of migrant African nurses
Bayuo, Jonathan, Abboah‑Offei, Mary, Duodu, Precious Adade and Salifu, Yakubu. 2023. "A meta-synthesis of the transitioning experiences and career progression of migrant African nurses." BMC Nursing. 22 (1), pp. 1-20. https://doi.org/10.1186/s12912-023-01273-1
Effect of a Mobile Health Application With Nurse Support on Quality of Life Among Community-Dwelling Older Adults in Hong Kong: A Randomized Clinical Trial
Wong, Arkers Kwan Ching, Wong, Frances Kam Yuet, Chow, Karen Kit Sum, Wong, Siu Man, Bayuo, Jonathan and Ho, Annie Ka Ying. 2022. "Effect of a Mobile Health Application With Nurse Support on Quality of Life Among Community-Dwelling Older Adults in Hong Kong: A Randomized Clinical Trial." JAMA Network Open. 5 (11). https://doi.org/10.1001/jamanetworkopen.2022.41137
A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults
Wong, Arkers Kwan Ching, Wong, Frances Kam Yuet, Bayuo, Jonathan, Chow, Karen Kit Sum, Wong, Siu Man and Lee, Athena Yin Lam. 2022. "A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults." Frontiers in Psychiatry. 13. https://doi.org/10.3389/fpsyt.2022.978416
Investigating predictors of self‐care behavior among homebound older adults: The role of self‐efficacy, eHealth literacy, and perceived social support
Wong, Arkers Kwan Ching, Bayuo, Jonathan and Wong, Frances Kam Yuet. 2022. "Investigating predictors of self‐care behavior among homebound older adults: The role of self‐efficacy, eHealth literacy, and perceived social support." Journal of Nursing Scholarship. 54 (3), pp. 278-285. https://doi.org/10.1111/jnu.12730
Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018
Duodu, Precious Adade, Bayuo, Jonathan, Mensah, Aboagye, Aduse-Poku, Livingstone, Arthur-Holmes, Francis, Dzomeku, Veronica Millicent, Dey, Nutifafa EugeneYaw, Agbadi, Pascal and Nutor, Jerry John. 2022. "Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018." BMC Pregnancy and Childbirth. 22 (1). https://doi.org/10.1186/s12884-022-04404-9
Effects of a Nurse-Led Telehealth Self-care Promotion Program on the Quality of Life of Community-Dwelling Older Adults: Systematic Review and Meta-analysis
Wong, Arkers Kwan Ching, Bayuo,Jonathan, Wong, Frances Kam Yuet, Yuen, Wing Shan, Lee, Athena Yin Lam, Chang, Pui King and Lai, Jojo Tsz Chui. 2022. "Effects of a Nurse-Led Telehealth Self-care Promotion Program on the Quality of Life of Community-Dwelling Older Adults: Systematic Review and Meta-analysis." Journal of Medical Internet Research. 24 (3), pp. 124-140. https://doi.org/10.2196/31912
'Becoming and overcoming': A qualitative meta-synthesis of the experiences of men in nursing academia
Bayuo, Jonathan, Wong, Kwan Ching Arkers, Abu-Odah, Hammoda and Wong, Frances Kam Yuet. 2022. "'Becoming and overcoming': A qualitative meta-synthesis of the experiences of men in nursing academia." Journal of Professional Nursing. 43, pp. 83-106. https://doi.org/10.1016/j.profnurs.2022.07.022
Pattern and outcomes of medical malpractice cases in Ghana: a systematic content analysis
Bayuo, Jonathan and Koduah, Adwoa O.. 2022. "Pattern and outcomes of medical malpractice cases in Ghana: a systematic content analysis." Ghana Medical Journal. 56 (4), pp. 322-330. https://doi.org/10.4314/gmj.v56i4.11
Exploring the Background, Context, and Stressors of Caregiving to Elderly Burned Patients: A Qualitative Inquiry
Bayuo, Jonathan, Aniteye, Patience, Richter, Solina and Agbenorku, Pius. 2022. "Exploring the Background, Context, and Stressors of Caregiving to Elderly Burned Patients: A Qualitative Inquiry." Journal of Burn Care and Research. 43 (1), pp. 196-201. https://doi.org/10.1093/jbcr/irab077
"Resuscitate and Push": End-of-Life Care Experiences of Healthcare Staff in the Emergency Department – A Hermeneutic Phenomenological Study
Bayuo, Jonathan, Anag, Emmanuel Kwadwo, Agyei, Frank Bediako, Salifu, Yakubu, Baffour, Prince Kyei and Poku, Collins Atta. 2022. ""Resuscitate and Push": End-of-Life Care Experiences of Healthcare Staff in the Emergency Department – A Hermeneutic Phenomenological Study." Journal of Palliative Care. 37 (4), pp. 494-502. https://doi.org/10.1177/08258597211050740
Compassion Fatigue in the Burn Unit: A Review of Quantitative Evidence
Bayuo, Jonathan and Agbenorku, Pius. 2022. "Compassion Fatigue in the Burn Unit: A Review of Quantitative Evidence." Journal of Burn Care and Research. 43 (4), pp. 957-964. https://doi.org/10.1093/jbcr/irab237
Palliative care interventions for adults in the emergency department: A review of components, delivery models, and outcomes
Bayuo, Jonathan, Agbeko, Anita Eseenam, Acheampong, Emmanuel, Abu-Odah, Hammoda and Davids, Jephtah. 2022. "Palliative care interventions for adults in the emergency department: A review of components, delivery models, and outcomes." Academic Emergency Medicine. 29 (11), pp. 1357-1378. https://doi.org/10.1111/acem.14508
Letter to the Editor on recommendations for burns care in mass casualty incidents: WHO emergency medical teams technical working group on burns (WHO TWGB) 2017–2020
Bayuo, Jonathan. 2022. "Letter to the Editor on recommendations for burns care in mass casualty incidents: WHO emergency medical teams technical working group on burns (WHO TWGB) 2017–2020 ." Burns. 48, pp. 731-732. https://doi.org/10.1016/j.burns.2021.11.026
An integrative review of the use of the concept of reassurance in clinical practice
Akyirem, Samuel, Salifu, Yakubu, Bayuo, Jonathan, Duodu, Precious Adade, Bossman, Irene Fosuhemaa and Abboah‑Offei, Mary. 2022. "An integrative review of the use of the concept of reassurance in clinical practice." Nursing Open. 9 (3), pp. 1515-1535. https://doi.org/10.1002/nop2.1102
Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews
Abu-Odah, Hammoda, Said, Nizar B., Nair, Satish Chandrasekha, Allsop, Matthew J., Currow, David C., Salah, Motasem Said, Hamad, Bassam Abu, Elessi, Khamis, Alkhatib, Ali, ElMokhallalati, Y., Bayuo, Yousuf and AlKhaldi, Mohammed. 2022. "Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews." Health and Social Care in the Community. 30 (6), pp. e3265-e3276. https://doi.org/10.1111/hsc.13898
Corrigendum to "A rapid review of the use of face mask in preventing the spread of COVID-19" [International Journal of Nursing Studies Advances 3 (2021) 100013
Abboah‑Offei, Mary, Salifu, Yakubu, Adewale, Bisi, Bayuo, Jonathan, Ofosu-Poku, Rasheed and Opare-Lokko, Edwina Beryl Addo. 2022. "Corrigendum to "A rapid review of the use of face mask in preventing the spread of COVID-19" [International Journal of Nursing Studies Advances 3 (2021) 100013." International Journal of Nursing Studies Advances. 4 (1). https://doi.org/10.1016/j.ijnsa.2022.100093
Effects of a nurse-led transitional burns rehabilitation programme (4Cs-TBuRP) for adult burn survivors: protocol for a randomised controlled trial
Bayuo, Jonathan, Wong, Frances Kam Yuet and Chung, Loretta Yuet Foon. 2021. "Effects of a nurse-led transitional burns rehabilitation programme (4Cs-TBuRP) for adult burn survivors: protocol for a randomised controlled trial." Trials. 22 (1). https://doi.org/10.1186/s13063-021-05679-7
Intervention Content and Outcomes of Postdischarge Rehabilitation Programs for Adults Surviving Major Burns: A Systematic Scoping Review
Bayuo, Jonathan and Wong, Frances Kam Yuet. 2021. "Intervention Content and Outcomes of Postdischarge Rehabilitation Programs for Adults Surviving Major Burns: A Systematic Scoping Review." Journal of Burn Care and Research. 42 (4), pp. 651-710. https://doi.org/10.1093/jbcr/iraa110
Issues and concerns of family members of burn patients: A scoping review
Bayuo, Jonathan and Wong, Frances Kam Yuet. 2021. "Issues and concerns of family members of burn patients: A scoping review." Burns. 47 (3), pp. 503-524. https://doi.org/10.1016/j.burns.2020.04.023
“Hanging in a balance”: A qualitative study exploring clinicians’ experiences of providing care at the end of life in the burn unit
Bayuo, Jonathan, Bristowe, Katherine, Harding, Richard, Agbeko, Anita Eseenam, Wong, Frances Kam Yuet, Agyei, Frank Bediako, Allotey, Gabriel, Baffour, Prince Kyei, Agbenorku, Pius, Hoyte-Williams, Paa Ekow and Agambire, Ramatu. 2021. "“Hanging in a balance”: A qualitative study exploring clinicians’ experiences of providing care at the end of life in the burn unit." Palliative Medicine. 35 (2), pp. 417-425. https://doi.org/10.1177/0269216320972289
"Managing uncertainty": Experiences of family members of burn patients from injury occurrence to the end-of-life period
Bayuo, Jonathan, Bristowe, Katherine, Harding, Richard, Agbeko, Anita Eseenam, Baffour, Prince Kyei, Agyei, Frank Bediako, Wong, Frances Kam Yuet, Allotey, Gabriel, Agbenorku, Pius and Hoyte-Williams, Paa Ekow. 2021. ""Managing uncertainty": Experiences of family members of burn patients from injury occurrence to the end-of-life period." Burns. 47 (7), pp. 1647-1655. https://doi.org/10.1016/j.burns.2021.02.009
"Surviving to thriving": a meta-ethnography of the experiences of healthcare staff caring for persons with COVID-19
Agyei, Frank Bediako, Bayuo, Jonathan, Baffour, Prince Kyei and Laari, Cletus. 2021. ""Surviving to thriving": a meta-ethnography of the experiences of healthcare staff caring for persons with COVID-19 ." BMC Health Services Research. 21 (1). https://doi.org/10.1186/s12913-021-07112-w
A rapid review of the use of face mask in preventing the spread of COVID-19
Abboah‑Offei, Mary, Salifu, Yakubu, Adewale, Bisi, Bayuo, Jonathan, Ofosu-Poku, Rasheed and Opare-Lokko, Edwina Beryl Addo. 2021. "A rapid review of the use of face mask in preventing the spread of COVID-19." International Journal of Nursing Studies Advances. 3 (1). https://doi.org/10.1016/j.ijnsa.2020.100013
"On the Recovery Journey:" An Integrative Review of the Needs of Burn Patients From Immediate Pre‐Discharge to Post‐Discharge Period Using the Omaha System
Bayuo, Jonathan, Wong, Frances Kam Yuet and Agyei, Frank Bediako. 2020. ""On the Recovery Journey:" An Integrative Review of the Needs of Burn Patients From Immediate Pre‐Discharge to Post‐Discharge Period Using the Omaha System." Journal of Nursing Scholarship. 52 (4), pp. 360-368. https://doi.org/10.1111/jnu.12563
The role of palliative care in burns: A scoping review
Bayuo, Jonathan, Bristowe, Katherine, Harding, Richard, Agyei, Frank Bediako, Agbeko, Anita Eseenam, Agbenorku, Pius, Baffour, Prince Kyei, Allotey, Gabriel and Hoyte-Williams, Paa Ekow. 2020. "The role of palliative care in burns: A scoping review." Journal of Pain and Symptom Management. 59 (5), pp. 1089-1108. https://doi.org/10.1016/j.jpainsymman.2019.11.006
Seeking healthcare at their 'right' time; the iterative decision process for women with breast cancer
Agbeko, Anita Eseenam, Arthur, Joshua, Bayuo, Jonathan, Kaburi, Basil Benduri and Kyei, Ishmael. 2020. "Seeking healthcare at their 'right' time; the iterative decision process for women with breast cancer." BMC Cancer. 20 (1). https://doi.org/10.1186/s12885-020-07520-x
Developing support strategies for burn care nurses through an understanding of their experiences: A meta‐ethnographic study
Bayuo, Jonathan, Agyei, Frank Agyei, Allotey, Gabriel and Baffour, Prince Kyei. 2019. "Developing support strategies for burn care nurses through an understanding of their experiences: A meta‐ethnographic study." International Journal of Nursing Practice. 25 (2). https://doi.org/10.1111/ijn.12685
Epidemiology and outcome of suspected inhalational burn injury in a Ghanaian tertiary hospital
Agbenorku, Pius, Agbenorku, Manolo, Bayuo, Jonathan and Asare, Nana Yaa Odamea. 2019. "Epidemiology and outcome of suspected inhalational burn injury in a Ghanaian tertiary hospital." Burns Open. 3 (2), pp. 45-50. https://doi.org/10.1016/j.burnso.2019.02.001
Burns in the middle belt of Ghana: A systematic review
Bayuo, Jonathan, Agyei, Frank Bediako and Baffour, Prince Kyei. 2018. "Burns in the middle belt of Ghana: A systematic review." Burns Open. 2 (2), pp. 85-89. https://doi.org/10.1016/j.burnso.2018.02.001
Epidemiology and outcomes of burn injury among older adults in a Ghanaian tertiary hospital
Bayuo, Jonathan, Agbenorku, Pius, Amankwa, Richcane and Agbenorku, Manolo. 2018. "Epidemiology and outcomes of burn injury among older adults in a Ghanaian tertiary hospital." Burns Open. 2 (2), pp. 98-103. https://doi.org/10.1016/j.burnso.2017.12.003
Coping strategies among nurses in the Burn Intensive Care Unit: A qualitative study
Bayuo, Jonathan and Agbenorku, Pius. 2018. "Coping strategies among nurses in the Burn Intensive Care Unit: A qualitative study." Burns Open. 2 (1), pp. 47-52. https://doi.org/10.1016/j.burnso.2017.10.004
"The Last Bath": A Reflexive Ethnography of Caring for a Prisoner-Patient
Bayuo, Jonathan. 2018. ""The Last Bath": A Reflexive Ethnography of Caring for a Prisoner-Patient." International Journal for Human Caring. 22 (1), pp. 56-61. https://doi.org/10.20467/1091-5710.22.1.pg21
Burn injury in epileptics: The trend and risk factors in the middle belt of Ghana
Agbenorku, Pius, Adamu Bukari, Abdul-Rahman, Effah, Angelina Tima, Agbenorku, Manolo, Asare, Nana Yaa Odamea and Bayuo, Jonathan. 2018. "Burn injury in epileptics: The trend and risk factors in the middle belt of Ghana." Burns Open. 2 (3), pp. 122-125. https://doi.org/10.1016/j.burnso.2018.05.001
A Reflection on the Theoretical Basis of the "A-Pie" Model of Clinical Education
Bayuo, Jonathan and Amoah, Edward Obeng. 2017. "A Reflection on the Theoretical Basis of the "A-Pie" Model of Clinical Education." International Journal for Human Caring. 21 (3), pp. 134-136. https://doi.org/10.20467/1091-5710.21.3.134
Burns among older persons: A narrative review
Bayuo, Jonathan and Botchway, Anita Esi. 2017. "Burns among older persons: A narrative review." Burns Open. 1 (1), pp. 2-8. https://doi.org/10.1016/j.burnso.2017.05.006
Experiences with out-patient hospital service utilisation among older persons in the Asante Akyem North District- Ghana
Bayuo, Jonathan. 2017. "Experiences with out-patient hospital service utilisation among older persons in the Asante Akyem North District- Ghana." BMC Health Services Research. 17. https://doi.org/10.1186/s12913-017-2604-6
"Worlds apart": the case of evidence utilization in Ghanaian health facilities
Bayuo, Jonathan. 2017. ""Worlds apart": the case of evidence utilization in Ghanaian health facilities." The JBI Database of Systematic Reviews and Implementation Reports. 15 (9), pp. 2225-2226. https://doi.org/10.11124/JBISRIR-2017-003554
Management strategies of burns associated hyperthermia: A case report
Bayuo, Jonathan. 2017. "Management strategies of burns associated hyperthermia: A case report." Burns Open. 1 (1), pp. 45-47. https://doi.org/10.1016/j.burnso.2017.05.011
Case Study in Caring Application of Watson’s Theory of Human Caring to End of Life Care in the Burns Intensive Care Unit: A Case Report
Bayuo, Jonathan. 2017. "Case Study in Caring Application of Watson’s Theory of Human Caring to End of Life Care in the Burns Intensive Care Unit: A Case Report." International Journal for Human Caring. 21 (3), pp. 142-144. https://doi.org/10.20467/1091-5710.21.3.142
Study on acute burn injury survivors and the associated issues
Bayuo, Jonathan, Agbenorku, Pius and Amankwa, Richcane. 2016. "Study on acute burn injury survivors and the associated issues." Journal of Acute Disease. 5 (3), pp. 206-209. https://doi.org/10.1016/j.joad.2016.03.006
Malnutrition screening among elderly people in a community setting: a best practice implementation project
Craven, Dana, Munn, Zachary, Moloney, Clint and Taylor, Melissa. 2014. "Malnutrition screening among elderly people in a community setting: a best practice implementation project." The JBI Database of Systematic Reviews and Implementation Reports. 12 (3), pp. 1-18. https://doi.org/10.11124/jbisrir-2014-1454