The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic

Litaba Efraim Kolobe; Nabeeha Tashkandi; Angela Tracy Caswell; Sheikha Al Anizi; Aisha Al Khanbaie; Waad Maringah; Kawther Ajarmeh; Eman Al Ruwaili

doi:doi:10.11648/j.ajns.20211005.14

The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic

Litaba Efraim Kolobe, Nabeeha Tashkandi, Angela Tracy Caswell, Sheikha Al Anizi, Aisha Al Khanbaie, Waad Maringah, Kawther Ajarmeh, Eman Al Ruwaili

Published in American Journal of Nursing Science (Volume 10, Issue 5)

Received: 19 September 2021 Accepted: 5 October 2021 Published: 12 October 2021

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Abstract

Context: Moderate to severe pain has a profound negative impact on functioning and quality of life, hence nursing guidelines were needed as the driving force to optimize pain nursing interventions. Aim: To enhance the reduction of adult inpatients' pain intensity of not more than mild pain during the COVID-19 pandemic nursing care settings. Methods: For this hospital-wide pain management quality improvement initiative, quarterly cross-sectional pain prevalence surveys were conducted between February 2020 and February 2021. For patients with pain scores less than 4/10 only section one of the survey questionnaires was used, while those with pain scores more than mild pain chart review was performed utilizing section two of the questionnaire. The 80/20 principle was adopted to identify the area that needs attention for specific improvement actions of each unit that achieved less than 80% of patients with pain intensity less than 4/10. Results: University Hospital A achieved an average of 92% throughout the four quarters, and 87.4% was for University Hospital B. Less than 20% of patients during the four quarters of the surveys had moderate to severe pain in both hospitals. Conclusions: Both two hospitals achieved the target goal of more than 80% pain prevalence scores of not more than mild pain during the four quarters of the studies. It is therefore strongly recommended that healthcare organizations put in place policies and procedures that assign the nurses the target goal of effective pain management.

Published in	American Journal of Nursing Science (Volume 10, Issue 5)
DOI	10.11648/j.ajns.20211005.14
Page(s)	237-243
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Policies and Procedures, Pain Intensity, No Pain, Mild Pain

References

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APA Style

Litaba Efraim Kolobe, Nabeeha Tashkandi, Angela Tracy Caswell, Sheikha Al Anizi, Aisha Al Khanbaie, et al. (2021). The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic. American Journal of Nursing Science, 10(5), 237-243. https://doi.org/10.11648/j.ajns.20211005.14

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ACS Style

Litaba Efraim Kolobe; Nabeeha Tashkandi; Angela Tracy Caswell; Sheikha Al Anizi; Aisha Al Khanbaie, et al. The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic. Am. J. Nurs. Sci. 2021, 10(5), 237-243. doi: 10.11648/j.ajns.20211005.14

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AMA Style

Litaba Efraim Kolobe, Nabeeha Tashkandi, Angela Tracy Caswell, Sheikha Al Anizi, Aisha Al Khanbaie, et al. The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic. Am J Nurs Sci. 2021;10(5):237-243. doi: 10.11648/j.ajns.20211005.14

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@article{10.11648/j.ajns.20211005.14,
  author = {Litaba Efraim Kolobe and Nabeeha Tashkandi and Angela Tracy Caswell and Sheikha Al Anizi and Aisha Al Khanbaie and Waad Maringah and Kawther Ajarmeh and Eman Al Ruwaili},
  title = {The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {5},
  pages = {237-243},
  doi = {10.11648/j.ajns.20211005.14},
  url = {https://doi.org/10.11648/j.ajns.20211005.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211005.14},
  abstract = {Context: Moderate to severe pain has a profound negative impact on functioning and quality of life, hence nursing guidelines were needed as the driving force to optimize pain nursing interventions. Aim: To enhance the reduction of adult inpatients' pain intensity of not more than mild pain during the COVID-19 pandemic nursing care settings. Methods: For this hospital-wide pain management quality improvement initiative, quarterly cross-sectional pain prevalence surveys were conducted between February 2020 and February 2021. For patients with pain scores less than 4/10 only section one of the survey questionnaires was used, while those with pain scores more than mild pain chart review was performed utilizing section two of the questionnaire. The 80/20 principle was adopted to identify the area that needs attention for specific improvement actions of each unit that achieved less than 80% of patients with pain intensity less than 4/10. Results: University Hospital A achieved an average of 92% throughout the four quarters, and 87.4% was for University Hospital B. Less than 20% of patients during the four quarters of the surveys had moderate to severe pain in both hospitals. Conclusions: Both two hospitals achieved the target goal of more than 80% pain prevalence scores of not more than mild pain during the four quarters of the studies. It is therefore strongly recommended that healthcare organizations put in place policies and procedures that assign the nurses the target goal of effective pain management.},
 year = {2021}
}

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TY  - JOUR
T1  - The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic
AU  - Litaba Efraim Kolobe
AU  - Nabeeha Tashkandi
AU  - Angela Tracy Caswell
AU  - Sheikha Al Anizi
AU  - Aisha Al Khanbaie
AU  - Waad Maringah
AU  - Kawther Ajarmeh
AU  - Eman Al Ruwaili
Y1  - 2021/10/12
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211005.14
DO  - 10.11648/j.ajns.20211005.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 237
EP  - 243
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211005.14
AB  - Context: Moderate to severe pain has a profound negative impact on functioning and quality of life, hence nursing guidelines were needed as the driving force to optimize pain nursing interventions. Aim: To enhance the reduction of adult inpatients' pain intensity of not more than mild pain during the COVID-19 pandemic nursing care settings. Methods: For this hospital-wide pain management quality improvement initiative, quarterly cross-sectional pain prevalence surveys were conducted between February 2020 and February 2021. For patients with pain scores less than 4/10 only section one of the survey questionnaires was used, while those with pain scores more than mild pain chart review was performed utilizing section two of the questionnaire. The 80/20 principle was adopted to identify the area that needs attention for specific improvement actions of each unit that achieved less than 80% of patients with pain intensity less than 4/10. Results: University Hospital A achieved an average of 92% throughout the four quarters, and 87.4% was for University Hospital B. Less than 20% of patients during the four quarters of the surveys had moderate to severe pain in both hospitals. Conclusions: Both two hospitals achieved the target goal of more than 80% pain prevalence scores of not more than mild pain during the four quarters of the studies. It is therefore strongly recommended that healthcare organizations put in place policies and procedures that assign the nurses the target goal of effective pain management.
VL  - 10
IS  - 5
ER  -

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Author Information

Litaba Efraim Kolobe

Department of Nursing Pain Management, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Nabeeha Tashkandi

Department of Nursing Administration, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Angela Tracy Caswell

Department of Nursing Administration, King Abdullah Specialised Children’s Hospital, Riyadh, Saudi Arabia
Sheikha Al Anizi

Department of Nursing Pain Management, King Abdullah Specialised Children’s Hospital, Riyadh, Saudi Arabia
Aisha Al Khanbaie

Department of Nursing Pain Management, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Waad Maringah

Department of Nursing Pain Management, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Kawther Ajarmeh

Department of Nursing Pain Management, King Abdulaziz Medical City Hospital, Riyadh, Saudi Arabia
Eman Al Ruwaili

Department of Nursing Pain Management, King Abdullah Specialised Children’s Hospital, Riyadh, Saudi Arabia

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APA Style

Litaba Efraim Kolobe, Nabeeha Tashkandi, Angela Tracy Caswell, Sheikha Al Anizi, Aisha Al Khanbaie, et al. (2021). The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic. American Journal of Nursing Science, 10(5), 237-243. https://doi.org/10.11648/j.ajns.20211005.14

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ACS Style

Litaba Efraim Kolobe; Nabeeha Tashkandi; Angela Tracy Caswell; Sheikha Al Anizi; Aisha Al Khanbaie, et al. The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic. Am. J. Nurs. Sci. 2021, 10(5), 237-243. doi: 10.11648/j.ajns.20211005.14

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AMA Style

Litaba Efraim Kolobe, Nabeeha Tashkandi, Angela Tracy Caswell, Sheikha Al Anizi, Aisha Al Khanbaie, et al. The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic. Am J Nurs Sci. 2021;10(5):237-243. doi: 10.11648/j.ajns.20211005.14

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@article{10.11648/j.ajns.20211005.14,
  author = {Litaba Efraim Kolobe and Nabeeha Tashkandi and Angela Tracy Caswell and Sheikha Al Anizi and Aisha Al Khanbaie and Waad Maringah and Kawther Ajarmeh and Eman Al Ruwaili},
  title = {The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {5},
  pages = {237-243},
  doi = {10.11648/j.ajns.20211005.14},
  url = {https://doi.org/10.11648/j.ajns.20211005.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211005.14},
  abstract = {Context: Moderate to severe pain has a profound negative impact on functioning and quality of life, hence nursing guidelines were needed as the driving force to optimize pain nursing interventions. Aim: To enhance the reduction of adult inpatients' pain intensity of not more than mild pain during the COVID-19 pandemic nursing care settings. Methods: For this hospital-wide pain management quality improvement initiative, quarterly cross-sectional pain prevalence surveys were conducted between February 2020 and February 2021. For patients with pain scores less than 4/10 only section one of the survey questionnaires was used, while those with pain scores more than mild pain chart review was performed utilizing section two of the questionnaire. The 80/20 principle was adopted to identify the area that needs attention for specific improvement actions of each unit that achieved less than 80% of patients with pain intensity less than 4/10. Results: University Hospital A achieved an average of 92% throughout the four quarters, and 87.4% was for University Hospital B. Less than 20% of patients during the four quarters of the surveys had moderate to severe pain in both hospitals. Conclusions: Both two hospitals achieved the target goal of more than 80% pain prevalence scores of not more than mild pain during the four quarters of the studies. It is therefore strongly recommended that healthcare organizations put in place policies and procedures that assign the nurses the target goal of effective pain management.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - The Policy-Driven Enhancement to Reduce Adult Inpatients’ Pain Intensity of “No More Than Mild Pain” During the COVID-19 Pandemic
AU  - Litaba Efraim Kolobe
AU  - Nabeeha Tashkandi
AU  - Angela Tracy Caswell
AU  - Sheikha Al Anizi
AU  - Aisha Al Khanbaie
AU  - Waad Maringah
AU  - Kawther Ajarmeh
AU  - Eman Al Ruwaili
Y1  - 2021/10/12
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211005.14
DO  - 10.11648/j.ajns.20211005.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 237
EP  - 243
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211005.14
AB  - Context: Moderate to severe pain has a profound negative impact on functioning and quality of life, hence nursing guidelines were needed as the driving force to optimize pain nursing interventions. Aim: To enhance the reduction of adult inpatients' pain intensity of not more than mild pain during the COVID-19 pandemic nursing care settings. Methods: For this hospital-wide pain management quality improvement initiative, quarterly cross-sectional pain prevalence surveys were conducted between February 2020 and February 2021. For patients with pain scores less than 4/10 only section one of the survey questionnaires was used, while those with pain scores more than mild pain chart review was performed utilizing section two of the questionnaire. The 80/20 principle was adopted to identify the area that needs attention for specific improvement actions of each unit that achieved less than 80% of patients with pain intensity less than 4/10. Results: University Hospital A achieved an average of 92% throughout the four quarters, and 87.4% was for University Hospital B. Less than 20% of patients during the four quarters of the surveys had moderate to severe pain in both hospitals. Conclusions: Both two hospitals achieved the target goal of more than 80% pain prevalence scores of not more than mild pain during the four quarters of the studies. It is therefore strongly recommended that healthcare organizations put in place policies and procedures that assign the nurses the target goal of effective pain management.
VL  - 10
IS  - 5
ER  -

Copy | Download