title: Enhancing Nurses' Pain Assessment to Improve Patient Satisfaction.
abstract: Patient satisfaction with pain management has increasing importance with Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores tied to reimbursement. Previous studies indicate patient satisfaction is influenced by staff interactions. This single-group pre/post design study aimed to improve satisfaction with pain management in older adults undergoing total joint replacement. This was a single-group pre-/posttest design. Nurse (knowledge assessment) and patient (American Pain Society Patient Outcomes Questionnaire Revised [APS-POQ-R], HCAHPS) responses evaluated pre- and postimplementation of the online educational program. Nurse focus group followed intervention. Nurses' knowledge improved significantly (p < .006) postintervention. HCAHPS scores (3-month average) for items reflecting patient satisfaction improved from 70.2 ± 9.5 to 73.9 ± 6.0. APS-POQ-R scores did not change. Focus group comments indicated need for education regarding linkages between pain management and patient satisfaction. Education on linkages between patient satisfaction and pain management can improve outcomes; education on strategies to further improve practice may enhance ability to achieve benchmarks.
authors.affiliation: Diana L. Schroeder, DNP, RN, Assistant Professor, Nursing Division, University of Pittsburgh at Johnstown, Johnstown, PA. Leslie A. Hoffman, PhD, RN, Professor Emeritus, Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA. Marie Fioravanti, DNP, RN, Assistant Professor, Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA. Deborah Poskus Medley RN-BC, MSN, CCRN, Nursing Education, Excela Health Westmoreland, Greensburg, PA. Thomas G. Zullo, PhD, Professor, Emeritus, Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA. Patricia K. Tuite, PhD, RN, MSN, Assistant Professor, Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA.
authors.forename: Diana L
authors.initials: DL
authors.lastname: Schroeder
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Hoffman
authors.forename: Marie
authors.initials: M
authors.lastname: Fioravanti
authors.forename: Deborah Poskus
authors.initials: DP
authors.lastname: Medley
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Zullo
authors.forename: Patricia K
authors.initials: PK
authors.lastname: Tuite
mesh_terms: D000328:Adult; D000368:Aged; D019643:Arthroplasty, Replacement / Q000451:nursing; D002983:Clinical Competence; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology; D059408:Pain Management / Q000451:nursing*; D010147:Pain Measurement / Q000451:nursing*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult