title: Validation of critical care pain observation tool in patients hospitalized in surgical wards.
abstract: BACKGROUND
  Application of a reliable and authentic behavioral tool for measuring patients' pain, hospitalized in intensive care units who are not able to establish relationship, is needed severely. Therefore, this study is conducted with the aim of validating Critical Care Pain Observation Tool (CPOT) in patients hospitalized in surgical wards.
  
  
  METHODS
  CPOT was first translated into Persian and was psychometrically measured in terms of content.
  
  
  RESULTS
  It should be noted that the content validity of CPOT was approved by panel of specialists. In addition, validity of this tool was confirmed with high internal cluster correlation (nonpainful procedure (0.997) and painful procedure (0.726). The diagnostic validity was supported with the increased CPOT score during position change and its constancy during the measurement of blood pressure (P< 0.001). Despite higher NRS scores than CPOT, CPOT criterion validity was confirmed due to the correlation between the scores obtained by these two tools (P< 0.001).
  
  
  CONCLUSIONS
  CPOT is a valid and reliable tool to study pain in patients hospitalized in intensive care units.
authors.affiliation: Students Research Center, School of Nursing and Midwifery, Isfahan University of Medical Science, Isfahan, Iran.
authors.forename: Malihe
authors.initials: M
authors.lastname: Rafiei
authors.affiliation: Department of Operating Room, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Ghadami
authors.affiliation: Nursing and Midwifery Care Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Irajpour
authors.affiliation: Department of Biology Statistics, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Avat
authors.initials: A
authors.lastname: Feizi
keywords: Critical care; pain assessment; validity