Effect of Repeated Feedback to Registered Nurses Pain Nursing Documentation

NCT05373641 | Completed

• 1 other identifier: 50UL015
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to find out how pain nursing documentation audit and educational feedback effect to RN's pain nursing documentation, the average level of pain nursing documentation knowledge of unit RN's, patient satisfaction of pain management and number of pain nursing incident reports. In addition, how background variables are related to the pain nursing documentation. Research hypothesis: Pain nursing documentation audit and educational feedback increased RNs' pain nursing documentation and knowledge, patient satisfaction to pain management and effect to number of pain nursing incident reports.

Conditions

Education; Nurse's Role; Pain

Keywords

RN; Pain nursing; Pain assessment; Pain management; Pain documentation; Audit and feedback; Education; Randomized Controlled Trial; Nursing sensitive quality; Nursing sensitive outcomes

Outcome Measures

Primary Outcomes (2)

• Change in RNs' pain documentation

  MEASUREMENT TOOL: Structured audit frame to evaluate pain assessment and management documentation. UNIT OF MEASURE: Information is collected as follows from EHR 1. Patient pain documented in the care chart 2. Patient need for pain management documented 3. Patient pain management goal documented 4. Patient pain assessment 5. Patient pain assessment in the previous 24 hours 6. Patient pain 7. Use of pain assessment tool 8. Non-pharmacological methods 9. Pharmacological interventions 10. Intervention (pharmacological or non-pharmacological effect assessment) Multiple measurements are aggregated to achieve one declared value as follows: First, each evaluated area results in 0 (not fulfilled) or 1 point (fulfilled). Second, the points are summed. Third, the sum is transformed to a 0-100 scale and reported as a single value reflecting pain documentation quality.

  Baseline (T0), month 1 (T1), month 2 (T2), month 3 (T3), month 4 (T4), month 5 (T5) month 6 (T6), month 7 (T7), month 8 (T8)

• Change in RNs' pain knowledge

  Pain knowledge questionnaire used in three time points

  Baseline (T0), month 3 (T3), month (T7)

Secondary Outcomes (2)

• Change in patient satisfaction of pain management

  Before intervention (T0), month 3 (T3), month 6 (T6), month 8 (T8)

• Change in number of pain nursing incident reports

  Before intervention (T0), month 8 (T8)

Study Arms (2)

Pain documentation audit and repeated feedback

EXPERIMENTAL

Pain documentation audit and repeted feedback

Other: Repeated feedback; Other: Pain documentation audit

Pain documentation audit

ACTIVE COMPARATOR

Pain documentation audit

Other: Pain documentation audit

Interventions

Repeated feedback OTHER

Repeated feedback monthly based on previous month pain documentation audit results.

Pain documentation audit and repeated feedback

Pain documentation audit OTHER

Monthly pain documentation audit

Pain documentation audit; Pain documentation audit and repeated feedback

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered nurses (RN) who work at the Kuopio University Hospital in units of which patients potentially require pain management.

You may not qualify if:

• Professionals other than RN
• RN who do not use pain management strategies in their work

Sponsors & Collaborators

• Kuopio University Hospital: lead
• University of Eastern Finland: collaborator

Study Sites (1)

Kuopio University Hospital

Kuopio, Finland

Location

Related Publications (1)

• Grommi S, Voutilainen A, Vaajoki A, Kankkunen P. Effects of Repeated Feedback on Pain Documentation: A Cluster Randomized Trial. Pain Manag Nurs. 2025 Jun;26(3):336-343. doi: 10.1016/j.pmn.2024.12.021. Epub 2025 Jan 30.

  PMID: 39890564 DERIVED

MeSH Terms

Conditions

Pain; Agnosia

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Units serve as a statistical units. Number of units 30, number of individual participants 800-1000.

Study Record Dates

• First Submitted: February 22, 2022
• First Posted: May 13, 2022
• Study Start: March 4, 2022
• Primary Completion: November 30, 2022
• Study Completion: December 31, 2022
• Last Updated: October 25, 2023

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

FI (1)