doi: 10.1097/NCQ.0b013e318194fcec.
Pain management documentation quality as a reflection of nurses' clinical judgment
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- PMID: 19525763
- DOI: 10.1097/NCQ.0b013e318194fcec
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Pain management documentation quality as a reflection of nurses' clinical judgment
J Nurs Care Qual.
2009 Jul-Sep.
Abstract
Pain management documentation (PMD) is the chief method used by administrators, surveyors, and quality improvement managers to measure the quality of pain management. Eighty-five nurses from 2 hospitals generated 340 PMD record entries, which were scored using the Samuels PMD Rating Scale. Nurses' PMD scores ranged from 2.5 to 6.5 (SD = 0.77). Less than 50% of the entries met Joint Commission standards. Documentation results may reflect nurses' pain management clinical judgment. Targeted interventions are recommended.
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