Nurses’ Assessments Versus Patients’ Self-Assessments of Postoperative Pain: Knowledge and Skills of Nurses for Effective Pain Management

Marija Kadović (), Stipe Ćorluka and Stjepan Dokuzović
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Marija Kadović: Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
Stipe Ćorluka: Spinal Surgery Division, Department of Traumatology, University Hospital Centre Sestre Milosrdnice, 10000 Zagreb, Croatia
Stjepan Dokuzović: Spinal Surgery Division, Department of Traumatology, University Hospital Centre Sestre Milosrdnice, 10000 Zagreb, Croatia

IJERPH, 2023, vol. 20, issue 9, 1-15

Abstract: Postoperative pain is the most common form of acute pain. Nurses contribute to effective pain management with their knowledge and skills. The aims of this research were to examine differences between nurses’ assessments and patients’ self-assessments of postoperative pain, differences in the mentioned (self) assessments with respect to characteristics of both groups of respondents, and the correlation between the NRS and the VRS scale. The study included 103 nurses employed at a hospital and 103 patients treated in the surgical departments after the surgical procedures. Data were collected using the standardized Numerical rating scale (NRS) and Verbal rating score (VRS). The median of patients’ self-assessments of pain intensity on the NRS scale was 4, while the nursing assessment of patients’ pain was 3, with no significant difference ( p = 0.083). No significant differences were found on the VRS scale between nurse assessments and patient self-assessments of current pain intensity. The pain was described as moderate by 35% of participants, including 35.9% nurses and 35% patients. Significant positive correlations were recorded between values on the VRS and NRS scales for nurses (Rho = 0.812; p < 0.001) and patients (Rho = 0.830; p < 0.001). The results of this study may have implications for the improvement of postoperative pain management protocols, with regular use of pain assessment scales and individualization of analgesic prescriptions.

Keywords: acute postoperative pain; perioperative nursing; nursing assessment; pain assessment; pain intensity; pain management; pain scale; quality of healthcare; health care professionals (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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