Pain management documentation quality as a reflection of nurses' clinical judgment

Abstract

Rain 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.

Department

Nursing

Publication Date

7-1-2009

Journal Title

Journal of Nursing Care Quality

Publisher

LIPPINCOTT WILLIAMS & WILKINS

Digital Object Identifier (DOI)

10.1097/NCQ.0b013e318194fcec

Document Type

Article

Rights

© 2009 Lippincott Williams & Wilkins, Inc.

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