-
Review Comparative Study
Optimizing the assessment of pain in children who are cognitively impaired through the quality improvement process.
- Mei Lin Chen-Lim, Colleen Zarnowsky, Renee Green, Susan Shaffer, Brenda Holtzer, and Elizabeth Ely.
- The Children's Hospital of Philadelphia, Philadelphia, PA, USA. chenlim@email.chop.edu
- J Pediatr Nurs. 2012 Dec 1;27(6):750-9.
AbstractPain assessment in children with cognitive impairment (CI) is challenging. A quality improvement (QI) project involving evidence-based review of pain assessment tools, feedback from the Family Advisory Council, trialing of selected tools within clinical settings including obtaining feedback from nurses, and parents caring for nonverbal children with developmental delay was reported. Synthesized evidence supported the adoption of revised Faces, Legs, Activity, Cry, and Consolability pain assessment tool into clinical practice. Results of postimplementation audit and challenges of staff nurse involvement in the QI process were also discussed. The 24-month-long QI process and its impact on changing practice were described in detail.Copyright © 2012 Elsevier Inc. All rights reserved.
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