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Developing and Standardizing the Quality Indicators for Chronic Pain Management in Home Nursing for Aged Keiko Nemoto 1 , Mayuko Tsujimura 2,3 , Ikuko Suzuki 4 , Tomoko Akanuma 1 , Akiko Honda 5 , Noriko Yamamoto-Mitani 5 , Kazuko Ishigaki 1 1Chiba University School of Nursing 2Chiba University Graduate School of Nursing 3Research Fellow of the Japan Society for the Promotion of Science 4School of Nursing, Yamagata University Faculty of Medicine 5Graduate School of Allied Health Sciences, Tokyo Medical and Dental University Keyword: 慢性疼痛 , 高齢者 , 訪問看護 , 質評価指標 , chronic pain , aged , home nursing , quality indicators pp.357-369
Published Date 2007/6/15
DOI https://doi.org/10.11477/mf.1681100251
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 The purpose of this study was to develop quality indicators (QIs) to evaluate home nursing practices for chronic pain management. First we defined chronic pain from the literature review, and developed an indicator pool on the assessment, nursing intervention, and follow-up for chronic pain management. Five clinical experts on chronic pain evaluated the QIs in terms of validity, importance and feasibility in the 9-point Likert scale, and the QIs were finalized in a discussion among the five experts and researchers. The QIs for chronic pain management consist of 13 indicators on assessments, 20 indicators on nursing intervention, and 3 indicators on follow-up, totaling 37 items. We distributed questionnaires that include the 37 QIs on chronic pain management to 1330 home nursing stations. One nurse from each station was asked to answer the questionnaire. A total of 381 questionnaires (28.6%) were returned, and 286 fully completed questionnaires (21.5%) were analyzed. The average age of the respondents was 41.2 years old, with average clinical experience of 15.9 years and 4.6 years of experience in home nursing. The average total score was 32.6 (SD 4.93) where the perfect score was 37. Approximately 70% of respondents scored 31 or more. Approximately 90% of respondents practiced the QIs related to assessment and nursing intervention, whereas only about 70% practiced the QIs related to follow-up. More than 80% of the respondents answered that the QIs cover essential aspects of chronic pain management while only 14% evaluated that they did not fit clinical practice. Thus the QIs were generally shown to have content validity and applicability. We are going to further examine the utility of chronic pain QIs.


Copyright © 2007, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1405 印刷版ISSN 0022-8370 医学書院

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