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The Critical-Care Pain Observation Tool (CPOT) på NIVA: En enkätstudie om användbarhet
The Swedish Red Cross University College.
2015 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The Critical-Care Pain Observation Tool (CPOT) at a neuro-ICU : A questionnaire-based survey about usability (English)
Abstract [sv]

Bakgrund: Smärta är för intensivvårdspatienten en unik, subjektiv, obehaglig och flerdimensionell upplevelse. Intensivvårdssjuksköterskan har ett moraliskt ansvar att lindra patienternas smärta. Verbalt icke-kommunicerandepatienter kan inte skatta sin smärta med hjälp av Numeric Rating Scale (NRS). På en neurointensivvårdsavdelning (NIVA) i Stockholm har det beteendebaserade smärtskattningsverktyget- the Critical-Care Pain Observation Tool (CPOT), implementerats. Intensivvårdssjuksköterskorna på NIVA använder CPOT dagligen i sitt arbete. Som en del i implementeringsprocessen har denna enkätundersökning genomförts, med fokus på CPOT och dess användbarhet. Standarden ISO 9241-11 definierar begreppet användbarhet. Ledande komponenter i definitionen är – ändamålsenlighet och måluppfyllelse, effektivitet och tillfredsställelse. Syfte: Syftet med denna studie var att undersöka intensivvårdssjuksköterskors uppfattningar om användbarheten av the Critical-Care Pain Observation Tool – CPOT, hos verbalt icke kommunicerande patienter, på en neurointensivvårdsavdelning. Metod: Detta är en kvantitativ icke-experimentell tvärsnittsstudie. 32 intensivvårdssjuksköterskor har besvarat en enkät. Resultat och slutsats: Resultatet är en momentan mätning. Begreppet användbarhet har flera aspekter och resultatet kan tolkas på olika sätt. Intensivvårdssjuksköterskorna på NIVA har olika uppfattningar om CPOT och dess användbarhet. 84 % känner någon grad av tillfredsställelse med att använda CPOT på NIVA. De flesta uppfattar CPOT som effektiv. Respondenter har uttryckt svårigheter i att utföra smärtskattningar med hjälp av CPOT och delar av populationen ser brister i verktygets måluppfyllelse och ändamålsenlighet på NIVA. Klinisk betydelse: Implementeringsprocessen av CPOT på NIVA har en utvecklingspotential. Undersökningens resultat bör kunna användas vid fortsatt utvecklingsarbete i verksamheten.

Abstract [en]

Background: Pain for the intensive care patient is a unique, subjective, unpleasant and multidimensional experience. The critical care nurse has a moral duty to relieve the patient’s pain. Non-verbal communicative intensive care patients can´t self-report and score their pain using the Numerical Rating Scale (NRS). At a neurological intensive care unit (neuro-ICU) in Stockholm, one behavior based pain scale, the Critical-Care PainObservational Tool (CPOT), has been implemented. The critical care nurses at the neuro-ICU use CPOT daily in their work. As a part of to the implementation process one self-administered questionnaire has been conducted with focus on the concept usability. The European Standard ISO 9241-11 defines the concept usability. Main components in the definition are the attainment of goals, suitability, effectiveness and satisfaction. Purpose: The aim of this research was to investigate critical care nurses’ perceptions of the usability of the Critical-Care Pain Observation Tool – CPOT, for non-verbal communicative patients, at a neurological intensive care unit. Method: The investigation is a quantitative questionnaire-based cross-sectional survey. 32 critical care nurses answered a questionnaire. Results and conclusion: The result is a momentary measurement. The concept usability has various aspects and the result can be interpreted in different ways. The critical care nurses at the neuro-ICU express varying opinions about CPOT and its usability. 84 % experience some degree of satisfaction using CPOTat the neuro-ICU. The majority perceive CPOT as effective. The respondents have expressed difficulties in carrying out pain assessments with the CPOT at the neuro-ICU, and part of the population see deficiencies in the tools goal attainment and suitability at the neuro-ICU. Clinical Significance: The implementation process of CPOT at the neuro-ICU shows potential for further development of CPOT within the organization. The results of the investigation should be able to be used for further development.

Place, publisher, year, edition, pages
2015. , 52 p.
Keyword [en]
Pain, The Critical-Care Pain Observation Tool – CPOT, Usability, Critical Care Nurse
Keyword [sv]
Smärta, the Critical-Care Pain Observation Tool – CPOT, Användbarhet, Intensivvårdssjuksköterska
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-1596OAI: oai:DiVA.org:rkh-1596DiVA: diva2:796048
Educational program
Postgraduate Program in Specialist Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2015-03-20 Created: 2015-03-17 Last updated: 2017-07-07Bibliographically approved

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