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Reflections on the Evaluation of the Clinical Practice Guideline Regarding Pain Management and Patient Satisfaction with Total Hip Arthroplasty.

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Title: Reflections on the Evaluation of the Clinical Practice Guideline Regarding Pain Management and Patient Satisfaction with Total Hip Arthroplasty.
Alternate Title: Reflexiones sobre la Evaluación de la Guía de Práctica Clínica en sobre el Manejo del Dolor y la Satisfacción del Paciente con Artroplastia Total de Cadera.
Reflexões sobre a Avaliação do Guia de Prática Clínica sobre Manejo da Dor e Satisfação do Paciente com Artroplastia Total de Quadril.
Authors: Huo, Shaojuan1 (AUTHOR) 1749684249@qq.com, An, Leilei1 (AUTHOR) 1647731805@qq.com, Jiang, Zuoding1 (AUTHOR) 894118694@qq.com, Xinman, Dou1 (AUTHOR) dxm1812@163.com, Zhao, Cun2 (AUTHOR) 751580840@qq.com, Liu, Fan1 (AUTHOR) 824845581@qq.com, Zhengxi, Yuan1 (AUTHOR) 1669629871@qq.com, Yin, Xiaoli1 (AUTHOR) 2283476749@qq.com
Source: MedUNAB. abr-jul2024, Vol. 27 Issue 1, p52-61. 10p.
Subjects: PAIN management, PATIENT satisfaction, TOTAL hip replacement, MEDICAL protocols, NURSING education, EVIDENCE-based medicine, REGISTERED Nurses Association of Ontario, PAIN measurement
Abstract (English): Introduction.: This paper is based on the third Edition of the RNAO "Pain Assessment and Management" guideline applied to total hip arthroplasty (THA) patients and the evaluation of clinical practice guidelines on pain management and patient satisfaction. Objective.: To apply the Third Edition Guideline for the Pain Assessment and Management from RNAO to patients after total hip arthroplasty and evaluate its effectiveness. Division of topics covered.: Evaluate the knowledge, assessment of pain by nursing, and satisfaction in the care of patients with total hip arthroplasty before and after the implementation of the guide, according to the Knowledge to Action Framework. According to 20 recommendations from the Guideline, 6 quality review indicators were formulated: 1. Establish and implement standard assessment processes and forms; 2. Conduct nurse training and patient education; 3. Compare nurses' pain knowledge and attitude levels before and after evidence-based practice; 4. Compare nurses' implementation of various indicators of patient pain assessment and management; 5. Compare pain control satisfaction of total hip arthroplasty patients before and after Best Practice Guideline implementation; and 6. Ensure nurses use the same proven tool to assess pain in patients. Results.: After implementing the Guideline, the rate of nurses' knowledge of pain assessment and management has increased from 42.6% to 48%. Nurses' pain screening and evaluation, strategies to encourage patients and if the families participated in pain management were recorded after an assessment, and they were statistically significant (all P<0.05). There were statistically significant differences in patients' perceptions of pain management, active reporting of pain, and patient satisfaction with pain control (all P<0.05). Conclusion: The application of the evidence can improve nurses' knowledge and attitude toward pain assessment and management, standardize their operating system and process, and improve patients' satisfaction with pain control. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción.: Este artículo se basa en la tercera edición de la guía de "Evaluación y Manejo del Dolor" de la RNAO, aplicada a pacientes con artroplastia total de cadera (ATC) y en la evaluación de guías de práctica clínica sobre el manejo del dolor y la satisfacción del paciente. Objetivo: Aplicar la tercera edición de la Guía de Evaluación y Manejo del Dolor de la RNAO a pacientes después de la artroplastia total de cadera y evaluar su efectividad. División de temas tratados.: Evaluar el conocimiento, la valoración del dolor por parte del personal de enfermería y la satisfacción de los pacientes con artroplastia total de cadera antes y después de la implementación de la guía, siguiendo el Marco de Conocimiento para la Acción. Con base en las 20 recomendaciones de la Guía, se formularon 6 indicadores de calidad para su revisión: 1. Establecer e implementar procesos y formularios estandarizados de evaluación; 2. Realizar capacitación de personal de enfermería y educación a los pacientes; 3. Comparar los niveles de conocimiento y actitudes del personal de enfermería sobre el dolor antes y después de la práctica basada en evidencia; 4. Comparar la implementación de varios indicadores de evaluación y manejo del dolor en los pacientes por parte del personal de enfermería; 5. Comparar la satisfacción de los pacientes con artroplastia total de cadera respecto al control del dolor, antes y después de la implementación de la Guía de Buenas Prácticas; 6. Asegurar que el personal de enfermería emplee la misma herramienta acreditada para evaluar el dolor en los pacientes. Resultados.: Tras la implementación de la Guía, la tasa de conocimiento del personal de enfermería sobre la evaluación y manejo del dolor aumentó del 42.6% al 48%. La evaluación del dolor por parte del personal de enfermería, las estrategias para motivar a los pacientes, y si las familias participaban en el manejo del dolor, fueron evaluadas y se registraron con diferencias estadísticamente significativas (todos P < 0.05). También, se presentaron diferencias estadísticamente significativas en las percepciones de los pacientes sobre el manejo del dolor, el reporte activo del dolor y la satisfacción de los pacientes con el control del dolor (todos P < 0.05). Conclusión.: La aplicación de la evidencia puede mejorar el conocimiento y la actitud del personal de enfermería hacia la evaluación y manejo del dolor, estandarizar sus sistemas y procesos operativos, y mejorar la satisfacción de los pacientes sobre el control del dolor. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Introdução.: Este artigo baseia-se na terceira edição do guia "Avaliação e Manejo da Dor" da RNAO, aplicada a pacientes com artroplastia total de quadril (ATQ) e na avaliação de guias de prática clínica sobre manejo da dor e satisfação do paciente. Objetivo: Aplicar a terceira edição do Guia de Avaliação e Manejo da Dor da RNAO em pacientes após artroplastia total de quadril e avaliar sua eficácia. Divisão dos tópicos abordados.: Avaliar o conhecimento, a avaliação da dor pela equipe de enfermagem e a satisfação dos pacientes com artroplastia total do quadril antes e após a implementação do guia, seguindo a Estrutura de Conhecimento para Ação. Com base nas 20 recomendações do Guia, foram formulados 6 indicadores de qualidade para revisão: 1. Estabelecer e implementar processos e formulários de avaliação padronizados; 2. Realizar treinamento da equipe de enfermagem e educação dos pacientes; 3. Comparar os níveis de conhecimento e atitudes da equipe de enfermagem sobre a dor antes e depois da prática baseada em evidências; 4. Comparar a implementação de diversos indicadores de avaliação e manejo da dor em pacientes pela equipe de enfermagem; 5. Comparar a satisfação dos pacientes com artroplastia total do quadril quanto ao controle da dor, antes e após a implementação do Guia de Boas Práticas; 6. Garantir que a equipe de enfermagem utilize a mesma ferramenta credenciada para avaliar a dor nos pacientes. Resultados.: Após a implementação do Guia, o índice de conhecimento da equipe de enfermagem sobre avaliação e manejo da dor aumentou de 42.6% para 48%. A avaliação da dor pela equipe de enfermagem, as estratégias para motivar os pacientes e o envolvimento das famílias no manejo da dor foram avaliadas e registradas com diferenças estatisticamente significativas (todos P < 0.05). Além disso, houve diferenças estatisticamente significativas nas percepções dos pacientes sobre o controle da dor, no relato ativo da dor e na satisfação dos pacientes com o controle da dor (todos P < 0.05). Conclusão.: A aplicação de evidências pode melhorar o conhecimento e a atitude da equipe de enfermagem em relação à avaliação e manejo da dor, padronizar seus sistemas e processos operacionais e melhorar a satisfação do paciente em relação ao controle da dor. [ABSTRACT FROM AUTHOR]
Copyright of MedUNAB is the property of Universidad Autonoma de Bucaramanga, UNAB and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Reflections on the Evaluation of the Clinical Practice Guideline Regarding Pain Management and Patient Satisfaction with Total Hip Arthroplasty.
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  Data: Reflexiones sobre la Evaluaci&#243;n de la Gu&#237;a de Pr&#225;ctica Cl&#237;nica en sobre el Manejo del Dolor y la Satisfacci&#243;n del Paciente con Artroplastia Total de Cadera.&lt;br /&gt;Reflex&#245;es sobre a Avalia&#231;&#227;o do Guia de Pr&#225;tica Cl&#237;nica sobre Manejo da Dor e Satisfa&#231;&#227;o do Paciente com Artroplastia Total de Quadril.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Huo%2C+Shaojuan%22&quot;&gt;Huo, Shaojuan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; 1749684249@qq.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22An%2C+Leilei%22&quot;&gt;An, Leilei&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; 1647731805@qq.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jiang%2C+Zuoding%22&quot;&gt;Jiang, Zuoding&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; 894118694@qq.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Xinman%2C+Dou%22&quot;&gt;Xinman, Dou&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; dxm1812@163.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zhao%2C+Cun%22&quot;&gt;Zhao, Cun&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; 751580840@qq.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Liu%2C+Fan%22&quot;&gt;Liu, Fan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; 824845581@qq.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zhengxi%2C+Yuan%22&quot;&gt;Zhengxi, Yuan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; 1669629871@qq.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yin%2C+Xiaoli%22&quot;&gt;Yin, Xiaoli&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; 2283476749@qq.com&lt;/i&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22MedUNAB%22&quot;&gt;MedUNAB&lt;/searchLink&gt;. abr-jul2024, Vol. 27 Issue 1, p52-61. 10p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22PAIN+management%22&quot;&gt;PAIN management&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22PATIENT+satisfaction%22&quot;&gt;PATIENT satisfaction&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22TOTAL+hip+replacement%22&quot;&gt;TOTAL hip replacement&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22MEDICAL+protocols%22&quot;&gt;MEDICAL protocols&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22NURSING+education%22&quot;&gt;NURSING education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22EVIDENCE-based+medicine%22&quot;&gt;EVIDENCE-based medicine&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22REGISTERED+Nurses+Association+of+Ontario%22&quot;&gt;REGISTERED Nurses Association of Ontario&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22PAIN+measurement%22&quot;&gt;PAIN measurement&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction.: This paper is based on the third Edition of the RNAO &quot;Pain Assessment and Management&quot; guideline applied to total hip arthroplasty (THA) patients and the evaluation of clinical practice guidelines on pain management and patient satisfaction. Objective.: To apply the Third Edition Guideline for the Pain Assessment and Management from RNAO to patients after total hip arthroplasty and evaluate its effectiveness. Division of topics covered.: Evaluate the knowledge, assessment of pain by nursing, and satisfaction in the care of patients with total hip arthroplasty before and after the implementation of the guide, according to the Knowledge to Action Framework. According to 20 recommendations from the Guideline, 6 quality review indicators were formulated: 1. Establish and implement standard assessment processes and forms; 2. Conduct nurse training and patient education; 3. Compare nurses&#39; pain knowledge and attitude levels before and after evidence-based practice; 4. Compare nurses&#39; implementation of various indicators of patient pain assessment and management; 5. Compare pain control satisfaction of total hip arthroplasty patients before and after Best Practice Guideline implementation; and 6. Ensure nurses use the same proven tool to assess pain in patients. Results.: After implementing the Guideline, the rate of nurses&#39; knowledge of pain assessment and management has increased from 42.6% to 48%. Nurses&#39; pain screening and evaluation, strategies to encourage patients and if the families participated in pain management were recorded after an assessment, and they were statistically significant (all P&lt;0.05). There were statistically significant differences in patients&#39; perceptions of pain management, active reporting of pain, and patient satisfaction with pain control (all P&lt;0.05). Conclusion: The application of the evidence can improve nurses&#39; knowledge and attitude toward pain assessment and management, standardize their operating system and process, and improve patients&#39; satisfaction with pain control. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducci&#243;n.: Este art&#237;culo se basa en la tercera edici&#243;n de la gu&#237;a de &quot;Evaluaci&#243;n y Manejo del Dolor&quot; de la RNAO, aplicada a pacientes con artroplastia total de cadera (ATC) y en la evaluaci&#243;n de gu&#237;as de pr&#225;ctica cl&#237;nica sobre el manejo del dolor y la satisfacci&#243;n del paciente. Objetivo: Aplicar la tercera edici&#243;n de la Gu&#237;a de Evaluaci&#243;n y Manejo del Dolor de la RNAO a pacientes despu&#233;s de la artroplastia total de cadera y evaluar su efectividad. Divisi&#243;n de temas tratados.: Evaluar el conocimiento, la valoraci&#243;n del dolor por parte del personal de enfermer&#237;a y la satisfacci&#243;n de los pacientes con artroplastia total de cadera antes y despu&#233;s de la implementaci&#243;n de la gu&#237;a, siguiendo el Marco de Conocimiento para la Acci&#243;n. Con base en las 20 recomendaciones de la Gu&#237;a, se formularon 6 indicadores de calidad para su revisi&#243;n: 1. Establecer e implementar procesos y formularios estandarizados de evaluaci&#243;n; 2. Realizar capacitaci&#243;n de personal de enfermer&#237;a y educaci&#243;n a los pacientes; 3. Comparar los niveles de conocimiento y actitudes del personal de enfermer&#237;a sobre el dolor antes y despu&#233;s de la pr&#225;ctica basada en evidencia; 4. Comparar la implementaci&#243;n de varios indicadores de evaluaci&#243;n y manejo del dolor en los pacientes por parte del personal de enfermer&#237;a; 5. Comparar la satisfacci&#243;n de los pacientes con artroplastia total de cadera respecto al control del dolor, antes y despu&#233;s de la implementaci&#243;n de la Gu&#237;a de Buenas Pr&#225;cticas; 6. Asegurar que el personal de enfermer&#237;a emplee la misma herramienta acreditada para evaluar el dolor en los pacientes. Resultados.: Tras la implementaci&#243;n de la Gu&#237;a, la tasa de conocimiento del personal de enfermer&#237;a sobre la evaluaci&#243;n y manejo del dolor aument&#243; del 42.6% al 48%. La evaluaci&#243;n del dolor por parte del personal de enfermer&#237;a, las estrategias para motivar a los pacientes, y si las familias participaban en el manejo del dolor, fueron evaluadas y se registraron con diferencias estad&#237;sticamente significativas (todos P &lt; 0.05). Tambi&#233;n, se presentaron diferencias estad&#237;sticamente significativas en las percepciones de los pacientes sobre el manejo del dolor, el reporte activo del dolor y la satisfacci&#243;n de los pacientes con el control del dolor (todos P &lt; 0.05). Conclusi&#243;n.: La aplicaci&#243;n de la evidencia puede mejorar el conocimiento y la actitud del personal de enfermer&#237;a hacia la evaluaci&#243;n y manejo del dolor, estandarizar sus sistemas y procesos operativos, y mejorar la satisfacci&#243;n de los pacientes sobre el control del dolor. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Introdu&#231;&#227;o.: Este artigo baseia-se na terceira edi&#231;&#227;o do guia &quot;Avalia&#231;&#227;o e Manejo da Dor&quot; da RNAO, aplicada a pacientes com artroplastia total de quadril (ATQ) e na avalia&#231;&#227;o de guias de pr&#225;tica cl&#237;nica sobre manejo da dor e satisfa&#231;&#227;o do paciente. Objetivo: Aplicar a terceira edi&#231;&#227;o do Guia de Avalia&#231;&#227;o e Manejo da Dor da RNAO em pacientes ap&#243;s artroplastia total de quadril e avaliar sua efic&#225;cia. Divis&#227;o dos t&#243;picos abordados.: Avaliar o conhecimento, a avalia&#231;&#227;o da dor pela equipe de enfermagem e a satisfa&#231;&#227;o dos pacientes com artroplastia total do quadril antes e ap&#243;s a implementa&#231;&#227;o do guia, seguindo a Estrutura de Conhecimento para A&#231;&#227;o. Com base nas 20 recomenda&#231;&#245;es do Guia, foram formulados 6 indicadores de qualidade para revis&#227;o: 1. Estabelecer e implementar processos e formul&#225;rios de avalia&#231;&#227;o padronizados; 2. Realizar treinamento da equipe de enfermagem e educa&#231;&#227;o dos pacientes; 3. Comparar os n&#237;veis de conhecimento e atitudes da equipe de enfermagem sobre a dor antes e depois da pr&#225;tica baseada em evid&#234;ncias; 4. Comparar a implementa&#231;&#227;o de diversos indicadores de avalia&#231;&#227;o e manejo da dor em pacientes pela equipe de enfermagem; 5. Comparar a satisfa&#231;&#227;o dos pacientes com artroplastia total do quadril quanto ao controle da dor, antes e ap&#243;s a implementa&#231;&#227;o do Guia de Boas Pr&#225;ticas; 6. Garantir que a equipe de enfermagem utilize a mesma ferramenta credenciada para avaliar a dor nos pacientes. Resultados.: Ap&#243;s a implementa&#231;&#227;o do Guia, o &#237;ndice de conhecimento da equipe de enfermagem sobre avalia&#231;&#227;o e manejo da dor aumentou de 42.6% para 48%. A avalia&#231;&#227;o da dor pela equipe de enfermagem, as estrat&#233;gias para motivar os pacientes e o envolvimento das fam&#237;lias no manejo da dor foram avaliadas e registradas com diferen&#231;as estatisticamente significativas (todos P &lt; 0.05). Al&#233;m disso, houve diferen&#231;as estatisticamente significativas nas percep&#231;&#245;es dos pacientes sobre o controle da dor, no relato ativo da dor e na satisfa&#231;&#227;o dos pacientes com o controle da dor (todos P &lt; 0.05). Conclus&#227;o.: A aplica&#231;&#227;o de evid&#234;ncias pode melhorar o conhecimento e a atitude da equipe de enfermagem em rela&#231;&#227;o &#224; avalia&#231;&#227;o e manejo da dor, padronizar seus sistemas e processos operacionais e melhorar a satisfa&#231;&#227;o do paciente em rela&#231;&#227;o ao controle da dor. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: &lt;i&gt;Copyright of MedUNAB is the property of Universidad Autonoma de Bucaramanga, UNAB and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.29375/01237047.4653
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        Text: English
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        PageCount: 10
        StartPage: 52
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      – SubjectFull: PAIN management
        Type: general
      – SubjectFull: PATIENT satisfaction
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      – SubjectFull: TOTAL hip replacement
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      – SubjectFull: PAIN measurement
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      – TitleFull: Reflections on the Evaluation of the Clinical Practice Guideline Regarding Pain Management and Patient Satisfaction with Total Hip Arthroplasty.
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              Text: abr-jul2024
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