Continuing Improvement- Building on Quality, Safety, and Root-Cause Analysis for Enhanced Healthcare Practices

In healthcare, ensuring patient safety is paramount. Adequate pain management plays a crucial role in enhancing patient outcomes and satisfaction. This assessment aims to explore various scholarly resources focused on pain management in healthcare settings. Each annotated bibliography will provide insights into different aspects of pain management, including nurses’ knowledge and attitudes, patient experiences, organizational characteristics, and perioperative practices. Through critical analysis, the usefulness and value of these resources in addressing inadequate pain management will be assessed, ultimately striving to enhance patient safety and quality of care.

Annotated Bibliography

Organizational Safety and Quality Best Practices

Alkhatib, G. S., Al Qadire, M., & Alshraideh, J. A. (2020). Pain management knowledge and attitudes of healthcare professionals in primary medical centers. Pain Management Nursing, 21(3), 265-270. https://doi.org/10.1016/j.pmn.2019.08.008

The article provides insights into pain management knowledge and attitudes among healthcare professionals in primary medical centers. The study identifies gaps in understanding and attitudes, offering valuable information for improving pain management practices. Nurses can utilize this resource to grasp the challenges and barriers hindering effective pain management, thereby enhancing patient safety. By addressing knowledge gaps and fostering positive attitudes, nurses can implement evidence-based strategies to improve pain management, ultimately reducing patient safety risks. This resource is precious during staff education sessions, quality improvement initiatives, and interdisciplinary collaborations to enhance pain management practices. Nurses can leverage the findings to advocate for policy changes and develop tailored interventions to address specific issues within their healthcare setting. Overall, the resource guides nurses striving to improve patient safety through enhanced pain management practices.

Parvizy, S., Tarvirdinasab, S., Raznahan, R., & Aliakbari, M. (2020). The effect of pain management training in workshop on pediatric nurses’ knowledge, attitude and self-efficacy. Journal of family medicine and primary care, 9(6), 2880-2884. https://doi.org/10.4103/jfmpc.jfmpc_92_20

Parvizy et al. (2020) examine the impact of pain management training workshops on pediatric nurses’ knowledge, attitudes, and self-efficacy. The study provides insights into the effectiveness of educational interventions in enhancing nurses’ understanding and confidence in managing pediatric pain. This resource offers nurses valuable information on the benefits of specialized training programs, equipping them with the necessary skills and knowledge to address inadequate pain management in pediatric healthcare settings. Nurses can use this resource to advocate for and participate in pain management training workshops, especially if they encounter challenges in effectively managing pediatric pain. The resource’s usefulness lies in its ability to empower nurses with enhanced competencies, ultimately improving the quality of pain management and patient safety in pediatric care settings. By increasing nurses’ self-efficacy and knowledge, this resource reduces patient safety risks associated with inadequate pain management in pediatric healthcare. Nurses can utilize this resource to advocate for regular pain management training programs within their healthcare organizations, ensuring continuous improvement in pediatric pain management practices.

Roos-Blom, M. J., Dongelmans, D., Stilma, W., Spijkstra, J. J., de Jonge, E., & de Keizer, N. (2020). Association between organizational characteristics and adequate pain management at the intensive care unit. Journal of Critical Care, 56, 1-5. https://doi.org/10.1016/j.jcrc.2019.11.010

Roos-Blom et al. (2020) explore the association between organizational characteristics and adequate pain management in the intensive care unit (ICU). The study provides insights into how organizational factors, such as staffing levels, protocols, and leadership support, influence the provision of effective pain management in ICUs. This resource helps nurses understand the importance of organizational factors in ensuring adequate pain management and identifies areas for improvement within their healthcare setting. Nurses can use this resource to advocate for changes in organizational policies and procedures to support pain management practices in the ICU better. Its use is appropriate during quality improvement initiatives aimed at enhancing pain management practices in ICUs and during staff training sessions to raise awareness about the impact of organizational characteristics on patient safety. This resource is valuable for nurse leaders and policymakers responsible for implementing quality and safety improvements related to inadequate pain management in the ICU, providing evidence to support policy changes and resource allocation decisions. By addressing organizational factors contributing to inadequate pain management, this resource helps reduce patient safety risks and improve the overall quality of care in the ICU.

Environmental Safety and Quality Risks

Nguyen, A. T., Dang, A. K., Nguyen, H. T. T., Nguyen, T. X., Nguyen, T. N., Nguyen, T. T. H., … & Vu, H. T. T. (2021). Assessing knowledge and attitudes regarding pain management among nurses working in a geriatric hospital in Vietnam. Journal of Multidisciplinary Healthcare, 799-807. https://doi.org/10.2147/JMDH.S285044

The article assesses knowledge and attitudes regarding pain management among nurses working in a geriatric hospital in Vietnam. The study provides valuable insights into pain management practices and nurses’ perceptions in a geriatric care setting. This resource equips nurses with information on their knowledge and attitudes toward pain management, highlighting areas for improvement and potential barriers to effective pain management. Nurses can use this resource to reflect on their practices and attitudes toward pain management, identify areas for further education or training, and implement evidence-based strategies to improve pain management in geriatric patients. Its use is appropriate during staff education sessions, interdisciplinary collaborations, and quality improvement initiatives to enhance pain management practices in geriatric care settings. By addressing knowledge gaps and fostering positive attitudes, nurses can reduce patient safety risks associated with inadequate pain management in geriatric healthcare.

Rosiest, M., Alm, F., Nerfeldt, P., & Ericsson, E. (2024). Pain management after tonsil surgery in children and adults—A national survey on pain outcome measures from the Swedish Quality Register for tonsil surgery. Plos one, 19(3), e0298011. https://doi.org/10.1371/journal.pone.0298011

The article conducts a national survey on pain management after tonsil surgery in children and adults, utilizing data from the Swedish Quality Register for tonsil surgery. This resource offers detailed insights into pain outcome measures following tonsil surgery, including pain management strategies, patient experiences, and outcomes. Nurses can use this resource to better understand pain management interventions’ effectiveness in tonsil surgery patients, enabling them to tailor care plans to individual patient needs. The resource’s data can inform nurses’ decision-making processes regarding pain management protocols, medication administration, and post-operative monitoring. Its use is appropriate during pre-operative patient education, post-operative care planning, and interdisciplinary team discussions. By leveraging the findings from this survey, nurses can enhance pain management practices, optimize patient outcomes, and mitigate risks associated with inadequate pain management in tonsil surgery patients.

Wooldridge, S., & Branney, J. (2020). Congruence between nurses’ and patients’ assessment of post-operative pain: a literature review. British journal of nursing, 29(4), 212-220. https://doi.org/10.12968/bjon.2020.29.4.212

The article presents a literature review focusing on the congruence between nurses’ and patients’ assessment of post-operative pain. This resource provides insights into the alignment or discrepancy between nurses’ and patients’ perceptions of pain following surgery. It explores factors influencing this unity, such as communication barriers, cultural differences, and individual pain perception. Nurses can utilize this resource to better understand the complexity of pain assessment and management, especially in the postoperative setting. By recognizing potential discrepancies between their assessment and the patient’s reported pain, nurses can adjust their care plans accordingly, ensuring adequate pain management tailored to individual patient needs. This resource is precious during patient interactions, interdisciplinary team discussions, and quality improvement initiatives to enhance pain assessment and management practices. By promoting better alignment between nurses’ and patients’ perceptions of pain, this resource reduces patient safety risks associated with inadequate pain management post-operatively.Top of Form

Individual Strategies to Improve Personal and Team Safety

Al-Sayaghi, K. M., Fadlalmola, H. A., Aljohani, W. A., Alenezi, A. M., Aljohani, D. T., Aljohani, T. A., … & Khan, M. F. (2022, March). Nurses’ knowledge and attitudes regarding pain assessment and management in Saudi Arabia. In Healthcare (Vol. 10, No. 3, p. 528). MDPI. https://doi.org/10.3390/healthcare10030528

Al-Sayaghi et al. (2022) investigate nurses’ knowledge and attitudes regarding pain assessment and management in Saudi Arabia. The resource provides valuable insights into the current state of pain assessment and management practices among nurses in Saudi Arabia, including their level of knowledge and attitudes toward pain management. Nurses can benefit from this resource by better understanding the gaps in their knowledge and attitudes toward pain management. By identifying areas for improvement, nurses can implement targeted education and training programs to enhance their pain assessment and management skills, ultimately contributing to improved patient safety. This resource is beneficial during staff education sessions, interdisciplinary team meetings, and quality improvement initiatives to address inadequate pain management practices. By empowering nurses with the necessary knowledge and skills, this resource helps reduce patient safety risks associated with inadequate pain management in healthcare settings.

Liyew, B., Dejen Tilahun, A., & Habtie Bayu, N. (2020). Knowledge and attitude towards pain management among nurses working at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Pain Research and Management, 2020. https://doi.org/10.1155/2020/6036575

The article examines the knowledge and attitude towards pain management among nurses at the University of Gondar Comprehensive Specialized Hospital in Northwest Ethiopia. The resource offers insights into nurses’ understanding and attitudes regarding pain management practices, including their level of knowledge and attitudes toward pain assessment and treatment. Nurses can benefit from this resource by gaining awareness of their current knowledge and attitudes toward pain management and identifying areas for improvement. By recognizing deficiencies, nurses can undergo targeted education and training programs to enhance their pain assessment and management skills, consequently improving patient safety. This resource is handy during staff training sessions, quality improvement initiatives, and interdisciplinary team meetings addressing inadequate pain management practices. By empowering nurses with enhanced knowledge and skills, this resource reduces patient safety risks associated with inadequate pain management in healthcare settings.

Tano, P. F., Apiribu, F., Tano, E. K., Boamah Mensah, A. B., Dzomeku, V. M., & Boateng, I. (2021). Predicting factors determine patients’ satisfaction with post-operative pain management following abdominal surgeries at Komfo Anokye Teaching Hospital, Kumasi, Ghana. Plos one, 16(5), e0251979. https://doi.org/10.1371/journal.pone.0251979

Tano et al. (2021) investigate the factors determining patients’ satisfaction with post-operative pain management following abdominal surgeries at Komfo Anokye Teaching Hospital, Kumasi, Ghana. The resource offers valuable insights into the factors influencing patients’ satisfaction with post-operative pain management, including healthcare provider communication, pain assessment techniques, and analgesic administration practices. Nurses can utilize this resource to understand the key determinants of patient satisfaction with pain management, allowing them to tailor their care approaches accordingly. By addressing factors identified in the study, such as communication gaps or inadequate pain assessment, nurses can implement targeted interventions to improve patient satisfaction and ensure adequate pain management post-operatively. This resource is handy during interdisciplinary team discussions, quality improvement initiatives, and staff training sessions focused on enhancing pain management practices. By improving patient satisfaction with pain management, nurses contribute to reducing patient safety risks associated with inadequate pain management after abdominal surgeries.

Process Best Practices for Reporting and Improving Environmental Safety Issues

Hyland, S. J., Brockhaus, K. K., Vincent, W. R., Spence, N. Z., Lucki, M. M., Howkins, M. J., & Cleary, R. K. (2021, March). Perioperative pain management and opioid stewardship: a practical guide. In Healthcare (Vol. 9, No. 3, p. 333). MDPI. https://doi.org/10.3390/healthcare9030333

Hyland et al. (2021) present a practical guide on perioperative pain management and opioid stewardship. The resource offers comprehensive information on pain management strategies, opioid use, and stewardship practices in the perioperative setting. Nurses can benefit from this resource by gaining insights into evidence-based practices for managing perioperative pain effectively while minimizing opioid-related risks. By understanding the principles outlined in the guide, nurses can implement safer pain management approaches, reduce opioid misuse, and mitigate adverse effects associated with inadequate pain management. Nurses can use this resource during pre-operative assessments, post-operative care planning, and interdisciplinary team discussions to ensure optimal pain management practices. The resource benefits nurses involved in perioperative care, including those working in surgical units, recovery rooms, and anesthesia teams. By adhering to the recommendations provided in the guide, nurses contribute to reducing patient safety risks associated with inadequate perioperative pain management and opioid use.

Nasir, M., & Ahmed, A. (2020). Knowledge about post-operative pain and its management in surgical patients. Cureus. https://doi.org/10.7759/cureus.6685

The article explores the knowledge about post-operative pain and its management in surgical patients. The resource provides insights into the understanding and awareness of post-operative pain among healthcare providers, including nurses. It discusses various aspects of post-operative pain management, such as assessment techniques, pharmacological interventions, and non-pharmacological approaches. Nurses can utilize this resource to enhance their knowledge and skills in postoperative pain management, thereby improving patient safety by ensuring adequate pain relief. To implement evidence-based pain management strategies, nurses can use this resource during pre-operative education sessions, post-operative assessments, and interdisciplinary team meetings. By increasing nurses’ knowledge about post-operative pain and its management, this resource helps address inadequate pain management practices, ultimately reducing patient discomfort and enhancing the overall quality of care. It also aids in fostering a culture of safety and excellence in perioperative pain management within healthcare settings.

Sharma, S., Thakur, K., Mudgal, S., & Payal, Y. (2020). Acute post-operative pain experiences and satisfaction with its management among patients with elective surgery: An observational study. Indian Journal of Anaesthesia, 64(5), 403. https://doi.org/10.4103/ija.ija_33_20

Sharma et al. (2020) conducted an observational study on acute post-operative pain experiences and satisfaction with its management among patients undergoing elective surgery. The resource provides valuable insights into patients’ experiences of post-operative pain and their satisfaction with pain management strategies. It offers information on the effectiveness of current pain management practices and identifies areas for improvement. Nurses can utilize this resource to understand better patients’ perspectives on postoperative pain and their satisfaction with pain management interventions. By gaining insight into patients’ experiences, nurses can tailor pain management approaches to meet individual patient needs, improving patient satisfaction and safety. Nurses can use this resource during pre-operative assessments, post-operative pain monitoring, and patient education sessions. Its use is especially appropriate for nurses involved in perioperative care, as it enhances their ability to provide tailored pain management interventions and improves patient safety by ensuring effective pain relief and satisfaction.

References

Nasir, M., & Ahmed, A. (2020). Knowledge about post-operative pain and its management in surgical patients. Cureus, 12(1).

Roskvist, M., Alm, F., Nerfeldt, P., & Ericsson, E. (2024). Pain management after tonsil surgery in children and adults—A national survey on pain outcome measures from the Swedish Quality Register for tonsil surgery. Plos one, 19(3), e0298011. https://doi.org/10.1371/journal.pone.0298011

Sharma, S. K., Thakur, K., Mudgal, S. K., & Payal, Y. S. (2020). Acute post-operative pain experiences and satisfaction with its management among patients with elective surgery: An observational study. Indian Journal of Anaesthesia, 64(5), 403-408. 10.4103/ija.IJA_33_20

Tano, P. F., Apiribu, F., Tano, E. K., Boamah Mensah, A. B., Dzomeku, V. M., & Boateng, I. (2021). Predicting factors determining patients’ satisfaction with post-operative pain management following abdominal surgeries at Komfo Anokye Teaching Hospital, Kumasi, Ghana. Plos one, 16(5), e0251979. https://doi.org/10.1371/journal.pone.0251979

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Question

Kindly follow the instructions in the files below and also this paper is a continuation of the three last papers you wrote which include Enhancing Quality and Safety, Root-Cause Analysis and Safety Improvement Plan, and Improvement Plan In-Service Presentation

Continuing Improvement- Building on Quality, Safety, and Root-Cause Analysis for Enhanced Healthcare Practices

For this assessment, build on the work done in your first three assessments (The previous 3 papers you have written which include Enhancing Quality and Safety, Root-Cause Analysis and Safety Improvement Plan, and Improvement Plan In-Service Presentation) and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to a specific patient safety issue and put the plan into action.

Continuing Improvement- Building on Quality, Safety, and Root-Cause Analysis for Enhanced Healthcare Practices