Feasibility and clinical utility of the critical pain observation tool among mechanically ventilated patients
Abstract
Background & Aim: The Critical Pain Observational Tool (CPOT) is one of the most valid and reliable pain assessment tools to assess pain in mechanically ventilated patients. This study aimed to investigate the Critical Care Pain Observational tool feasibility and clinical utility from the nurses’ perspective at a teaching hospital in Jordan.
Methods & Materials: Descriptive design was used to collect data from 74 nurses working in five critical care units in a teaching hospital in Jordan. The study was conducted in August 2019. The Feasibility and Clinical Utility of Critical Pain Observation Tool collected the data. Data were analyzed using SPSS software version 22.
Results: The mean feasibility score was 69.0 / 100 (SD=8.56) with a range of 18-33/36 (50.0-91.0 / 100), indicating a moderate category of feasibility. Also, the mean of the clinical utility scores was 68.53 / 100 (SD=9.78) with a range of 11-26/28 (39.29-92.8 / 100), indicating moderate clinical utility.
Conclusion: Nurses reported moderate feasibility and clinical utility of the CPOT; thus, it is important to promote education and training of nurses to ensure maximum utilization of the tool.
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10. Gélinas C, Harel F, Fillion L, Puntillo KA, Johnston CC. Sensitivity and specificity of the critical-care pain observation tool for the detection of pain in intubated adults after cardiac surgery. Journal of pain and symptom management. 2009 Jan 1;37(1):58-67.
11. Kotfis K, Zegan-Barańska M, Strzelbicka M, Safranow K, Żukowski M, Ely EW, POL-CPOT Study Group. Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study. Archives of Medical Science: AMS. 2018 Jun;14(4):880-9.
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19. Gélinas C, Ross M, Boitor M, Desjardins S, Vaillant F, Michaud C. Nurses' evaluations of the CPOT use at 12‐month post‐implementation in the intensive care unit. Nursing in Critical Care. 2014 Nov;19(6):272-80.
20. Jordan University Hospital. Manage world. Available from: http://hospital.ju.edu.jo/medical/juhospital/Lists/HospPages_List/managerword.aspx [Accessed 2 April 2021].
21. Gélinas C. Nurses’ evaluations of the feasibility and the clinical utility of the Critical-Care Pain Observation Tool. Pain Management Nursing. 2010 Jun 1;11(2):115-25.
22. Bernard C, Delmas V, Duflos C, Molinari N, Garnier O, Chalard K, Jaber S, Perrigault PF, Chanques G. Assessing pain in critically ill brain-injured patients: a psychometric comparison of 3 pain scales and videopupillometry. Pain. 2019 Nov 1;160(11):2535-43.
23. Devsam BU, Kinney S. The clinical utility of the pain assessment tool in ventilated, sedated, and muscle-relaxed neonates. Australian Critical Care. 2021 Jul 1;34(4):333-9.
24. Baak M, Koopman R, Snoek H, Klous S. A new correlation coefficient between categorical, ordinal and interval variables with Pearson characteristics. Computational Statistics & Data Analysis. 2020 Dec 1;152:107043.
25. Chegini Z, Jafari‐Koshki T, Kheiri M, Behforoz A, Aliyari S, Mitra U, Islam SM. Missed nursing care and related factors in Iranian hospitals: A cross‐sectional survey. Journal of nursing management. 2020 Nov;28(8):2205-15.
26. Maatouk H, Al Tassi A, Fawaz MA, Itani MS. Nurses’ evaluation of critical care pain observation tool (CPOT) implementation for mechanically ventilated intensive care patients. Data in brief. 2019 Aug 1;25:103997.
27. Bardwell J, Brimmer S, Davis W. Implementing the ABCDE Bundle, Critical-Care Pain Observation Tool, and Richmond Agitation-Sedation Scale to Reduce Ventilation Time. AACN advanced critical care. 2020;31(1):16-21.
28. Kesten JM, Thomas K, Scott LJ, Bache K, Hickman M, Campbell R, Pickering AE, Redwood S. Acceptability of a primary care-based opioid and pain review service: a mixed-methods evaluation in England. British Journal of General Practice. 2020 Jan 30;70(691):e120-e129.
29. Makhlouf SM, Pini S, Ahmed S, Bennett MI. Managing pain in people with cancer—a systematic review of the attitudes and knowledge of professionals, patients, caregivers and public. Journal of Cancer Education. 2020 Apr; 35(2):214-40.
30. Bambi S, Lucchini A, Manici M, Mattiussi E, Comisso I. Pain assessment scales in nonverbal critically ill adult patients: Ventilator-related issues. Critical Care Nurse. 2014 Feb;34(1):14-5.
2. Nordness MF, Hayhurst CJ, Pandharipande P. Current perspectives on the assessment and management of pain in the intensive care unit. Journal of Pain Research. 2021 Jun 14;14:1733-44.
3. Consonni M, Telesca A, Grazzi L, Cazzato D, Lauria G. Life with chronic pain during COVID-19 lockdown: the case of patients with small fibre neuropathy and chronic migraine. Neurological Sciences. 2021 Feb;42(2):389-97.
4. Paice JA, Ferrell BR, Paice J. Pain management. Oxford Textbook of Palliative Nursing. 2019 Feb 15:116.
5. Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey S, DeBar L, Kerns R, Von Korff M, Porter L, Helmick C. Prevalence of chronic pain and high-impact chronic pain among adults—United States, 2016. Morbidity and Mortality Weekly Report. 2018 Sep 14;67(36):1001.
6. Georgiou E, Paikousis L, Lambrinou E, Merkouris A, Papathanassoglou ED. The effectiveness of systematic pain assessment on critically ill patient outcomes: A randomised controlled trial. Australian Critical Care. 2020 Sep 1;33(5):412-9.
7. Voepel-Lewis T, Zanotti J, Dammeyer JA, Merkel S. Reliability and validity of the face, legs, activity, cry, consolability behavioral tool in assessing acute pain in critically ill patients. American Journal of Critical Care. 2010 Jan;19(1):55-61.
8. Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJ, Pandharipande PP, Watson PL, Weinhouse GL, Nunnally ME, Rochwerg B, Balas MC. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Critical Care Medicine. 2018 Sep 1;46(9):e825-73.
9. Pinheiro AR, Marques RM. Behavioral Pain Scale and Critical Care Pain Observation Tool for pain evaluation in orotracheally tubed critical patients. A systematic review of the literature. Revista Brasileira de terapia intensiva. 2020 Jan 20;31(4):571-81.
10. Gélinas C, Harel F, Fillion L, Puntillo KA, Johnston CC. Sensitivity and specificity of the critical-care pain observation tool for the detection of pain in intubated adults after cardiac surgery. Journal of pain and symptom management. 2009 Jan 1;37(1):58-67.
11. Kotfis K, Zegan-Barańska M, Strzelbicka M, Safranow K, Żukowski M, Ely EW, POL-CPOT Study Group. Validation of the Polish version of the Critical Care Pain Observation Tool (CPOT) to assess pain intensity in adult, intubated intensive care unit patients: the POL-CPOT study. Archives of Medical Science: AMS. 2018 Jun;14(4):880-9.
12. Gélinas C, Bérubé M, Puntillo KA, Boitor M, Richard-Lalonde M, Bernard F, Williams V, Joffe AM, Steiner C, Marsh R, Rose L. Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: A prospective cohort study. Critical Care. 2021 Dec;25(1):1-5.
13. Dale CM, Prendergast V, Gélinas C, Rose L. Validation of The Critical-care Pain Observation Tool (CPOT) for the detection of oral-pharyngeal pain in critically ill adults. Journal of Critical Care. 2018 Dec 1;48:334-8.
14. Boitor M, Fiola JL, Gélinas C. Validation of the critical-care pain observation tool and vital signs in relation to the sensory and affective components of pain during mediastinal tube removal in postoperative cardiac surgery intensive care unit adults. Journal of Cardiovascular Nursing. 2016 Sep 1;31(5):425-32.
15. Polit D, Beck C. Essentials of Nursing Research: Appraising Evidence for Nursing Practice. Lippincott Williams & Wilkins; 2020 Dec 30.
16. Scuteri D, Matamala-Gomez M, Bottiroli S, Corasaniti MT, De Icco R, Bagetta G, Tonin P. Pain assessment and treatment in dementia at the time of coronavirus disease COVID-19. Frontiers in Neurology. 2020 Aug 26;11:890-5.
17. [Prusaczyk B, Swindle T, Curran G. Defining and conceptualizing outcomes for de-implementation: key distinctions from implementation outcomes. Implementation Science Communications. 2020 Dec;1(1):1-0.
18. Devsam BU, Kinney S. The clinical utility of the pain assessment tool in ventilated, sedated, and muscle-relaxed neonates. Australian Critical Care. 2021 Jul 1;34(4):333-9.
19. Gélinas C, Ross M, Boitor M, Desjardins S, Vaillant F, Michaud C. Nurses' evaluations of the CPOT use at 12‐month post‐implementation in the intensive care unit. Nursing in Critical Care. 2014 Nov;19(6):272-80.
20. Jordan University Hospital. Manage world. Available from: http://hospital.ju.edu.jo/medical/juhospital/Lists/HospPages_List/managerword.aspx [Accessed 2 April 2021].
21. Gélinas C. Nurses’ evaluations of the feasibility and the clinical utility of the Critical-Care Pain Observation Tool. Pain Management Nursing. 2010 Jun 1;11(2):115-25.
22. Bernard C, Delmas V, Duflos C, Molinari N, Garnier O, Chalard K, Jaber S, Perrigault PF, Chanques G. Assessing pain in critically ill brain-injured patients: a psychometric comparison of 3 pain scales and videopupillometry. Pain. 2019 Nov 1;160(11):2535-43.
23. Devsam BU, Kinney S. The clinical utility of the pain assessment tool in ventilated, sedated, and muscle-relaxed neonates. Australian Critical Care. 2021 Jul 1;34(4):333-9.
24. Baak M, Koopman R, Snoek H, Klous S. A new correlation coefficient between categorical, ordinal and interval variables with Pearson characteristics. Computational Statistics & Data Analysis. 2020 Dec 1;152:107043.
25. Chegini Z, Jafari‐Koshki T, Kheiri M, Behforoz A, Aliyari S, Mitra U, Islam SM. Missed nursing care and related factors in Iranian hospitals: A cross‐sectional survey. Journal of nursing management. 2020 Nov;28(8):2205-15.
26. Maatouk H, Al Tassi A, Fawaz MA, Itani MS. Nurses’ evaluation of critical care pain observation tool (CPOT) implementation for mechanically ventilated intensive care patients. Data in brief. 2019 Aug 1;25:103997.
27. Bardwell J, Brimmer S, Davis W. Implementing the ABCDE Bundle, Critical-Care Pain Observation Tool, and Richmond Agitation-Sedation Scale to Reduce Ventilation Time. AACN advanced critical care. 2020;31(1):16-21.
28. Kesten JM, Thomas K, Scott LJ, Bache K, Hickman M, Campbell R, Pickering AE, Redwood S. Acceptability of a primary care-based opioid and pain review service: a mixed-methods evaluation in England. British Journal of General Practice. 2020 Jan 30;70(691):e120-e129.
29. Makhlouf SM, Pini S, Ahmed S, Bennett MI. Managing pain in people with cancer—a systematic review of the attitudes and knowledge of professionals, patients, caregivers and public. Journal of Cancer Education. 2020 Apr; 35(2):214-40.
30. Bambi S, Lucchini A, Manici M, Mattiussi E, Comisso I. Pain assessment scales in nonverbal critically ill adult patients: Ventilator-related issues. Critical Care Nurse. 2014 Feb;34(1):14-5.
| Files | ||
| Issue | Vol 9 No 2 (2022): Spring | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v9i2.8894 | |
| Keywords | ||
| pain pain measurement intensive care units critical care nursing feasibility studies | ||
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How to Cite
1.
Alshlool K, Abdalrahim M, Younis W. Feasibility and clinical utility of the critical pain observation tool among mechanically ventilated patients. NPT. 2021;9(2):114-124.
