PURPOSE: Acute pain occurs in over 50% of hospitalized children. The accuracy of this diagnosis has been underexplored in the literature, as has the role of training to implement pain assessment. This study analyzed the accuracy of acute pain diagnoses after the implementation of a systematic evaluation of pain (study intervention).
METHOD: The sample was divided into: pre- and postintervention. The Nursing Diagnosis Accuracy Scale, which scores accuracy as null, low, moderate, or high, was used.
RESULTS: In the postimplementation, acute pain was diagnosed more often. However, accuracy only improved in the moderate category.
CONCLUSION: Diagnosis of acute pain increased in the postimplementation period, but accuracy did not.
IMPLICATIONS: The development of strategies for improvement of diagnostic accuracy is warranted.
AlvesM. O.CarvalhoP. R. A.WagnerM. B.CastoldiA.SilvaC. C.BeckerM. M. (2008). Cross-validation of the children's and infant's postoperative pain scale in Brazilian children. Pain Practice, 8(3), 171–176. doi:10.1111/j.1533-2500.2008.00192.x. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1533-2500.2008.00192.x/pdf
BeyerJ. E. (2000). Judging the effectiveness of analgesia for children and adolescents during vaso-occlusive events of sickle cell disease. Journal of Pain and Symptom Management, 19(1), 63–72. doi:10.1016/S0885-3924(99)00134-7. Retrieved from http://www.jpsmjournal.com/article/S0885-3924(99)00134-7/fulltext
6.
BüttnerW.FinkeW. (2000). Analysis of behavioural and physiological parameters for the assessment of postoperative analgesic demand in newborns, infants and young children: A comprehensive report on seven consecutive studies. Paediatric Anaesthesia, 10(3), 303–318. doi:10.1046/j.1460-9592.2000.00530.x. Retrieved from http://onlinelibrary.wiley.com/doi/10.1046/j.1460-9592.2000.00530.x/pdf
7.
CarlsonC. J. (2004). Método pedagógico para o desenvolvimento da habilidade diagnóstica. InLunneyM. (Ed.), Pensamento crítico e diagnósticos de enfermagem: estudos de caso e análise (pp.70–95). Porto Alegre, Brazil: Artmed.
8.
CruzD. A. L. M.PeresR. C. G. (2003). Accuracy of nursing diagnosis: Interrater agreement. International Journal of Nursing Terminologies and Classifications, 14(Suppl.4), 46. doi:10.1111/j.1744-618X.2003.046_3.x
FerreiraA. M. F.PredebonC. M.CruzD. A. L. M.RabeloE. R. (2011). Clinical validation of nursing diagnoses of acute pain in hospitalized children. International Journal of Nursing Terminologies and Classifications, 22(4), 162–169. doi:10.1111/j.1744-618X.2011.01194.x. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1744-618X.2011.01194.x/pdf
11.
HulleyS. B.SchmidtM. I.DuncanB. B. (2008). Delineando a pesquisa clínica: uma abordagem epidemiológica. Porto Alegre, Brazil: Artmed.
KotzerA. M. (2000). Factors predicting postoperative pain in children and adolescents following spine fusion. Issues in Comprehensive Pediatric Nursing, 23(2), 83–102. doi:10.1080/01460860050121411. Retrieved from http://informahealthcare.com/doi/abs/10.1080/01460860050121411
14.
KurashimaS.KobayashiK.ToyabeS.AkazawaK. (2008). Accuracy and efficiency of computer-aided nursing diagnosis. International Journal of Nursing Terminologies and Classifications, 19(3), 95–101. doi:10.1111/j.1744-618X.2008.00088.x. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1744-618X.2008.00088.x/pdf
15.
LucenaA. F.BarrosA. L. B. L. (2006). Nursing diagnoses in a Brazilian intensive care unit. International Journal of Nursing Terminologies and Classifications, 17(3), 139–146. doi:10.1111/j.1744-618X.2006.00036.x. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1744-618X.2006.00036.x/pdf
16.
LunneyM. (1990). Accuracy of nursing diagnosis: Concept development. International Journal of Nursing Terminologies and Classifications, 1(1), 12–17. doi:10.1111/j.1744-618X.1990.tb00227.x
17.
MariniM.ChavesE. H. B. (2011). Evaluation of the accuracy of nursing diagnoses in a Brazilian emergency service. International Journal of Nursing Terminologies and Classifications, 22(2), 56–67. doi:10.1111/j.1744-618X.2010.01175.x. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1744-618X.2006.00036.x/pdf
18.
MatosF. G. O. A.CruzD. A. L. M. (2009). Development of an instrument to evaluate diagnosis accuracy. Revista da Escola de Enfermagem da USP, 43, 1088–1097. doi:10.1590/S0080-62342009000500013. Retrieved from http://www.scielo.br/pdf/reeusp/v43nspe/a13v43ns.pdf
PaansW.SermeusW.NiewegR. M. B.Van Der SchansC. P. (2010). Prevalence of accurate nursing documentation in patient records. Journal of Advanced Nursing, 66(11), 2481–2489. doi:10.1111/j.1365-2648.2010.05433.x. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2010.05433.x/pdf
21.
SetzV. G.D'InnocenzoM. (2009). Evaluation of the quality of nursing documentation though the review of patient medical records. Acta Paulista de Enfermagem, 22(3), 313–317. doi:10.1590/S0103-21002009000300012. Retrieved from http://www.scielo.br/pdf/ape/v22n3/a12v22n3.pdf
22.
TeclaM. T. G. M.HayashidaM.LimaR. A. G. (2008). Notes of post-operative pain in children: A retrospective analyses of hospitals from Londrina, PR, Brazil. Revista Brasileira de Enfermagem, 61(3), 289–295. doi:10.1590/S0034-71672008000300002. Retrieved from http://www.scielo.br/pdf/reben/v61n3/a02v61n3.pdf
23.
TeixeiraM. J. (2006). Dor: Manual para o clínico. São Paulo, Brazil: Atheneu.
