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EXPLORATION OF THE RELATIONSHIP BETWEEN PAIN INTENSITY, COMFORT LEVEL AND PATIENT SATISFACTION AMONG ORTHOPEDIC PATIENTS FOLLOWING KNEE SURGERY ON POSTOPERATIVE DAY ONE

Osborne, Michelle
http://rave.ohiolink.edu/etdc/view?acc_num=casednp1430142885

Abstract Details

2015, Doctor of Nursing Practice , Case Western Reserve University, School of Nursing.
ABSTRACT Pain is a common phenomenon after surgery. Specifically, postoperative pain after total knee arthroplasty remains one of the most important challenges facing patients undergoing this surgery. Pain and comfort management continue to be overlooked and inadequately managed (McCaffery, Herr & Pasero, 2011; Pasero et al., 2009). Despite the availability of numerous effective analgesics and new drug administration technologies, research studies continue to show suboptimal pain management (ASPAN, 2013). A major focus of postoperative nursing care for patients following total joint replacement surgery is pain management. Although education of today’s nurse will require some emphasis on technological advances, fundamental caring practices cannot be neglected. Interventions focusing on the comfort needs of patients and families are entirely within the realm of nursing practice, and are proposed to be strongly related to quality of care and patient satisfaction (Kolcaba, 2012). The purpose of this research study was to examine the relationship between pain intensity, comfort level and patient satisfaction of orthopedic patients following knee surgery on postoperative day one (the first day after surgery). The comfort theory was used as the theoretical foundation for this study. This study was conducted as descriptive/correlational study in which the relationship among variables (postoperative pain, comfort and patient satisfaction) was examined. A convenience sample of 40 male and female adult patients admitted to the hospital for elective total knee replacement /arthroplasty surgery beginning October 2014. The 0-10 Numerical Rating Scale (NRS-11) was used to measure pain intensity. The Perianesthesia Comfort Questionnaire was used to measure comfort. Data collection to assess patient satisfaction was based on questions from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey and Press Ganey Survey. The results of this study did not reveal statistically significant relationships among patient satisfaction, comfort, and pain intensity. Perhaps this finding is due to the high patient satisfaction scores. Nurses play a key role in the management of pain for patients having knee replacement surgery. They are the primary group of health care professionals responsible for the ongoing assessment, monitoring of patients and initiating interventions that help assure patients’ pain are appropriately managed. To adequately study this phenomenon, replication of the study across different hospital systems using a large sample size with more variability in satisfaction are needed.
Faye Gary (Advisor)
Jacquelyn Slomka (Committee Member)
Claudia Douglas (Committee Member)
111 p.
Health Care; Nursing; Teaching
pain,pain management, postoperative, surgery,total knee replacement, comfort,comfort intervention, non-pharmacological intervention, healing, comfort theory, and patient satisfaction

Recommended Citations

Citations

  • Osborne, M. (2015). EXPLORATION OF THE RELATIONSHIP BETWEEN PAIN INTENSITY, COMFORT LEVEL AND PATIENT SATISFACTION AMONG ORTHOPEDIC PATIENTS FOLLOWING KNEE SURGERY ON POSTOPERATIVE DAY ONE [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1430142885

    APA Style (7th edition)

  • Osborne, Michelle. EXPLORATION OF THE RELATIONSHIP BETWEEN PAIN INTENSITY, COMFORT LEVEL AND PATIENT SATISFACTION AMONG ORTHOPEDIC PATIENTS FOLLOWING KNEE SURGERY ON POSTOPERATIVE DAY ONE . 2015. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=casednp1430142885.

    MLA Style (8th edition)

  • Osborne, Michelle. "EXPLORATION OF THE RELATIONSHIP BETWEEN PAIN INTENSITY, COMFORT LEVEL AND PATIENT SATISFACTION AMONG ORTHOPEDIC PATIENTS FOLLOWING KNEE SURGERY ON POSTOPERATIVE DAY ONE ." Doctoral dissertation, Case Western Reserve University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1430142885

    Chicago Manual of Style (17th edition)

casednp1430142885
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© 2015, all rights reserved.
This open access ETD is published by Case Western Reserve University Doctor of Nursing Practice and OhioLINK.