PROPOSAL

Proposal

Abstract

The aim of this study will be to describe nursing documentation of postoperative pain management and nurses' perceptions of the records in relation to current regulations and guidelines. The sample include nursing records of postoperative care on the second postoperative day 50 Register Nurses from surgical wards in a central county hospital in UK. The records will review for content and comprehensiveness base on regulations and guidelines for postoperative pain management. Three different auditing instruments will be use. The nurses will ask if the documentation concurred with current regulations and guidelines. The results will show that pain assessment is based mainly on patients' self-report, contain notes on systematic assessment with a pain assessment instrument. The anticipated findings will indicate that significant flaws existed in nurses' recording of postoperative pain management, of which the nurses were not aware.

Table of Contents

CHAPTER 01: INTRODUCTION1

Aim of the Research1

Problem Statement1

Research Questions1

CHAPTER 02: LITERATURE REVIEW3

CHAPTER 03: METHODOLOGY6

Method6

Sample, Patients6

Data Collection6

Instruments For Audit7

A Tentative Model7

Characteristics7

Comprehensiveness7

Inter-Rater Reliability8

Sample, Nurses And Nurse Question9

REFERENCES10

CHAPTER 01: INTRODUCTION

Aim of the Research

The aim of this study will be to describe nursing documentation of postoperative pain management and nurses' perceptions of the records in relation to current regulations and guidelines.

Problem Statement

In summary, the degree to which pain knowledge influences pain outcomes such as pain and analgesic administration is unknown. Ward et al. emphasize the need to examine patient outcomes to determine whether initiatives such as education programmes change pain management practices. As part of a larger project (Watt-Watson et al. 2000), the purpose of this study is to examine the relationship between what nurses know and believe about pain and outcomes for their assigned postoperative cardiac patients related to pain and analgesic intake.

Research Questions

The problem will describe or interventions planned or have been implemented.

The problem will describe and interventions are plan or will implement.

The problem will describe and interventions are planned or have been implement. The nursing outcome will note.

The problem will describe, interventions are planned and have been implement. The nursing outcome will note.

All steps comprising the nursing process are record (including nursing history, diagnosis, goals and discharge notes). There is an adequate description of the problem. The recording is of relevance to nursing.

CHAPTER 02: LITERATURE REVIEW

Postoperative teaching is also begun in the preoperative phase. The nurse must use their assessment to determine what are the teaching needs of the patient and their family. Once these have been identified, the nurse can explain to the patient what to expect and methods in which to deal with such stressors. By teaching before the surgery, it allows the patient time to practice different activities, and to figure out how they are going to rearrange their lifestyle. Some of the aspect the nurse teaches, according to Taylor (1997) include: surgical events and sensations, pain management, and physical activities, including deep breathing, coughing, incentive spirometry, leg exercises, and turning in bed. The patient and family must be instructed on what they need to do in the days prior to surgery and directions on where to go, how to dress, what ...