Effect of Educational Feedback to Registered Nurses Pain Nursing Documentation


The aim of the study is to find out how pain nursing documentation audit and educational feedback effect to RN's pain nursing documentation, the average level of pain nursing documentation knowledge of unit RN's, patient satisfaction of pain management and number of pain nursing incident reports. In addition, how background variables are related to the pain nursing documentation. Research hypothesis: Pain nursing documentation audit and educational feedback increased RNs' pain nursing documentation and knowledge, patient satisfaction to pain management and effect to number of pain nursing incident reports.

Full Title of Study: “Effect of Educational Feedback to RNs’ Pain Nursing Documentation: Cluster Randomized Intervention Trial”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Other
    • Masking: Single (Participant)
  • Study Primary Completion Date: September 30, 2022


  • Other: educational feedback
    • Educational feedback one week after based on pain documentation audit results.
  • Other: Pain documentation audit
    • Monthly pain documentation audit

Arms, Groups and Cohorts

  • Experimental: Experimental group
    • Documentation audit and educational feedback
  • Active Comparator: Control group
    • Documentation audit

Clinical Trial Outcome Measures

Primary Measures

  • Change in RNs’ pain documentation
    • Time Frame: Baseline (T0), month 1 (T1), month 2 (T2), month 3 (T3), month 4 (T4), month 5 (T5) month 6 (T6)
    • MEASUREMENT TOOL: Structured audit frame developed for this study based on clinical practice guidelines and research literature to evaluate pain assessment and management documentation. UNIT OF MEASURE: Information is collected on the following areas from patient records. Assessment, is documented: Pain nursing process documentation Cognitive impairment Pain assessment Number of pain assessment 24/h Pain Type of Pain Use of pain assessment tool Pain assessment tool Use, type and assessment of the effect of pharmacological or non-pharmacological method Assessment of the effect of pain on functional capacity Need for pain monitoring Multiple measurements are aggregated to achieve one declared value as follows: First, each evaluated area results in 0 (not fulfilled) or 1 point (fulfilled). Second, the points are summed. Third, the sum is transformed to a 0-100 scale and reported as a single value reflecting pain documentation quality.
  • Change in RNs’ pain knowledge
    • Time Frame: Baseline (T0), Three months (T1), Six months (T2)
    • Pain knowledge questionnaire used in three time points

Secondary Measures

  • Change in patient satisfaction of pain management
    • Time Frame: Before intervention (T0), six month (T1)
    • Nursing patient feedback questionnaire analyzed at two time points
  • Change in number of pain nursing incident reports
    • Time Frame: Before intervention (T0), six month (T1)
    • Pain nursing incident reports analyzed at two time points

Participating in This Clinical Trial

Inclusion Criteria

  • Registered nurses (RN) who work at the Kuopio University Hospital in units of which patients potentially require pain management. Exclusion Criteria:

  • Professionals other than RN – RN who do not use pain management strategies in their work

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Kuopio University Hospital
  • Collaborator
    • University of Eastern Finland
  • Provider of Information About this Clinical Study
    • Sponsor

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