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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Nociception Coma Scale-Revised: Nurses' Experience in Clinical Practice

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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BACKGROUND: The Nociception Coma Scale-Revised (NCS-R) is a rating scale developed and validated for measurement of nociception and pain among patients with brain injuries in unresponsive wakefulness syndrome or minimally conscious state. However, little is known about its use in daily clinical practice.

AIMS: The aim of this study was to explore clinical experience with the NCS-R by means of focus group interviews with nurses and nurse assistants in a subacute rehabilitation ward for patients with severe brain injuries.

DESIGN: Qualitative focus group interview study.

SETTINGS: Department for highly specialized neurorehabilitation for patients with severe brain injuries.

PARTICIPANTS/SUBJECTS: Nurses and nurse assistants.

METHODS: In total, 12 experienced registered nurses and nurse assistants participated in two recorded focus group interviews. The participants were selected from the subacute neurorehabilitation ward on the following criteria: Employed at the ward for at least 11 months and being introduced to and having experience with using the NCS-R in own patients for a minimum period of 6 months. An inductive qualitative analysis was conducted by reading the interview text through several times, and meaning units were defined first separately and later jointly between the authors. Then meaning units were coded and categorized into subthemes and themes.

RESULTS: We found three themes, general relevance of the NCS-R, NCS-R versus level of consciousness, and overall assessment of pain in patients with disorders of consciousness, with a total of eight subthemes.

CONCLUSIONS: The content and subscales of the NCS-R are relevant for pain assessment in patients with severe brain injury in subacute rehabilitation. However, with the present cutoff value at 4 points, challenges are associated with using NCS-R, especially in patients with unresponsive wakefulness syndrome because they are at risk of not being assessed with respect to pain.

OriginalsprogEngelsk
TidsskriftPain management nursing : official journal of the American Society of Pain Management Nurses
Vol/bind20
Udgave nummer6
Sider (fra-til)592-598
Antal sider7
ISSN1524-9042
DOI
StatusUdgivet - 2019

Bibliografisk note

Copyright © 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

ID: 57192288