RN NEEDS ASSESSMENT: PAIN MANAGEMENT 

University of Wisconsin Hospital and Clinics

March, 1996

 

The purpose of this survey is to plan continuing education programs in pain management for nurses at UWHC. Additionally, the Pain Resource Nurses would like feedback from you about their role as resources in pain management.

 

Please take a few moments to complete this survey. When finished, place it in the manila envelop marked "pain needs assessment" on your unit/clinic.

 1. Unit/Clinic: __________ 2. Age: _____ 3. Sex: _____ (a) Female _____ (b) Male
4. Years of Experience in Nursing:

_____ (a) 0-5 years

_____ (b) 6-10 years

_____ (c) > 10 years

5. Educational Preparation

_____ (a) ADN

_____ (b) Diploma

_____ (c) BSN

_____ (d) Masters Degree

 

 

6. Please rank the three most important issues you need information about related to pain management, with 1 being most important.

_____ (a) pain assessment

_____ (b) pharmacologic management of pain

_____ (c) technical skills with analgesia pumps

_____ (d) non-pharmacologic interventions

_____ (e) psychosocial issues in pain

_____ (f) pain management in specialty populations (ICU, elderly, peds)

_____ (g) other: ______________________________________________

 

7. Please circle your comfort level in the following areas using the following scale:

1 2 3 4
very comfortable comfortable not comfortable very uncomfortable

(a) basic pain assessment 1 2 3 4

(b) assessment of pain in non-communicative patients 1 2 3 4

(c) screening for addiction issues 1 2 3 4

(d) equianalgesic conversions 1 2 3 4

(e) opioid titration 1 2 3 4

(f) defining pain relief goals 1 2 3 4

(g) recognizing respiratory depression 1 2 3 4

(h) managing opioid side effects 1 2 3 4

(i) programming and managing PCA pump 1 2 3 4

(j) nursing care of patient with IV PCA 1 2 3 4

(k) programming and managing Epidural pump 1 2 3 4

(l) nursing care of patient with epidural analgesia 1 2 3 4

(m) teaching a patient relaxation techniques 1 2 3 4

(n) using guided imagery with a patient 1 2 3 4

(o) using heat or cold to relieve pain 1 2 3 4

(p) patient advocacy 1 2 3 4

(q) providing psychologic support 1 2 3 4

(r) pain management in the elderly 1 2 3 4

(s) pain management in the children 1 2 3 4

(t) physiology of pain 1 2 3 4

8. How have you utilized your unit Pain Resource Nurse? (check all that apply)

_____ (a) consultation for individual patient pain management plans

_____ (b) provision of pain management staff inservices

_____ (c) orienting new nurses to pain management

_____ (d) development of patient education materials

_____ (e) equianalgesic conversion problems

_____ (f) patient advocacy issues with medical staff

_____ (g) feedback from quality monitoring studies

_____ (h) other: __________________________________________

9. How would you like to see the role of the PRN expanded or better utilized? (check all that apply)

_____ (a) consultation for individual patient pain management plans

_____ (b) provision of pain management staff inservices

_____ (c) orienting new nurses to pain management

_____ (d) development of patient education materials

_____ (e) equianalgesic conversion problems

_____ (f) patient advocacy issues with medical staff

_____ (g) feedback from quality monitoring studies

_____ (h) other: __________________________________________

10. Please rank the top three methods of education you prefer, with 1 being the most preferred.

_____ (a) case studies

_____ (b) lectures

_____ (c) journal articles

_____ (d) video

_____ (e) games

_____ (f) self directed learning packets

_____ (g) unit resource manual

11. Please rank the top three best times of day to schedule an educational offering, with 1 being most preferred.

_____ (a) 0600-0800

_____ (b) 1100-1300

_____ (c) 1400-1600

_____ (d) 1800-2000

_____ (e) 2200-2400

12. Please indicate the days of the week that are best for you to attend an educational offering.

_____ (a) Weekend (Saturday and Sunday)

_____ (b) Monday

_____ (c) Tuesday

_____ (d) Wednesday

_____ (e) Thursday

_____ (f) Friday

13. Please check your preferred time length for a continuing education offering.

_____ (a) <30 minutes

_____ (b) 31-60 minutes

_____ (c) 1-2 hours

_____ (d) 4 hours

_____ (e) 8 hours

_____ (f) other: _____________________________

 

Thank you for your time and input.