Key result
Nursing documentation of post-operative pain management was poor, differed from patient reports, and rarely documented interventions for night time pain.
Observational (n=65)
No
Nursing documentation of post-operative pain often fails to accurately reflect the patient's actual pain experience and relies heavily on pharmacological interventions.
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Documentation gaps may hinder night-time pain management; leaves open whether standardized protocols improve concordance with patient reports.
Briggs et al. (1998) conducted an observational in Post-operative pain (n=65). Nursing documentation of post-operative pain management was evaluated on Content analysis of nursing documentation and comparison with patient reports. Nursing documentation of post-operative pain management was poor, differed from patient reports, and rarely documented interventions for night time pain.