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Survey of Nurses’ Use of the Clinically Aligned Pain Assessment (CAPA) Tool

      Abstract

      Background

      Limited research is available on tools for assessing pain and its effect on function in the acute care setting.

      Aim

      This research's purpose is to describe nurses’ use of the Clinically Aligned Pain Assessment (CAPA) tool and their beliefs about its utility for assessing pain compared to the numeric rating scale (NRS) in a hospital where CAPA had been used for 6 years.

      Design

      A cross-sectional self-report survey.

      Methods

      Nurses (N = 110) from 13 adult inpatient units in an academic center participated in this survey describing frequency of CAPA and NRS use, CAPA domains documented, and how nurses asked about pain and distinguished between categories when coding for documentation. Beliefs about the tools’ effectiveness were also reported.

      Results

      Most nurses used CAPA routinely for assessments; almost half used the NRS at times. They believed both tools were effective for assessment, but CAPA was more effective to determine what intervention was needed. They also believed patient report using CAPA was more likely to match the nurse's assessment; a majority reported incorporating their observations into CAPA documentation. Most asked the patient about pain without using CAPA words, although many used the specific words. Practice varied in how nurses determined which category to select in the comfort domain and which domains were assessed routinely.

      Conclusions

      Although many nurses believed CAPA was effective, variation existed in how it was used to assess and document pain, increasing potential for inconsistent assessments and interpretations of pain and pain management.
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      References

        • Arnstein P.
        • Gentile D.
        • Wilson M.
        Validating the functional pain scale for hospitalized adults.
        Pain Management Nursing. 2019; 20: 418-424
        • Donaldson G.
        • Chapman E.R.
        Pain management is more than just a number.
        University of Utah Health Care, University of Utah Hospitals and Clinics/Department of Anesthesiology, 2013
        • Hagstrom S.
        • O’Conner-Von S.
        • Mathiason M.A.
        • Tracy M.F.
        in press) Nurses’ use of the Clinically Aligned Pain Assessment (CAPA) tool: A mixed methods study.
        Pain Management Nursing. 2022;
        • Harris P.A.
        • Taylor R.
        • Thielke R.
        • Payne J.
        • Gonzalez N.
        • Conde J.G.
        Research electronic data capture (REDCap): A metadata-driven methodology and workflow process for providing translational research informatics support.
        Journal of Biomedical Informatics. 2009; 42: 377-381
      1. McDaniel, C., Caspersen, A., Crumpton, S., Galbraith, D., Hall, B., Huddleston, P., Nguyen, H. L., Puckett, M., & Williams, R. (2021). Medical-surgical patients’ and registered nurses’ satisfaction and comprehensiveness of patient assessment using the Clinically Aligned Pain Assessment Tool. Pain Management Nursing. Advance online publication. 10.1016/j.pmn.2021.08.003

        • Roberts L.
        • Gulliver B.
        • Fisher J.
        • Cloyes K.G.
        The coping with labor algorithm: An alternate pain assessment tool for the laboring woman.
        Journal of Midwifery & Women's Health. 2010; 55: 107-116
        • Schiavenato M.
        • Craig K.D.
        Pain assessment as a social transaction: Beyond the “gold standard.
        Clinical Journal of Pain. 2010; 26: 667-676
        • Topham D.
        • Drew D.
        Quality improvement project: Replacing the numeric rating scale with the Clinically Aligned Pain Assessment (CAPA) tool.
        Pain Management Nursing. 2017; 18: 363-371
        • Twining J.
        • Padula C.
        Pilot testing the Clinically Aligned Pain Assessment (CAPA) measure.
        Pain Management Nursing. 2019; 20: 462-467
        • Vitullo M.
        • Holloway D.
        • Tellson A.
        • Nguyen H.
        • Estimon K.
        • Linthicum J.
        • Viejo H.
        • Coffee A.
        • Huddleston P.
        Surgical patients' and registered nurses’ satisfaction and perception of using the Clinically Aligned Pain Assessment (CAPA©) tool for pain assessment.
        Journal of Vascular Nursing. 2020; 38: 118-131
        • von Baeyer C.L.
        • Pasero C.
        What nurses' work-arounds tell us about pain assessment.
        International Journal of Nursing Studies. 2016; 67: A1-A2