Medical Evidence Influence on Inpatients and Nurses Pain Ratings Agreement
Table 2
Distribution and proportions of NEP and PSRP pain categories in the sample.
Moderators
Pain categories, (%)
No-pain
Mild
Moderate
Severe
PSRP
NEP
PSRP
NEP
PSRP
NEP
PSRP
NEP
Pain experience in the past 24 h
No
401
301 (75.1)
336 (83.8)
39 (9.7)
43 (10.7)
39 (9.7)
16 (4.0)
22 (5.5)
6 (1.5)
Yes
461
234 (40.8)
98 (21.3)
65 (14.1)
156 (33.8)
90 (19.5)
138 (29.9)
72 (15.6)
69 (15.0)
Cause of pain
Surgery
173
88 (50.9)
34 (19.7)
35 (20.2)
64 (37.0)
31 (17.9)
50 (28.9)
19 (11.0)
25 (14.4)
Trauma
24
6 (25.0)
3 (12.5)
2 (8.3)
5 (20.8)
9 (37.5)
10 (41.7)
7 (29.2)
6 (25.0)
Diagnostic procedures
36
27 (75.0)
19 (52.8)
1 (2.8)
11 (30.6)
4 (11.1)
4 (11.1)
4 (11.1)
2 (5.6)
Cancer
39
16 (41.0)
3 (7.7)
5 (12.8)
11 (28.2)
11 (28.2)
18 (46.2)
7 (17.9)
7 (17.9)
Other
167
84 (50.3)
33 (19.8)
21 (12.6)
57 (34.1)
30 (18.0)
50 (29.9)
32 (19.2)
27 (16.2)
Unknown
22
13 (59.1)
6 (27.3)
1 (4.5)
8 (36.4)
5 (22.7)
6 (27.3)
3 (13.6)
2 (9.1)
Analgesics in the past 24 h
No
676
458 (67.8)
404 (59.8)
75 (11.1)
150 (22.2)
89 (13.2)
91 (13.5)
54 (8.0)
31 (4.6)
Yes
179
73 (40.8)
26 (14.5)
28 (15.6)
47 (26.3)
39 (21.8)
63 (35.2)
39 (21.8)
43 (24.0)
Analgesic administration regimen
ATC
64
22 (34.4)
8 (12.5)
11 (17.2)
14 (21.9)
18 (28.1)
26 (40.6)
13 (20.3)
16 (25.0)
PRN
95
44 (46.3)
15 (15.8)
13 (13.7)
31 (32.6)
18 (18.9)
32 (33.7)
20 (21.1)
17 (17.9)
ATC + PRN
14
5 (35.7)
2 (14.3)
2 (14.3)
1 (7.1)
2 (14.3)
4 (28.6)
5 (35.7)
7 (50.0)
NSAIDs
Yes
103
47 (45.6)
14 (13.6)
14 (13.6)
32 (31.1)
18 (17.5)
38 (36.9)
24 (23.3)
19 (18.4)
NSAIDs administration regimen
ATC
25
9 (36.0)
2 (8.0)
5 (20.0)
9 (36.0)
5 (20.0)
10 (40.0)
6 (24.0)
4 (16.0)
PRN
68
34 (50.0)
9 (13.2)
8 (11.8)
23 (33.8)
12 (17.6)
24 (35.3)
14 (20.6)
12 (17.6)
ATC + PRN
8
3 (37.5)
2 (25.0)
1 (12.5)
0 (0.0)
1 (12.5)
3 (37.5)
3 (37.5)
3 (37.5)
Opioids
Yes
63
21 (33.3)
9 (14.3)
14 (22.2)
12 (19.0)
17 (27.0)
21 (33.3)
11 (17.5)
21 (33.3)
Opioids administration regimen
ATC
30
10 (33.3)
4 (13.3)
6 (20.0)
2 (6.7)
10 (33.3)
14 (46.7)
4 (13.3)
10 (33.3)
PRN
24
8 (33.3)
5 (20.8)
5 (20.8)
8 (33.3)
6 (25.0)
6 (25.0)
5 (20.8)
5 (20.8)
ATC + PRN
5
2 (40.0)
0 (0.0)
1 (20.0)
1 (20.0)
0 (0.0)
1 (20.0)
2 (40.0)
3 (60.0)
NSAIDs + opioids
Yes
13
5 (38.5)
3 (23.1)
0 (0.0)
3 (23.1)
4 (30.8)
4 (30.8)
4 (30.8)
3 (23.1)
NSAIDs + opioids administration regimen
ATC
9
3 (33.3)
2 (22.2)
0 (0.0)
3 (33.3)
3 (33.3)
2 (22.2)
3 (33.3)
2 (22.2)
PRN
3
2 (66.7)
1 (33.3)
0 (0.0)
0 (0.0)
0 (0.0)
2 (66.7)
1 (33.3)
0 (0.0)
ATC + PRN
1
0 (0.0)
0 (0.0)
0 (0.0)
0 (0.0)
1 (100.0)
0 (0.0)
0 (0.0)
1 (100.0)
Distribution and proportions of NEP and PSRP pain categories in the sample split by congruence-moderator subsets. NEP: nurse estimation of pain; PSRP: patient self-reported pain; NSAIDs: nonsteroidal anti-inflammatory drugs; ATC: around the clock; and PRN: on demand. Assessor’s assertion.
