The COMFORT behavior scale: is a shorter observation period feasible?
The COMFORT behavior scale has been validated for postoperative pain in 0- to 3-yr-old children. Scoring is preceded by a 2-min observation period, which nurses may consider too long. The objective of this study was to test the reliability of a 30-sec observation period. Observational study. One Lev...
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| Veröffentlicht in: | Pediatric critical care medicine 2012-03, Vol.13 (2), p.e124-e125 |
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| creator | Boerlage, Anneke A Ista, Erwin de Jong, Marjan Tibboel, Dick van Dijk, Monique |
| description | The COMFORT behavior scale has been validated for postoperative pain in 0- to 3-yr-old children. Scoring is preceded by a 2-min observation period, which nurses may consider too long. The objective of this study was to test the reliability of a 30-sec observation period.
Observational study.
One Level III intensive care unit at a university children's hospital.
Designated pain specialist and all nursing staff.
None.
The pain specialist and caregiver nurse each conducted a bedside COMFORT behavior scale assessment and assigned an additional pain rating on the 11-point Numerical Rating Scale.
Total COMFORT behavior Scale score for the 2-min observation was 17 or higher in 19% of the patients and 11% for the 30-sec observation. The mean COMFORT behavior scale score for the 2-min observation was 13.5 (SD 3.8) and 12.7 (SD 3.7) for the 30-sec observation. The mean difference therefore was 0.8 (confidence interval 0.6-1.1, paired t test, p < .001). Sensitivity and positive predictive value for the 30-sec observation were 0.44 and 0.80, respectively.
A 30-sec COMFORT behavior scale observation increases the risk of underscoring pain. Therefore, the 2-min observation period should be adhered to in the interest of the patients. |
| doi_str_mv | 10.1097/PCC.0b013e3182192d92 |
| format | Article |
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Observational study.
One Level III intensive care unit at a university children's hospital.
Designated pain specialist and all nursing staff.
None.
The pain specialist and caregiver nurse each conducted a bedside COMFORT behavior scale assessment and assigned an additional pain rating on the 11-point Numerical Rating Scale.
Total COMFORT behavior Scale score for the 2-min observation was 17 or higher in 19% of the patients and 11% for the 30-sec observation. The mean COMFORT behavior scale score for the 2-min observation was 13.5 (SD 3.8) and 12.7 (SD 3.7) for the 30-sec observation. The mean difference therefore was 0.8 (confidence interval 0.6-1.1, paired t test, p < .001). Sensitivity and positive predictive value for the 30-sec observation were 0.44 and 0.80, respectively.
A 30-sec COMFORT behavior scale observation increases the risk of underscoring pain. Therefore, the 2-min observation period should be adhered to in the interest of the patients.</description><identifier>ISSN: 1529-7535</identifier><identifier>DOI: 10.1097/PCC.0b013e3182192d92</identifier><identifier>PMID: 21499179</identifier><language>eng</language><publisher>United States</publisher><subject>Child, Preschool ; Feasibility Studies ; Humans ; Intensive Care Units, Pediatric ; Nursing Assessment - standards ; Nursing Evaluation Research ; Pain Measurement - methods ; Pain Measurement - nursing ; Pain, Postoperative - nursing ; Pediatric Nursing - standards ; Practice Guidelines as Topic ; Reproducibility of Results ; Time Factors</subject><ispartof>Pediatric critical care medicine, 2012-03, Vol.13 (2), p.e124-e125</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c280t-8f799d622d478f96779d6443094eadc460cf4d8459774ce580d55e7032be46cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21499179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boerlage, Anneke A</creatorcontrib><creatorcontrib>Ista, Erwin</creatorcontrib><creatorcontrib>de Jong, Marjan</creatorcontrib><creatorcontrib>Tibboel, Dick</creatorcontrib><creatorcontrib>van Dijk, Monique</creatorcontrib><title>The COMFORT behavior scale: is a shorter observation period feasible?</title><title>Pediatric critical care medicine</title><addtitle>Pediatr Crit Care Med</addtitle><description>The COMFORT behavior scale has been validated for postoperative pain in 0- to 3-yr-old children. Scoring is preceded by a 2-min observation period, which nurses may consider too long. The objective of this study was to test the reliability of a 30-sec observation period.
Observational study.
One Level III intensive care unit at a university children's hospital.
Designated pain specialist and all nursing staff.
None.
The pain specialist and caregiver nurse each conducted a bedside COMFORT behavior scale assessment and assigned an additional pain rating on the 11-point Numerical Rating Scale.
Total COMFORT behavior Scale score for the 2-min observation was 17 or higher in 19% of the patients and 11% for the 30-sec observation. The mean COMFORT behavior scale score for the 2-min observation was 13.5 (SD 3.8) and 12.7 (SD 3.7) for the 30-sec observation. The mean difference therefore was 0.8 (confidence interval 0.6-1.1, paired t test, p < .001). Sensitivity and positive predictive value for the 30-sec observation were 0.44 and 0.80, respectively.
A 30-sec COMFORT behavior scale observation increases the risk of underscoring pain. Therefore, the 2-min observation period should be adhered to in the interest of the patients.</description><subject>Child, Preschool</subject><subject>Feasibility Studies</subject><subject>Humans</subject><subject>Intensive Care Units, Pediatric</subject><subject>Nursing Assessment - standards</subject><subject>Nursing Evaluation Research</subject><subject>Pain Measurement - methods</subject><subject>Pain Measurement - nursing</subject><subject>Pain, Postoperative - nursing</subject><subject>Pediatric Nursing - standards</subject><subject>Practice Guidelines as Topic</subject><subject>Reproducibility of Results</subject><subject>Time Factors</subject><issn>1529-7535</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1LwzAcxnNQ3Jx-A5HcPHUmadI0XkTKpsKkIvMc0uRfFumWmXQDv72VTQ-eHh54XuCH0BUlU0qUvH2tqilpCM0hpyWjijnFTtCYCqYyKXIxQucpfRBCVcHlGRoxypWiUo3RbLkCXNUv8_ptiRtYmb0PESdrOrjDPmGD0yrEHiIOTYK4N70PG7yF6IPDLZjkmw7uL9Bpa7oEl0edoPf5bFk9ZYv68bl6WGSWlaTPylYq5QrGHJdlqwopB8d5ThQH4ywviG25K7lQUnILoiROCJAkZw3wwrp8gm4Ou9sYPneQer32yULXmQ2EXdKKDQdkGB-S_JC0MaQUodXb6NcmfmlK9A8zPTDT_5kNtevjwa5Zg_sr_QLLvwEObGiz</recordid><startdate>20120301</startdate><enddate>20120301</enddate><creator>Boerlage, Anneke A</creator><creator>Ista, Erwin</creator><creator>de Jong, Marjan</creator><creator>Tibboel, Dick</creator><creator>van Dijk, Monique</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120301</creationdate><title>The COMFORT behavior scale: is a shorter observation period feasible?</title><author>Boerlage, Anneke A ; Ista, Erwin ; de Jong, Marjan ; Tibboel, Dick ; van Dijk, Monique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c280t-8f799d622d478f96779d6443094eadc460cf4d8459774ce580d55e7032be46cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Child, Preschool</topic><topic>Feasibility Studies</topic><topic>Humans</topic><topic>Intensive Care Units, Pediatric</topic><topic>Nursing Assessment - standards</topic><topic>Nursing Evaluation Research</topic><topic>Pain Measurement - methods</topic><topic>Pain Measurement - nursing</topic><topic>Pain, Postoperative - nursing</topic><topic>Pediatric Nursing - standards</topic><topic>Practice Guidelines as Topic</topic><topic>Reproducibility of Results</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boerlage, Anneke A</creatorcontrib><creatorcontrib>Ista, Erwin</creatorcontrib><creatorcontrib>de Jong, Marjan</creatorcontrib><creatorcontrib>Tibboel, Dick</creatorcontrib><creatorcontrib>van Dijk, Monique</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boerlage, Anneke A</au><au>Ista, Erwin</au><au>de Jong, Marjan</au><au>Tibboel, Dick</au><au>van Dijk, Monique</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The COMFORT behavior scale: is a shorter observation period feasible?</atitle><jtitle>Pediatric critical care medicine</jtitle><addtitle>Pediatr Crit Care Med</addtitle><date>2012-03-01</date><risdate>2012</risdate><volume>13</volume><issue>2</issue><spage>e124</spage><epage>e125</epage><pages>e124-e125</pages><issn>1529-7535</issn><abstract>The COMFORT behavior scale has been validated for postoperative pain in 0- to 3-yr-old children. Scoring is preceded by a 2-min observation period, which nurses may consider too long. The objective of this study was to test the reliability of a 30-sec observation period.
Observational study.
One Level III intensive care unit at a university children's hospital.
Designated pain specialist and all nursing staff.
None.
The pain specialist and caregiver nurse each conducted a bedside COMFORT behavior scale assessment and assigned an additional pain rating on the 11-point Numerical Rating Scale.
Total COMFORT behavior Scale score for the 2-min observation was 17 or higher in 19% of the patients and 11% for the 30-sec observation. The mean COMFORT behavior scale score for the 2-min observation was 13.5 (SD 3.8) and 12.7 (SD 3.7) for the 30-sec observation. The mean difference therefore was 0.8 (confidence interval 0.6-1.1, paired t test, p < .001). Sensitivity and positive predictive value for the 30-sec observation were 0.44 and 0.80, respectively.
A 30-sec COMFORT behavior scale observation increases the risk of underscoring pain. Therefore, the 2-min observation period should be adhered to in the interest of the patients.</abstract><cop>United States</cop><pmid>21499179</pmid><doi>10.1097/PCC.0b013e3182192d92</doi></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Child, Preschool Feasibility Studies Humans Intensive Care Units, Pediatric Nursing Assessment - standards Nursing Evaluation Research Pain Measurement - methods Pain Measurement - nursing Pain, Postoperative - nursing Pediatric Nursing - standards Practice Guidelines as Topic Reproducibility of Results Time Factors |
| title | The COMFORT behavior scale: is a shorter observation period feasible? |
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