AI Article Synopsis
- - The review analyzed 106 articles to evaluate the effectiveness of behavioral pain assessment tools for critically ill adults who cannot communicate, focusing on their scale development, reliability, and clinical use.
- - Nine specific tools for noncommunicative critically ill adults and four for other groups were compared using a scoring system to assess their quality.
- - The top-rated tools, such as the Behavioral Pain Scale and Critical-Care Pain Observation Tool, have shown strong psychometric properties and validation across different countries and languages, though more research is needed on other alternatives.
Article Abstract
This is an updated, comprehensive review of the psychometric properties of behavioral pain assessment tools for use with noncommunicative, critically ill adults. Articles were searched in 5 health databases. A total of 106 articles were analyzed, including 54 recently published papers. Nine behavioral pain assessment tools developed for noncommunicative critically ill adults and 4 tools developed for other non-communicative populations were included. The scale development process, reliability, validity, feasibility, and clinical utility were analyzed using a 0 to 20 scoring system, and quality of evidence was also evaluated. The Behavioral Pain Scale, the Behavioral Pain Scale-Nonintubated, and the Critical-Care Pain Observation Tool remain the tools with the strongest psychometric properties, with validation testing having been conducted in multiple countries and various languages. Other tools may be good alternatives, but additional research on them is necessary.
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| http://dx.doi.org/10.4037/aacnacc2019952 | DOI Listing |
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