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Advanced Practice Nursing
Pain Management Website Development and Evaluation

Developed by:

Eileen Healy, MSN, RN, ANP- BC
Mary Lee Barron, PhD, APRN, FNP-BC 
Mary Ann Lavin, DSc, APRN, ANP-BC, FNI, FAAN


Informational Web Page Evaluation Instrument:
http://widener.edu/about/campus_resources/wolfgram_library/evaluate/info.aspx

Procedural Adaption

Each reviewer evaluated each web page for each of five criteria, using a 5-point Likert scale, were 5 represented the highest possible score. 

Decision Rules

Only web pages that received an average accuracy score of four or greater were included in this webpage.  Their corresponding overall average score determined their ranking within each  nursing practice standard

Panel of Expert Reviewers

Carla Moore Beckerle, DNP, APRN-BC, Vice-President of Clinical Services, Esse Health, St. Louis MO

Rebecca Lorenz, PhD, RN, Saint Louis University School of Nursing, Assistant Professor and Team Member, Dementia and Musculoskeletal Pain Case, SIUE-SLU Center of Excellence for Pain Education (CoEPE)

Marlene E. McHugh, DNP, FNP-BC, ACHPN, Columbia University, Assistant Profession and Expert Pain Consultant, SIUE-SLU CoEPE

Laura McLaughlin, PhD, RN, SLU SON, Assistant Professor and Team Member, Burning Mouth Syndrome, SIUE-SLU CoEPE

Karen Moore, DNP, APRN, ANP-BC, Assistant Professor and Team Member, Sickle Cell Case, SIUE-SLU CoEPE

Karen Scaglione-Ferguson, MSN, RN, ACNP-BC, CLNC, Wound Care Specialist and Developer of Wound Care Program, Internal Medicine, Esse Health, St. Louis MO; and President and Legal Consultant, Wound Care Management, LLC

Standard 1.  Assessment: The registered nurse collects comprehensive data pertinent to the healthcare consumer’s health or the situation  

Practice  

University of Wisconsin School of Medicine and Public Health: Principles of
Pain Management
http://projects.hsl.wisc.edu/GME/PainManagement/session3.1.html
 
(Accuracy Average is 4.60 Overall Average is 4.452)

City of Hope Pain & Palliative Care Resource Center: Pain Assessment Tools
http://prc.coh.org/pain_assessment.asp
(Accuracy Average is 4.16 Overall Average is 4.164)

 Partners Against Pain: Assessment Forms
http://www.partnersagainstpain.com/hcp/pain-assessment/tools.aspx
(Accuracy Average is 4.16 Overall Average is 3.924)

Registered Nurses’ Association of Ontario: Best Practice Guidelines: Assessment and Management of Pain 
http://rnao.ca/bpg/guidelines/assessment-and-management-pain
(Accuracy Average is 4.00 Overall Average is 3.932) 

Education

International Association for the Study of Pain (IASP): IASP Curriculum Outline on Pain for Nursing
http://www.iasp-pain.org/AM/Template.cfm?Section=Nursing
(Accuracy Average is 4.83 Overall Average is 4.430)

University of Wisconsin School of Medicine and Public Health: Pain Management: Basic Definitions & Clinical Implications
http://projects.hsl.wisc.edu/GME/PainManagement/session2.1.html
(Accuracy Average is 4.66 Overall Average is 4.331)
Pain Treatment Topics: Pain & Disability Assessment Tools
http://pain-topics.org/clinical_concepts/assess.php
(Accuracy Average is 4.33 Overall Average is 4.098)

Patient Safety and Quality: An Evidence-Based Handbook for Nurses Chapter 17: Improving the Quality of Care through Pain Assessment and Management
http://www.ncbi.nlm.nih.gov/books/NBK2658/
(Accuracy Average is 4.30 Overall Average is 3.992)

Standard 2.  Diagnosis: The registered nurse analyzes the assessment data to determine the diagnosis or issues.  

Practice  

International Association for the Study of Pain (IASP): Classification of
Chronic Pain
http://www.iasp-pain.org/AM/Template.cfm?Section=Classification
_of_Chronic_Pain&Template=/CM/HTMLDisplay.cfm&ContentID=2687

(Accuracy Average is 4.83 Overall Average is 4.596)

National Institutes of Health: National Institute of Neurological Disorders and Stroke: Disorders Index: Pain
http://www.ninds.nih.gov/disorders/disorder_index.htm
(Accuracy Average is 4.66 Overall Average is 4.196)

Education

National Institutes of Health: National Institute of Neurological Disorders and Stroke: Pain: Hope through Research
http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm
(Accuracy Average is 4.66 Overall Average is 4.196)

International Association for the Study of Pain (IASP): Pain: Clinical Updates
http://www.iasp-pain.org/AM/Template.cfm?Section=Clinical_Updates&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=5&ContentID=1566
(Accuracy Average is 4.16 Overall Average is 3.996)

Standard 3.  Outcome Identification: The registered nurse identifies expected outcomes for an individualized plan.

Practice

American Society of Pain Management Nursing: A Study on the Correlation Between the Nurses’ and Patients’ Postoperative Pain Assessments
http://www.painmanagementnursing.org/
(Accuracy Average is 4.33 Overall Average is 4.130)

Education

City of Hope Pain & Palliative Care Resource Center: Categories of Materials
http://prc.coh.org/
(Accuracy Average is 4.50 Overall Average is 4.198)

American Medical Association (AMA) On Line Learning Center: Module 10: Pain Management Overview and Assessment of Cancer Pain
https://cme.ama-assn.org/Activity/1729100/Detail.aspx
(Accuracy Average is 4.40 Overall Average is 4.000)

Institute of Medicine: Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education and Research
http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research/Report-Brief.aspx
(Accuracy Average is 4.33 Overall Average is 4.164)

Standard 4.  Planning:   The registered nurse develops a plan of care that prescribes strategies and interventions to attain expected outcomes.

Practice

City of Hope Pain & Palliative Care Resource Center: VI.  Education:
A. Professional Competencies and Educational Programs
http://prc.coh.org/ProfComp.asp
(Accuracy Average is 4.66 Overall Average is 4.43)

U.S. Department of Health & Human Services: Agency for Healthcare Research and Quality: Practice Guidelines for Acute Pain Management in the Perioperative Setting
http://www.guideline.gov/content.aspx?id=35259
(Accuracy Average is 4.33 Overall Average is 4.366)

U.S. Department of Health & Human Services: Agency for Healthcare Research and Quality: Pain Management
http://www.guideline.gov/search/search.aspx?term=pain+management
(Accuracy Average is 4.16 Overall Average is 4.196)

Education

U.S. Department of Health & Human Services: Agency for Healthcare Research and Quality: Pain Management Education
http://www.guideline.gov/search/search.aspx?term=pain+management
+education

(Accuracy Average is 4.00 Overall Average is 4.164)

Standard 5.  Implementation: The nurse develops interventions identified in the plan.  

Practice

McMaster University: CHSRF/CIHR: Advance Practice Nurse Tool Kit
http://apntoolkit.mcmaster.ca/index.php?option=com_content&view=section&id=9&Itemid=71
(Accuracy Average is 4.00  Overall Average is 3.310)

Education

International Association for the Study of Pain (IASP): Global Year Against Cancer Pain: Fact Sheets
http://www.iasp-pain.org/AM/Template.cfm?Section=Fact_Sheets1&Template=/CM/HTMLDisplay.cfm&ContentID=7198
(Accuracy Average is 4.50 Overall Average is 4.366)

The Joint Commission: Pain Management
http://www.jointcommission.org/topics/pain_management.aspx
(Accuracy Average is 4.33 Overall Average is 3.980)

City of Hope Pain & Palliative Care Resource Center: V. Special Considerations in Palliative Care
http://prc.coh.org/culture.asp
(Accuracy Average is 4.17 Overall Average is 4.400)

Standard 5A. Coordination of Care Standard Practice

City of Hope Pain & Palliative Care Resource Center: IV. Pain and Symptom Management C. Complementary, Alternative, and Integrative Approaches
http://prc.coh.org/complementary.asp
(Accuracy Average is 4.67 Overall Average is 4.432)

Education in Palliative and End-of Life Care (EPEC)
http://www.epec.net/
(Accuracy Average is 4.50 Overall Average is 4.132)

Education

Partners Against Pain: Finding Pain Care
http://www.partnersagainstpain.com/pain-management-resources/tips.aspx
(Accuracy Average is 4.50 Overall Average is 4.400)

PainEDU.org: Clinical Tools
https://www.painedu.org/tools.asp?Tool=7
(Accuracy Average is 4.20 Overall Average is 4.000)

Standard 5B.  Health Teaching and Health Promotion Practice

There were no websites within this practice standard that achieved an average accuracy rating of 4.0 or greater among all the reviewers.

Education

FDA Drug Safety Communication: Prescription Acetaminophen Products to be Limited to 325 mg Per Dosage Unit; Boxed Warning Will Highlight Potential for Severe Liver Failure
http://www.fda.gov/Drugs/DrugSafety/ucm239821.htm
(Accuracy Average is 4.83 Overall Average is 4.630)

University of Wisconsin School of Medicine and Public Health: Pain Management: Conditions and Treatments
http://www.uwhealth.org/chronic-pain/conditions-and-treatments/10286
(Accuracy Average is 4.33 Overall Average is 3.832)

City of Hope Pain & Palliative Care Resource Center: IX.  Research Instruments/Resources
http://prc.coh.org/res_inst.asp
(Accuracy Average is 4.20 Overall Average is 4.280)

NIH: Center for Scientific Review: Risk, Prevention and Health Behavior
IRG [RPHB]
http://public.csr.nih.gov/StudySections/IntegratedReviewGroups/RPHBIRG/Pages/default.aspx
(Accuracy Average is 4.20 Overall Average is 4.120)

Standard 5C.  Consultation (Graduate Prepared Specialty or Advanced Practice Nurse)

Practice

PainEDH.org: Medication Safety and Managing Pain
https://www.painedu.org/course_in_a_box11.asp
(Accuracy Average is 4.20 Overall Average is 4.000)

PainEDH.org: Safe Use of OTC Pain Medications
https://www.painedu.org/course_in_a_box10.asp
(Accuracy Average is 4.20 Overall Average is 3.960)

Beth Israel Medical Center: Department of Pain Medicine and Palliative Care
http://www.stoppain.org/
(Accuracy Average is 4.16 Overall Average is 3.964)

Education

PainEDU.org: Articles
https://www.painedu.org/articles_timely.asp?ArticleNumber=94 
(Accuracy Average is 4.67 Overall Average is 4.298)

MD Anderson: The Brief Pain Inventory (BPI)
http://www.mdanderson.org/education-and-research/departments-programs-and-labs/departments-and-divisions/symptom-research/symptom-assessment-tools/brief-pain-inventory.html
(Accuracy Average is 4.60 Overall Average is 4.280)

University of Wisconsin School of Medicine and Public Health: Pain and Policy Studies Group
http://www.painpolicy.wisc.edu/achieving-balance-federal-and-state-pain-policy-guide-evaluation
(Accuracy Average is 4.00 Overall Average is 3.760)

Standard 5D.  Prescriptive Authority and Treatment: (Advance Practice Nurse)

Practice

FDA Drug Safety Communication: Drug Safety and Availability:
Opioid Medications
http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm337066.htm
(Accuracy Average is 4.67 Overall Average is 4.600)

U.S. Department of Justice: Office of Diversion Control
http://www.deadiversion.usdoj.gov/
(Accuracy Average is 4.67 Overall Average is 4.334)

University of Wisconsin School of Medicine and Public Health: Regulatory Issues & Addictions: Responsible Opioid Prescribing
http://projects.hsl.wisc.edu/GME/PainManagement/session6.1.html
(Accuracy Average is 4.17 Overall Average is 3.834)

Education

Centers for Disease Control and Prevention (CDC): Prescription Painkiller Overdoses in U.S.
http://www.cdc.gov/vitalsigns/PainkillerOverdoses/
(Accuracy Average is 4.83 Overall Average is 4.600)

American Society of Pain Management Nursing: Pain Management in Patients with Substance Abuse Disorders
http://www.aspmn.org/organization/position_papers.htm
(Accuracy Average is 4.80 Overall Average is 4.360)

American Society of Pain Management Nursing: Authorized Agents
Controlled Analgesics
http://www.aspmn.org/organization/position_papers.htm
(Accuracy Average is 4.60 Overall Average is 4.440)

Prescribers’ Clinical Support System for Opioid Therapies (PCSS-O) Training
http://www.pcss-o.org/
(Accuracy Average is 4.33 Overall Average is 3.964)

Standard 6.  Evaluation: The registered nurse evaluates progress toward attainment of outcomes  

Practice

There were no websites within this practice standard that achieved an average accuracy rating of 4.0 or greater among all of the reviewers.

Education

American Medical Association: On Line Learning Center: Pain Management
https://cme.ama-assn.org/Education.aspx
(Accuracy Average is 4.50 Overall Average is 4.432)

PainEDU.org: Medication Related Adverse Effects
https://www.painedu.org/course_in_a_box6.asp
(Accuracy Average is 4.20 Overall Average is 3.760)

PainEDU.org: Opioid Risk Management: SOAPP ®
https://www.painedu.org/course_in_a_box3.asp
(Accuracy Average is 4.20 Overall Average is 3.760)

PainEDU.org: The Logic of Successful Pain Management
https://www.painedu.org/course_in_a_box2.asp
(Accuracy Average is 4.20 Overall Average is 3.760)

 

Contact Information

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