Majid, Norhaini and Azizan, Nadira Amalina and Wan Ismail, Wan Marina and Seman, Nordianna and Abu Bakar, Siti Azuna (2025) Awareness and evaluation of the critical care pain observation tool (CPOT) implementation among critical care nurses in teaching hospital. The Malaysian Journal of Nursing, 17 (2). pp. 11-22. ISSN 2231-7007 E-ISSN 2462-246X
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Abstract
Background: Pain is subjective and unmeasurable. The gold standard for pain evaluation is self-reporting. Regrettably, pain often goes unrecognised in critically ill patients. Thus, a valid and reliable pain assessment tool is important to effectively assess pain level among critically ill patients. Objective: This study aims to identify the awareness and evaluation of the implementation of the Critical Care Pain Observation Tool (CPOT) among critical care nurses in Pusat Pakar Perubatan UiTM (PPUiTM), Malaysia. Methods: This quasi-experimental research utilised a one-group pretest-post-test design with total population sampling. Forty (40) critical care nurses from the Coronary Care Unit (CCU) or Cardiac Intensive Care Unit CICU, and Intensive Care Unit (ICU) units participated. The intervention involved training on CPOT usage. Pain awareness levels and CPOT evaluation were assessed using a validated questionnaire comprising demographic data, pain assessment awareness, and CPOT evaluation sections. Data were analysed using the Statistical Package for IBM Social Sciences (SPSS) version 27.0, with chi-square applied to assess pre- and post-intervention differences. Results: Most participants demonstrated poor pain awareness levels during the pre-test (70%), which significantly increased to 92.5% post-intervention. For the evaluation of CPOT, 77.5% of the participants would recommend using CPOT routinely in their practice. However, there are no significant associations between participant demographic data with the awareness of pain assessment and CPOT evaluation among participants for both pre- and post-tests, as the p-value recorded is >0.05. Conclusion: The interventions have effectively improved critical care nurses' understanding and awareness of critically ill patient pain assessment. The high rating of CPOT directive clarity indicates that the training provided to nurses for this study was successful
| Item Type: | Article (Journal) |
|---|---|
| Uncontrolled Keywords: | Critical Care Pain Observation Tools, CPOT Evaluation, Nurses’ Pain Awareness, Pain in Critically Ill Patients |
| Subjects: | R Medicine > RT Nursing R Medicine > RT Nursing > RT86.3 Nurse and patient |
| Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): | Kulliyyah of Nursing |
| Depositing User: | Asst. Dr. Siti Azuna Abu Bakar |
| Date Deposited: | 31 Oct 2025 11:29 |
| Last Modified: | 31 Oct 2025 11:29 |
| URI: | http://irep.iium.edu.my/id/eprint/124004 |
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