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To assess patients pain in intensive care: developing and testing the Swedish version of the Behavioural Pain Scale

Hylén, Mia LU ; Alm-Roijer, Carin ; Idvall, Ewa and Åkerman, Eva (2019) In Intensive and Critical Care Nursing 52. p.28-34
Abstract
Objectives
The Behavioural Pain Scale has previously been translated into Swedish and psychometrically tested. One of the domains- ‘compliance with ventilation’- did not show equally as good psychometric proprieties as the other domains, which led to the question whether a development of that domain would be beneficial. This study aimed to develop the domain of ‘breathing pattern’ in the Swedish version of the Behavioural Pain Scale and then test the instrument for discriminant validity, inter-rater reliability and criterion validity.

Method
The domain ‘breathing pattern’ was developed and included when the Swedish version of the Behavioural Pain Scale was psychometrically tested in 360 paired... (More)
Objectives
The Behavioural Pain Scale has previously been translated into Swedish and psychometrically tested. One of the domains- ‘compliance with ventilation’- did not show equally as good psychometric proprieties as the other domains, which led to the question whether a development of that domain would be beneficial. This study aimed to develop the domain of ‘breathing pattern’ in the Swedish version of the Behavioural Pain Scale and then test the instrument for discriminant validity, inter-rater reliability and criterion validity.

Method
The domain ‘breathing pattern’ was developed and included when the Swedish version of the Behavioural Pain Scale was psychometrically tested in 360 paired assessments.

Results
The instrument showed discriminant validity through a significant positive change on the scale before and during turning and inter-rater reliability with an absence of significant disagreement on the scale between the paired assessments. The developed domain had a better result in discriminant validity than the original domain. The instrument also showed higher sensitivity in discriminating pain compared to assessment without an instrument.

Conclusion
The Swedish version of the Behavioural Pain Scale, with a developed domain for ‘breathing pattern’ showed to be a reliable instrument for pain assessment in the adult intensive-care patient. (Less)
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author
; ; and
publishing date
type
Contribution to journal
publication status
published
in
Intensive and Critical Care Nursing
volume
52
pages
28 - 34
publisher
Elsevier
external identifiers
  • scopus:85062105810
ISSN
1532-4036
DOI
10.1016/j.iccn.2019.01.003
language
English
LU publication?
no
id
edda1716-bbb2-4024-8db6-b81995ccf480
date added to LUP
2022-11-28 13:57:13
date last changed
2023-06-30 04:00:39
@article{edda1716-bbb2-4024-8db6-b81995ccf480,
  abstract     = {{Objectives<br/>The Behavioural Pain Scale has previously been translated into Swedish and psychometrically tested. One of the domains- ‘compliance with ventilation’- did not show equally as good psychometric proprieties as the other domains, which led to the question whether a development of that domain would be beneficial. This study aimed to develop the domain of ‘breathing pattern’ in the Swedish version of the Behavioural Pain Scale and then test the instrument for discriminant validity, inter-rater reliability and criterion validity.<br/><br/>Method<br/>The domain ‘breathing pattern’ was developed and included when the Swedish version of the Behavioural Pain Scale was psychometrically tested in 360 paired assessments.<br/><br/>Results<br/>The instrument showed discriminant validity through a significant positive change on the scale before and during turning and inter-rater reliability with an absence of significant disagreement on the scale between the paired assessments. The developed domain had a better result in discriminant validity than the original domain. The instrument also showed higher sensitivity in discriminating pain compared to assessment without an instrument.<br/><br/>Conclusion<br/>The Swedish version of the Behavioural Pain Scale, with a developed domain for ‘breathing pattern’ showed to be a reliable instrument for pain assessment in the adult intensive-care patient.}},
  author       = {{Hylén, Mia and Alm-Roijer, Carin and Idvall, Ewa and Åkerman, Eva}},
  issn         = {{1532-4036}},
  language     = {{eng}},
  pages        = {{28--34}},
  publisher    = {{Elsevier}},
  series       = {{Intensive and Critical Care Nursing}},
  title        = {{To assess patients pain in intensive care: developing and testing the Swedish version of the Behavioural Pain Scale}},
  url          = {{http://dx.doi.org/10.1016/j.iccn.2019.01.003}},
  doi          = {{10.1016/j.iccn.2019.01.003}},
  volume       = {{52}},
  year         = {{2019}},
}