Table 2 Proposed follow-up survey to collect participants’ experience with the CPOT-Fam and accompanying educational module and their perceptions of pain in the ICU
A follow-up survey to solicit participants’ experiences with pain in the ICU and the pain education module (draft) | |
1) How comfortable do you feel in your ability to tell whether your family member is experiencing pain? (If applicable) O Very comfortable O Moderately comfortable O Not comfortable or uncomfortable O Moderately uncomfortable O Very uncomfortable 2) If you identify pain in your family member, do you feel empowered to act on this information? (If applicable) O. Yes O. No Why or why not? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 3) What would you do if you identified pain in your family member? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 4) Please describe your experience with using the CPOT-Fam in a few words ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5) Please describe your experience with the educational module (i.e., videos) in a few words ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |