Impact of a multifaceted education program on implementing a pediatric palliative care guideline: a pilot study

BMC Medical Education

Table 1 ᅟ

Indicator	Chart review/ parental questionnaire	Ranking
Indicator	Chart review/ parental questionnaire	Times ranked	Sum rankings	Mean ranking
1. Was pain documented with a VAS score	Chart review	4	8	2
2. Was nausea documented with a VAS score	Chart review	4	8	2
3. Was dyspnea documented with a VAS score	Chart review	4	8	2
4. Was treatment of pain evaluated with a change in VAS score	Chart review	2	2	1
5. Was treatment of nausea evaluated with a change in VAS score	Chart review	2	2	1
6. Was treatment of dyspnea evaluated with a change in VAS score	Chart review	2	2	1
7. Was nausea treated with either 5-HT3-receptor antagonist/D2-receptor antagonist/H1&AChm receptor antagonist	Parental questionnaire	3	14	4.7
8. Were the next two prescriptions to treat pain known to parents	Parental questionnaire	3	11	3.7
9. Was enough pain medication present to treat the pain for 48 h	Parental questionnaire	3	11	3.7
10. Was the patient with fatigue advised to keep a diary	Parental questionnaire	2	10	5
11. Was the patient with fatigue advised to spread activities	Parental questionnaire	2	10	5

The questions for parents were: Indicator 7: Did your child suffer from nausea? If yes please check the boxes of the medication that your child received. Indicator 8: Was your child in pain? If yes; do you know what the next two steps in pain medication will be? Indicator 9: Was your child in pain? If yes; do you have enough pain medication in house to treat your child for the next 48 h? Indicator 10: Was your child tired? If yes; were you advised to keep a diary? Indicator 11: Was your child tired? If yes; were you advised to spread activities through the day?
The ranking should be interpreted as follows: the first column describes how many of the four authors have rated this indicator in his or her top ten. The second column gives the sum of the positions of the rankings. The third column gives the mean ranking calculated as column 2 divided by column 1. The lower the score in column 2 and three, the higher was the indicator ranked

ISSN: 1472-6920