Evidence map›Paper›PMID 41732221›Full record

ArticleInternational journal of nursing studies advances2026

Impact of a nurse anesthetist student-led training program on perioperative pain management in total knee replacement: A prospective before and after study.

Elie Guillen, Matthieu Jabaudon, Marc Garnier, Cathy Paulet, Cécile Vermeersch

Abstract read
In one paragraph

Article in International journal of nursing studies advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elie GuillenSchool of Nursing Anesthesia, CHU Clermont-Ferrand and Université Clermont Auvergne, Clermont-Ferrand, France.
Matthieu JabaudonSchool of Nursing Anesthesia, CHU Clermont-Ferrand and Université Clermont Auvergne, Clermont-Ferrand, France.
Marc GarnierSchool of Nursing Anesthesia, CHU Clermont-Ferrand and Université Clermont Auvergne, Clermont-Ferrand, France.
Cathy PauletSchool of Nursing Anesthesia, CHU Clermont-Ferrand and Université Clermont Auvergne, Clermont-Ferrand, France.
Cécile VermeerschSchool of Nursing Anesthesia, CHU Clermont-Ferrand and Université Clermont Auvergne, Clermont-Ferrand, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective perioperative pain management is essential for patients undergoing total knee replacement. This study assessed professional practices related to perioperative pain evaluation and management at a French university hospital and evaluated the impact of a training program led by nurse anesthetist students. Methods: We conducted a prospective, single-center, observational before-after study (convenience sampling) from September 2022 to May 2023 at Clermont-Ferrand university hospital, France. Data were collected from paper medical records and a structured questionnaire administered to paramedical professionals. Pain assessment practices (traceability of numerical rating scale scores) and analgesic management were evaluated across four phases: two practice-assessment phases separated by a two-step training program. Results: Data from 51 to 85 patient medical records before the training (Phase 1) and 85 after the training (Phase 4) were analyzed. A total of 74 % of operating room staff and 58 % of orthopedic-ward staff completed the questionnaire used to develop the training program. Numerical rating scale traceability on orthopedic-ward admission improved from 29.6 % to 48.2 % ( Conclusions: The nurse anesthetist student-led training program improved several aspects of perioperative pain evaluation and management in total knee replacement patients, particularly documentation and analgesic practices. These results highlight the value of involving nurse anesthetist students in quality-improvement initiatives and identify remaining gaps for future targeted interventions.

Indexed as

Nurse anesthetistsOrthopedicsPainPain measurementSurgeryTraining

Identifiers

PMID41732221
PMCPMC12925520

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.