Pain Management Documentation Quality as a Reflection of Nurses' Clinical JudgmentSamuels, Joanne G. PhD, RN; Fetzer, Susan PhD, MBA, RNJournal of Nursing Care Quality: July-September 2009 - Volume 24 - Issue 3 - p 223–231 doi: 10.1097/NCQ.0b013e318194fcec ARTICLE Abstract Author InformationAuthors Article MetricsMetrics Pain management documentation (PMD) is the chief method used by administrators, surveyors, and quality improvement managers to measure the quality of pain management. Eighty-five nurses from 2 hospitals generated 340 PMD record entries, which were scored using the Samuels PMD Rating Scale. Nurses' PMD scores ranged from 2.5 to 6.5 (SD = 0.77). Less than 50% of the entries met Joint Commission standards. Documentation results may reflect nurses' pain management clinical judgment. Targeted interventions are recommended. University of New Hampshire, Durham, New Hampshire. Corresponding Author: Joanne G. Samuels, PhD, RN, 253 Hewitt Hall, University of New Hampshire, Durham, NH 03824 (Joanne.email@example.com). Accepted for publication: June 19, 2008 © 2009 Lippincott Williams & Wilkins, Inc.