Publication Date


Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Richard Keegan

Second Advisor

Denise Boren

Third Advisor

Glen Pugh


Pain perception, Mankoski pain scale


Pain is a universal phenomenon. The assessment of a patient’s pain is difficult to objectively obtain because the perception of the pain by the patient is influenced by many subjective perception variables. These variables can inflate or deflate the patient’s self-reported pain level which can adversely affect the medical provider’s ability to accurately create a treatment plan for the patient. This study compared the patient’s response to a self-rating of their pain on a numeric pain scale with the response given by the patient on the Mankoski pain scale. Comparison of the numeric pain scale to the Mankoski pain scale indicated a significant relationship between the two scales, r (218) = .83, p < .05, validating the Mankoski pain scale with acute pain patients. Although not statistically significant, the Mankoski mean score was lower compared to the numeric scores of 3, 4, 5, and 6 and was statistically significantly lower for the numeric scores of 7, 8, and 9.


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