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Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study
PURPOSE: The aim of this prospective study was to assess the behavior of emergency department (ED) nurses with regard to pain and their role in pain management in a real-life clinical setting. METHODS: A total of 509 consecutive patients were enrolled during a 6-week period. A case-report form was u...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7519805/ https://www.ncbi.nlm.nih.gov/pubmed/33061550 http://dx.doi.org/10.2147/JPR.S266087 |
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author | Sardo, Salvatore Galletta, Maura Coni, Erica Aviles Gonzalez, Cesar Ivan Piras, Ilenia Pia, Giorgio Evangelista, Maurizio Musu, Mario Finco, Gabriele |
author_facet | Sardo, Salvatore Galletta, Maura Coni, Erica Aviles Gonzalez, Cesar Ivan Piras, Ilenia Pia, Giorgio Evangelista, Maurizio Musu, Mario Finco, Gabriele |
author_sort | Sardo, Salvatore |
collection | PubMed |
description | PURPOSE: The aim of this prospective study was to assess the behavior of emergency department (ED) nurses with regard to pain and their role in pain management in a real-life clinical setting. METHODS: A total of 509 consecutive patients were enrolled during a 6-week period. A case-report form was used to collect data on nurses’ approaches to pain, time to analgesia provision, and patient-perceived quality of analgesia. RESULTS: Triage nurses actively inquired about pain in almost every case, but they did not estimate pain intensity in a third of patients. In the majority of cases, triage nurses did not report pain-related findings to the physician, who was the only professional that could prescribe analgesia to patients. The assignment of the color-coding of triage by nurses appears to be related to the perceived severity of the clinical case and a more comprehensive evaluation of pain. More than half of patients were at least fairly satisfied with analgesia. CONCLUSION: Pain is increasingly screened during triage, but its comprehensive assessment and management still lack systematic application. We believe that further education and implementation of analgesia protocols may empower nurses to manage ED patients’ pain more effectively and in a more timely manner. |
format | Online Article Text |
id | pubmed-7519805 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-75198052020-10-14 Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study Sardo, Salvatore Galletta, Maura Coni, Erica Aviles Gonzalez, Cesar Ivan Piras, Ilenia Pia, Giorgio Evangelista, Maurizio Musu, Mario Finco, Gabriele J Pain Res Original Research PURPOSE: The aim of this prospective study was to assess the behavior of emergency department (ED) nurses with regard to pain and their role in pain management in a real-life clinical setting. METHODS: A total of 509 consecutive patients were enrolled during a 6-week period. A case-report form was used to collect data on nurses’ approaches to pain, time to analgesia provision, and patient-perceived quality of analgesia. RESULTS: Triage nurses actively inquired about pain in almost every case, but they did not estimate pain intensity in a third of patients. In the majority of cases, triage nurses did not report pain-related findings to the physician, who was the only professional that could prescribe analgesia to patients. The assignment of the color-coding of triage by nurses appears to be related to the perceived severity of the clinical case and a more comprehensive evaluation of pain. More than half of patients were at least fairly satisfied with analgesia. CONCLUSION: Pain is increasingly screened during triage, but its comprehensive assessment and management still lack systematic application. We believe that further education and implementation of analgesia protocols may empower nurses to manage ED patients’ pain more effectively and in a more timely manner. Dove 2020-09-22 /pmc/articles/PMC7519805/ /pubmed/33061550 http://dx.doi.org/10.2147/JPR.S266087 Text en © 2020 Sardo et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Sardo, Salvatore Galletta, Maura Coni, Erica Aviles Gonzalez, Cesar Ivan Piras, Ilenia Pia, Giorgio Evangelista, Maurizio Musu, Mario Finco, Gabriele Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study |
title | Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study |
title_full | Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study |
title_fullStr | Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study |
title_full_unstemmed | Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study |
title_short | Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study |
title_sort | nurses’ behavior regarding pain treatment in an emergency department: a single-center observational study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7519805/ https://www.ncbi.nlm.nih.gov/pubmed/33061550 http://dx.doi.org/10.2147/JPR.S266087 |
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