Reducing time to analgesia in the emergency department using a nurse-initiated pain protocol: A before-and-after study

被引：31

作者：

Finn, Judith C. ^{[1
,2
,3
,4
]}

Rae, Amanda ^{[5
]}

Gibson, Nick ^{[1
]}

Swift, Roger ^{[6
]}

Watters, Tamara ^{[7
]}

Jacobs, Ian G. ^{[1
,4
]}

机构：

[1] Univ Western Australia, Discipline Emergency Med M516, Crawley, WA, Australia

[2] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic 3004, Australia

[3] Sir Charles Gairdner Hosp, Ctr Nursing Res Innovat & Qual, Nedlands, WA 6009, Australia

[4] St John Ambulance Western Australia, Belmont, WA, Australia

[5] Nickol Bay Hosp, Karratha, WA, Australia

[6] Sir Charles Gairdner Hosp, Emergency Dept, Nedlands, WA 6009, Australia

[7] Fremantle Hosp & Hlth Serv, Fremantle, WA, Australia

来源：

CONTEMPORARY NURSE | 2012年 / 43卷 / 01期

关键词：

emergency nursing; pain relief;

D O I：

10.5172/conu.2012.43.1.29

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Suboptimal management of pain in emergency departments (EDs) remains a problem, despite having been first described over two decades ago. A 'before-and-after' intervention study (with a historical control) was undertaken in one Western Australian tertiary hospital ED to test the effect of a 'nurse-initiated pain protocol' (NIPP) intervention. A total of 889 adult patients were included: 144 in the control group and 745 in the intervention group. Patients in the intervention group were: More likely to have a pain score recorded than those in the control group; have reduced median time to the first pain score; and reduced time to analgesia. The statistically significant reduction in both time to pain score and time to analgesia remained, even when adjusted by age and sex. Whilst we demonstrated the safety and efficacy of a NIPP in ED, an unacceptable proportion of patients continued to have inadequate pain relief.

引用

页码：29 / 37

页数：9

共 28 条

[11] AN AUSTRALIAN AUDIT OF ED PAIN MANAGEMENT PATTERNS [J].

Fry, Margaret ;

Bennetts, Scott ;

Huckson, Sue .

JOURNAL OF EMERGENCY NURSING, 2011, 37 (03) :269-274

[12]

Fry Margaret., 1999, AUSTR EMERGENCY NURS, V2, P31, DOI [10.1016/s1328-2743(99)80041-8, DOI 10.1016/S1328-2743(99)80041-8]

[13]

Holdgate Anna, 2003, Emerg Med (Fremantle), V15, P441, DOI 10.1046/j.1442-2026.2003.00499.x

[14] Systematic review of emergency department crowding: Causes, effects, and solutions [J].

Hoot, Nathan R. ;

Aronsky, Dominik .

ANNALS OF EMERGENCY MEDICINE, 2008, 52 (02) :126-136

[15]

Huckson S., 2007, AUDIT PAIN MANAGEMEN

[16] Simple clinical targets associated with a high level of patient satisfaction with their pain management [J].

Jao, Kathy ;

Taylor, David McD ;

Taylor, Simone E. ;

Khan, Munad ;

Chae, John .

EMERGENCY MEDICINE AUSTRALASIA, 2011, 23 (02) :195-201

[17] Pain in an emergency department: an audit [J].

Karwowski-Soulie, Fabienne ;

Lessenot-Tcherny, Stephanie ;

Lamarche-Vadel, Agathe ;

Bineau, Sebastien ;

Ginsburg, Christine ;

Meyniard, Olivier ;

Mendoza, Brigitte ;

Fodella, Pascale ;

Vidal-Trecan, Gwenaelle ;

Brunet, Fabrice .

EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2006, 13 (04) :218-224

[18]

Kelly Anne-Maree, 2005, CJEM, V7, P149

[19]

Macintyre PE, 2009, ACUTE PAIN MANAGEMENT, P204, DOI 10.1017/CBO9780511576706.016

[20] Outcomes of a nurse-initiated intravenous analgesic protocol for abdominal pain in an emergency department: A quasi-experimental study [J].

Muntlin, Asa ;

Carlsson, Marianne ;

Safwenberg, Urban ;

Gunningberg, Lena .

INTERNATIONAL JOURNAL OF NURSING STUDIES, 2011, 48 (01) :13-23

← 1 2 3 →