Patient Pain Experiences and the Emergency Department Encounter: A Qualitative Analysis

被引:6
作者
Punches, Brittany E. [1 ,2 ]
Brown, Jennifer L. [3 ,4 ]
Soliman, Summer [5 ]
Johnson, Kimberly D.
Freiermuth, Caroline E. [5 ]
Walker, Quinn
Omololu, Shammah O.
Lyons, Michael S. [5 ,6 ]
机构
[1] Ohio State Univ, Coll Nursing, Columbus, OH 43210 USA
[2] Ohio State Univ Coll Med, Dept Emergency Med, Columbus, OH USA
[3] Univ Cincinnati Coll Arts & Sci, Dept Psychol, Cincinnati, OH USA
[4] Univ Cincinnati Coll Med, Univ Cincinnati, OhioCenter Addict Res 2, Dept Psychiat & Behav Neurosci, Cincinnati, OH USA
[5] Univ Cincinnati Coll Med, Dept Emergency Med, Cincinnati, OH USA
[6] Univ Cincinnati, Coll Nursing, Cincinnati, OH USA
关键词
PRESCRIPTIONS; PERCEPTIONS;
D O I
10.1016/j.pmn.2022.03.012
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Legislation, practice recommendations, and the likely link between therapeutic opioid exposure and iatrogenic opioid use disorder (OUD) have led to reduced opioid prescribing. The effects of this change on unrelieved pain and the overdose crisis are not well-characterized. Aim: We explored emergency department (ED) patients' beliefs and experiences involving pain and emergency care to inform the development of future psychosocial interventions that balance the need for acute pain management with risks from opioid exposure.Methods: Qualitative, semi-structured interviews were conducted after discharge from an urban, academic Level 1 trauma center ED from September 2020 to May 2021 with 18 adult patients presenting with acute pain. After transcription of audio recording, common themes were identified using framework analysis. Thematic hierarchy was validated with Pearson correlation coefficients for cluster analysis of word similarity. Results: Of the 18 participants, most were Black (n = 11, 61%) and male (n = 12, 66.7%). Analysis identified one overarching theme: locus of control with an emergency pain encounter. Four themes were identified surrounding internal and external influences on pain management: (1) accessing healthcare for acute pain; (2) managing the pain after discharge; (3) seeking opioids: self-medicating and misuse; and (4) opioid crisis makes people in pain suffer. Conclusions: Patients discharged from the ED reported unrelieved pain, factors that influence their pain management, and an ability to seek opioids from non-medical sources. There is a significant disconnect between patients and providers in terms of priorities in pain management and the importance of individualized care.(c) 2022 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:391 / 396
页数:6
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