Evidence-Based Practice Standard Care for Acute Pain Management in Adults With Sickle Cell Disease in an Urgent Care Center

Kim, Sunghee; Brathwaite, Ron; Kim, Ook

doi:10.1097/qmh.0000000000000135

Cited by 8 publications

(24 citation statements)

References 28 publications

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“…Five different studies (Bernier et (Kim et al, 2017) reported improvement (not statistically significant) in knowledge and awareness of rapid pain management within 30 min of triage and sustained six months postimplementing the use of EBPSC algorithm.…”

Section: Outcome 1: Positive Improvement In Knowledgementioning

confidence: 99%

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A rapid evidence assessment of sickle cell disease educational interventions

Oti

Heyes

Bruce

et al. 2022

Journal of Clinical Nursing

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Aims and objectives To assess the impact of educational interventions on the knowledge and attitude of healthcare professionals (HCPs) regarding sickle cell disease (SCD) pain management in the UK. Background Variations and inadequate pain management due toHCPs’ lack of knowledge and negative attitude is still an ongoing global concern for SCD patients despite availability of effective treatment and evidence‐based guidelines. Several international studies have implemented interventions aimed at improving knowledge, attitude, and pain management. No review on the effectiveness of these interventions was found. Also, no previous intervention done in the UK was found from the thorough search of research databases. However, there are estimated 240,000 genetic carriers with about 12,500–15,000 estimated people living with SCD in the UK. Design Rapid Evidence Assessment of existing evidence. Methods A rapid evidence assessment was conducted between March 2021–January 2022 following the PRISMA 2020 guidelines. Included papers must have an educational intervention about SCD or related symptom management where the learners were HCPs. Excluded papers were those not published in English or before 2010. The following databases were searched: CINAHL, MEDLINE, PubMed America and Europe, Scopus, PsycINFO and Web of Science. Data quality was assessed using the Mixed Methods Assessment Tool (MMAT) and analysed using a narrative approach. Results Ten studies were included in the final review. Overall, they reported improved outcomes in six main themes: knowledge, attitude, perception, adoption, satisfaction and efficiency. Five studies reported statistically significant improvement in at least one outcome, four studies reported positive improvement, and two studies reported no significant improvement in knowledge and attitude. These heterogeneous studies were implemented once, and all designs were prone to bias; this makes it difficult to state how effective interventions are for SCD. Conclusion Current evidence of positive improvement in HCPs’ knowledge and attitude is insufficient for generalisation and recommendation for adoption. However, we believe that implementing validated educational interventions remains essential for effective acute SCD pain management and patient‐centred care. Further research is needed to find a suitable educational intervention that can be replicated. Relevance to clinical practice Quality SCD education, timely crisis management and reduced patient stigma are crucial in reducing the risk of rapid clinical decompensation to avoid developing life‐threatening complications. Understanding SCD can also support the building of therapeutic relationships between the patient and practitioner. Trial registration This review was not registered.

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Section: Outcome 1: Positive Improvement In Knowledgementioning

confidence: 99%

“…Two studies (Kim et al, 2017;Yacoub et al, 2019) and planned conferences and retreats (Haywood et al, 2015). One study did not report the length of interventions (Hanik et al, 2014).…”

Section: Study Interventions and Strategies For Implementationmentioning

confidence: 99%

A rapid evidence assessment of sickle cell disease educational interventions

Oti

Heyes

Bruce

et al. 2022

Journal of Clinical Nursing

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“…Therefore, using individualized opioid dosing with earlier administration of early analgesia with a maximum opioid dose would result in a shorter hospital stay [ 24 ]. Kim et al evaluated outcomes in SCD patients during VOEs in an urgent care (UC) center following implementation of evidence-based practice standard care (EBPSC), including the meantime for administering the first analgesic dose, the mean length of stay, and overall patient’s satisfaction, and concluded that implementing EBPSC had resulted in improvement in the management of VOEs as well as provided patients with positive experiences [ 25 ].…”

Section: Reviewmentioning

confidence: 99%

Opioid Use in Patients With Sickle Cell Disease During a Vaso-Occlusive Crisis: A Systematic Review

Arzoun¹,

Srinivasan²,

Sahib³

et al. 2022

Cureus

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Sickle cell disease (SCD) affects the red blood cells, which become sickle-shaped, leading to their adhesion to vascular walls, impeding blood flow and causing the unpredictable, abrupt onset of intense pain episodes in the form of vaso-occlusive crises (VOC) as well as affecting multiple organ systems. The primary aim of this review is to assess the effectiveness of opioid analgesic intervention for pain management in sickle cell disease during an acute painful crisis. A literature search was done electronically on PubMed Central (PMC), PubMed, and Google Scholar databases. The reports included in the study were from 2010 to 2021, and the bibliographies of retrieved studies are included in the references. This systematic review was undertaken as per the Preferred Reporting Items for Systematic Review and Meta-Analysis. This study included reports discussing opioid analgesics in SCD patients during VOC in different settings. After extensive research, there were no clear current opioid treatment patterns described, and our conclusion suggested conducting more evidence-based research to improve the quality of VOC management and outcome.

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“…A seminar study conducted by Kim, Brathwaite and Kim (2017) to investigate rapid pain management for individuals with SCD suggests the implementation of Evidence-Based Practice Standard Care (EBPSC) as a crucial step for improving the management of VOEs. In that, EBPSC enhances the quality of care in the SCD population.…”

Section: Defining Sickle Cell Diseasementioning

confidence: 99%

Raising awareness of sickle cell disease for healthcare assistant practice: Nigerian perspectives

Arije-Bosun

Hayes

2017

British Journal of Healthcare Assistants

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Raising awareness of Sickle Cell Disease for Healthcare Assistants (HCAs) is important if they are to understand not only key aspects of the condition but also if they are to communicate effectively with people and their families and carers that may be amid acute illness or its potentially devastating aftermath. Sickle cell disorder (SCD) is a life-threatening genetic disorder due to abnormal haemoglobin. The condition is most prevalent in Africa. Over 10%-40% of African people carry sicklecell trait (SCT) leading to an estimated sickle cell prevalence of at least 2%. Nigeria has the largest population of people with SCD in the world. Over 25% of Nigerians are healthy carriers of SCT. Couples with SCT face a high likelihood of passing the condition to their children. This explains why over 150,000 babies with SCD are born in Nigeria every year. Having a working knowledge of the condition and its implications is useful for HCAs who may be working in areas of the UK with high percentages of Nigerian families in local communities such as the South East of England. This article provides a holistic insight into the condition for HCAs and key considerations for everyday clinical practice when working with individuals or families.

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Evidence-Based Practice Standard Care for Acute Pain Management in Adults With Sickle Cell Disease in an Urgent Care Center

Cited by 8 publications

References 28 publications

A rapid evidence assessment of sickle cell disease educational interventions

A rapid evidence assessment of sickle cell disease educational interventions

Opioid Use in Patients With Sickle Cell Disease During a Vaso-Occlusive Crisis: A Systematic Review

Raising awareness of sickle cell disease for healthcare assistant practice: Nigerian perspectives

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