Meta-analysis of pain and stress in emergency department patients

Krzyszycha, Renata; Goniewicz, Mariusz; Goniewicz, Krzysztof; Pawłowski, Witold; Wańkowicz, Piotr

doi:10.1515/pjph-2016-0034

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…Although literature regarding patients´ experience of pain in ED [6.7], and their dissatisfaction with its management [18, 19] is abundant, little is known about how health professionals, particularly emergency nurses, contribute in decision making regarding pain management. As a result, evidence about emergency nurses’ knowledge and attitude with respect to pain and its management is lacking.…”

Section: Introductionmentioning

confidence: 99%

Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

Kahsay

Pitkäjärvi

2019

BMC Nurs

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BackgroundPain is a common phenomenon among emergency patients which may lead to chronic pain conditions and alteration of physiological function. However, it is widely reported that proper pain assessment and management, which is often accomplished by adequately trained nurses reduce the suffering of patients. Therefore, the aim of this study was to assess the emergency nurses´ knowledge, attitude and perceived barriers regarding pain management.MethodsA cross-sectional quantitative study design was applied to determine the nurses´ knowledge level, attitude and the perceived barriers related to pain management. Hundred twenty-six nurses from the emergency departments of seven referral hospitals of Eritrea participated in the study. Data were collected in August and September 2017. Both descriptive and inferential statistics were used to summarize and elaborate on the results.ResultIn general, the knowledge level and attitude of the emergency nurses was poor. The participants’ correct mean score was 49.5%. Nurses with Bachelor’s Degree had significantly higher knowledge and attitude level compared to the nurses at the Diploma and Certificate level of professional preparation (95% CI = 7.1–16.7 and 9.4–19.1; p < 0.001) respectively. Similarly, nurses who had previous training regarding pain scored significantly higher knowledge level compared to those without training (95% CI =1.82–8.99; p = 0.003). The highest perceived barriers to adequate pain management in emergency departments were measured to be overcrowding of the emergency department (2.57 ± 1.25), lack of protocols for pain assessment (2.45 ± 1.52), nursing workload (2.44 ± 1.29) and lack of pain assessment tools (2.43 ± 1.43). There was no significant difference in perceived barriers among nurses with different demographic characteristics.ConclusionThe emergency nurses’ knowledge and attitude regarding pain management were poor. Nurses with higher educational level and nurses with previous training scored significantly higher knowledge level. This indicates the need for nursing schools and the ministry of health to work together to educate nurses to a higher level of preparation for pain assessment and management.

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Section: Introductionmentioning

confidence: 99%

Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

Kahsay

Pitkäjärvi

2019

BMC Nurs

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Gender and Age as Varia Bles Impacting Stress Level and Strategies of Dealing With It by Paramedics

et al. 2020

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Introduction: Stress is present in every part of human life. It can be encountered especially among people, who due to the nature of their jobs, have to make quick and adequate decisions. The profession that can be included in this group is paramedic. The aim: To analyse the level of stress and strategies of dealing with it among paramedics taking into account gender and age of the sample group. Material and methods: The sample size consisted of 120 paramedics working for Emergency Medical Service. The survey was carried out from May to October 2017. The participation was voluntary and anonymous. As an estimate of tested parameters PSS-10 test was used to assess level of stress and mini-COPE test to assess strategies of dealing with stress. The analysis was carried out using STATISTICA 12 software. Results: 49 women took part in the survey, who consisted of 40.83% of the whole sample size. Statistical analysis showed significant correlation between the level of stress and gender. Women were more impacted by stress in their job. The most popular strategy of dealing with stress for both genders were undertaking actions and planning. Statistically significant difference was shown for 5 strategies: seeking emotional and instrumental support, denial, stopping actions as well as blaming yourself and all of them were more frequently chosen by women. Age was not a significant factor in terms of level of stress encountered, however played important role in strategies undertaken to deal with stress which was blaming yourself. Conclusions: Stress in paramedics’ job is a key issue. Choosing appropriate strategy of dealing with stress by paramedics can help them to keep optimal level of stress at work and it should be used in motivating and effective way.

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Meta-analysis of pain and stress in emergency department patients

Cited by 2 publications

References 29 publications

Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

Gender and Age as Varia Bles Impacting Stress Level and Strategies of Dealing With It by Paramedics

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