Pre-hospital pain management patterns and triage nurse documentation

Fry, Margaret; Hearn, Jennifer; McLaughlin, Therese

doi:10.1016/j.ienj.2011.07.002

Cited by 9 publications

(9 citation statements)

References 25 publications

(28 reference statements)

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“…If we are to improve the time to analgesia for this vulnerable ED patient group, nurse-initiated pain management policies and guidelines need to be revised to enable nurses to initiate and provide appropriate analgesics. We must improve pain management given that multiple studies (Fry et al, 2004;Arendts and Fry, 2006;Fry et al, 2011;2012), including this study, continue to identify an issue with the timely delivery of analgesia for older people, particularly for those with a cognitive impairment.…”

Section: Discussionmentioning

confidence: 99%

Cognitive impairment is a risk factor for delayed analgesia in older people with long bone fracture: a multicenter exploratory study

Fry

Arendts

Chenoweth

et al. 2014

Int. Psychogeriatr.

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Background: Older people who present to the emergency department (ED) often experience a significant delay to analgesia. This study compares the time to analgesia for cognitively impaired and cognitively intact older people diagnosed with a long bone fracture. Methods: The aim of the study was to determine if cognitive impairment is associated with a delayed analgesic response. A 12-month exploratory study, using patient data, was conducted across four EDs. Medical records of 264 patients with long bone fractures were randomly selected. Results: The majority of patients waited longer than 60 minutes for analgesia. The median time to analgesia was longer for the cognitively impaired (149 minutes) compared with cognitively intact (72 minutes; Mann-Whitney U test: p < 0.001). Conclusions: This study suggests that cognitive impairment is a significant risk factor for delayed analgesia response in the ED.

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Section: Discussionmentioning

confidence: 99%

Cognitive impairment is a risk factor for delayed analgesia in older people with long bone fracture: a multicenter exploratory study

Fry

Arendts

Chenoweth

et al. 2014

Int. Psychogeriatr.

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“…To increase the understanding of how managers relate to a patient group, patients with acute abdominal pain (AAP) have been chosen since it is an internationally common patient group in acute care (Falch et al, 2014;Fry, Hearn, & McLaughlin, 2012). Studies have shown the need for improvements as these patients often report poor pain management, lack of information, and limited participation and engagement from health professionals that reduce the patients confidence in health care and can cause long-term consequences (Feo, Donnelly, Muntlin Athlin, & Jangland, 2019;Jangland, Kitson, & Muntlin Athlin, 2016;Muntlin Athlin, Carlsson, Safwenberg, & Gunningberg, 2011;Schultz, Qvist, Mogensen, & Pedersen, 2014).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Who is in charge of the care of patients with acute abdominal pain? An interview study with managers across the acute care chain

Tegelberg

Jangland

Juhlin

et al. 2019

Journal of Clinical Nursing

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Aim and objectives To describe managers' perspectives on the care of patients with acute abdominal pain and explore how they influence the care. Background Patients with acute abdominal pain form a common group of patients who often report poor pain management. Managers are key actors in ensuring that patients receive high‐quality care. This stresses the need to deepen the understanding of their perspectives on these patients, in order to provide high‐quality fundamental care across the acute care chain. Design Qualitative descriptive semi‐structured interview study, with an inductive approach. The Consolidated Criteria for Reporting Qualitative Research (COREQ) was used. Methods Individual interviews were conducted with managers (n = 17) from ambulance services, emergency departments and surgical departments at four hospitals in Sweden, representing managers at the micro‐ and macrolevels across the acute care chain. Results The patient group was described as a challenging heterogeneous group, with a focus on medical care, shaped by clinical practice guidelines, for which others were responsible. Managers with a physician background expressed that nursing care was important for the outcome of the care, while managers with a nursing background focused solely on the medical care. Additionally, the managers described that they affected the care by providing resources and serving as role models. Conclusions The solely medical perspective is worrying. By being a stakeholder, the managers' responsibility should be to highlight the patient perspective in the care and promote and support all health professionals in redesigning the care, where achieving higher quality both in nursing and in medical care for patients with acute abdominal pain becomes a shared goal. Relevance to clinical practice Managers should use their leadership to bridge the gap between medicine and nursing care by highlighting patients' need for fundamental care, and to support health professionals in providing evidence‐based and high‐quality care.

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“…However, few studies have analysed caregiver–patient interactions on the issue of pain credibility, beside Baszanger's studies on pain medicine (Baszanger, , ) and Dodier's work on occupational medicine (Dodier, ). Specifically, in the ED context, there is a need of qualitative research to explore what are the beliefs and attitudes of triage nurses towards pain assessment tools and how they use them (Fry, Hearn, & McLaughlin, ).…”

Section: Introductionmentioning

confidence: 99%

Pain assessment by emergency nurses at triage in the emergency department: A qualitative study

Vuille

Foerster

Foucault

2017

Journal of Clinical Nursing

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Pre-hospital pain management patterns and triage nurse documentation

Abstract: Unnecessary suffering may be avoided if the public had a better understanding of pain and the benefits of pain management. Further research is required to better understand the beliefs and attitudes towards pain and pain management by clinicians and the public.

Cited by 9 publications

References 25 publications

Cognitive impairment is a risk factor for delayed analgesia in older people with long bone fracture: a multicenter exploratory study

Cognitive impairment is a risk factor for delayed analgesia in older people with long bone fracture: a multicenter exploratory study

Who is in charge of the care of patients with acute abdominal pain? An interview study with managers across the acute care chain

Pain assessment by emergency nurses at triage in the emergency department: A qualitative study

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