The effect of a triage pain management protocol for minor musculoskeletal injury patients in a Hong Kong emergency department

Wong, Eliza Mi Ling; Chan, H. M. S.; Rainer, Timothy; Ying, Sek

doi:10.1016/j.aenj.2007.02.003

Cited by 26 publications

(31 citation statements)

References 34 publications

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“…Experimental studies have demonstrated significant beneficial effects and the safety of NIA without any reported adverse effects. Similar results were seen in Hong Kong among patients with minor musculoskeletal injuries and the implementation of NIA also enhanced the compliance of nursing pain assessment (Wong et al 2007). Similar results were seen in Hong Kong among patients with minor musculoskeletal injuries and the implementation of NIA also enhanced the compliance of nursing pain assessment (Wong et al 2007).…”

Section: Introductionsupporting

confidence: 77%

Medication knowledge and willingness to nurse‐initiate medications in an emergency department: a mixed‐methods study

Cabilan

Eley

Hughes

et al. 2015

Journal of Advanced Nursing

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Section: Introductionsupporting

confidence: 77%

Medication knowledge and willingness to nurse‐initiate medications in an emergency department: a mixed‐methods study

Cabilan

Eley

Hughes

et al. 2015

Journal of Advanced Nursing

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“…There is evidence that this initiative can improve the timeliness of analgesia. Wong et al 21 . reported a significant reduction in time to first analgesic dose from 93 to 9 min.…”

Section: Discussionmentioning

confidence: 98%

Simple clinical targets associated with a high level of patient satisfaction with their pain management

Jao

Taylor

et al. 2011

Emerg Medicine Australasia

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“…Of those studies located, examination of pediatric procedural pain management in the emergency department has been limited to emergency departments located in pediatric hospitals (Bhargava & Young, 2007;MacLean et al, 2007;Meunier-Sham & Ryan, 2003). The majority of studies conducted in the emergency department setting (Alexander & Manno, 2003;Cimpello et al, 2004;Fry, Holdgate, Baird, Silk, & Ahern, 1999;Johnston, Bournaki, Gagnon, Pepler, & Bourgault, 2005;Kim et al, 2003;Todd, et al, 2007;Wong, Chan, Rainer, & Ying, 2007) examined practice patterns of clinicians' treatment of acute pain as a primary complaint such as abdominal pain, or fracture.…”

Section: Conclusion/ Major Gapsmentioning

confidence: 99%

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

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Rationale for the Study: Despite the exponential growth in pharmacological and nonpharmacological methods for the treatment of pediatric procedural pain there remains a gap between available interventions and actual practice in the emergency department clinical setting. Researchers have recommended the examination of unit culture since culture is proposed to be a major factor that affects the implementation of pain management practices. Method:Ethnography was employed to gain access to the beliefs and practices of healthcare participants in a Northeastern non-pediatric emergency department. Data were collected for 5 months with over 100 hours of observation. Six key informants were interviewed and 44 pediatric procedural interactions with 27 healthcare providers during the treatment of children two to eight years of age undergoing procedures were observed.Other information gathered included documents from the institution, and pain related information from the patient's medical record. All interviews were recorded and transcribed verbatim. Data were managed using the Ethnograph 6.0 and analyzed using the procedure developed by Leininger and McFarland (2006). Results:Seven major themes with categories were discovered that included assessment, ii procedural pain, treatment of pain, communication related to comfort, fragmentation of care in the emergency department, healthcare provider attitudes, and environmental issues and policies. Conclusion:The results of this study suggest that practice environment of the emergency department and organizational culture exerted a significant degree of influence over healthcare providers' pediatric pain management practices. Nurses' did not use pain measurement tools as they were intended to be used and instead improvised measurement by observing the child's behavior. The management of children during painful procedures consisted of an array of behaviors and practices. The use of physical restraint during painful procedures was a common practice. Participants continue to hold many assumptions and misconceptions about pediatric pain assessment and management. The findings of this study provide insight to the everyday practice of emergency department healthcare providers for pediatric pain in a non-pediatric setting.iii Acknowledgments and Dedication

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The effect of a triage pain management protocol for minor musculoskeletal injury patients in a Hong Kong emergency department

Cited by 26 publications

References 34 publications

Medication knowledge and willingness to nurse‐initiate medications in an emergency department: a mixed‐methods study

Medication knowledge and willingness to nurse‐initiate medications in an emergency department: a mixed‐methods study

Simple clinical targets associated with a high level of patient satisfaction with their pain management

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

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