An Exploratory Study of Nurse's Belief and Knowledge About Pain Management for Conscious, Trauma Adult Patient in Emergency Department of Vietduc Hospital.

Autor: Tran Van Oanh, Nguyen Duc Chinh, Nguyen Xuan Hung, Nguyen Tien Quyet, Bomers-Schenk, Alice, Notter, Joy
Zdroj: Thai Journal of Surgery; Apr-Jun2012, Vol. 33 Issue 2, p33-39, 7p
Abstrakt: Purpose: Nursing care quality is depending on the knowledge and clinical practicing skill. VietDuc Hospital (VietDuc), one of the biggest centers of surgery and trauma in Vietnam with the large proportion of trauma patients visiting the hospital every day, however at present, official pain assessment and management is not available in all departments including the Emergency Department (ED). The patient's pain is therefore not managed effectively, resulting high morbidity and mortality due to trauma. Thus developing an acute pain management procedure for conscious adult trauma patients in the ED of Viet Duc is recommended. Aim of this study is to explore nurse's knowledge about pain assessment and management for trauma patients through the tool of acute pain management from ICSI which proposed to implement it to nurse work in the ED of Viet Duc. Material and Methodology: The research design was based around the first cycle of action research for an exploratory study using standardized open-ended interviews to explore the views of 20 nurses who were selected purposively for interviews on the ward. Results: Among 20 participants over 2 years of working experiences on trauma care who involved in this study, they all presented the knowledge on the affect of pain to the trauma patient. However, almost participants had limited experiences on acute pain assessment and management properly. Additionally, none of nurse participated in the study has been trained on acute pain management. All participants were provided evidences and acute pain management guideline from ICSI. It was highly appreciated as they considered it as an easy and reliable pain tool to assess patient pain as well as to guide appropriate pain management. Conclusions: The acute pain management is one important part of the ED nurse daily work at VietDuc, however, the guideline on acute pain assessment and management is not available at present. Developing the guidelines and providing training course on acute pain management for ED nurses are necessary which to improve the quality of pain management for trauma patients and to help the nurses in their daily work effectively. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index