Registered nurses' own experience of using a nurse-initiated pain protocol based on their working experience
| Autor: | Ann-Charlotte Falk, Johanna Ulfvarson, Veronica Lindström, Lars Sturesson |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Knowledge Attitudes Practice Qualitative property Emergency Nursing Decision Support Techniques 03 medical and health sciences Young Adult 0302 clinical medicine Nursing Surveys and Questionnaires medicine Humans Pain Management 030212 general & internal medicine General Nursing Response rate (survey) Protocol (science) Chi-Square Distribution Descriptive statistics Adult patients business.industry Significant difference 030208 emergency & critical care medicine General Medicine Emergency department Pain management Middle Aged Cross-Sectional Studies Physical therapy Female business Emergency Service Hospital |
| Zdroj: | Journal of clinical nursing. 27(3-4) |
| ISSN: | 1365-2702 |
| Popis: | To explore registered nurses' (RNs) own experience of using the nurse-initiated pain protocol (NIPP) in the emergency department (ED) based on their working experience.Pain is known to be one of the most common symptoms among adult patients seeking care at the ED. Several strategies aiming to improve pain management have been developed. Despite some improvements in pain management using NIPP, a large number of patients continue to have inadequate pain treatment when cared for in EDs.A cross-sectional study design based on a questionnaire was used. The variable working experience was based on a theory that experience will make a change in RNs' knowledge. Descriptive statistics and Pearson's chi-square tests were used for analysing quantative data. Qualitative data were analysed by summative content analysis.Seventy RNs answered the questionnaire (response rate 42%) and 61% considered the NIPP adequate to relieve patients' acute pain at the ED. No significant difference was found on how the RNs used the NIPP. However, qualitative data showed that more experienced RNs adapt the NIPP according to the patients' needs in a higher extent.A majority of the RNs consider the NIPP to be adequate to relieve patients' acute pain in the ED. An increase in working experience showed an impact on how the NIPP was used, with an increase in pain management that is personalised depending on individual patients' needs. The RNs used several alternatives to both dosage and type of medication when the ED becomes crowded.Registered nurses' working experience should be considered when planning nursing schedules to be better able to meet patients' needs. Guidelines should be developed and evaluated by both healthcare professionals and patients. |
| Databáze: | OpenAIRE |
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