A multicenter randomized control trial evaluating professional practice assessment of patient pain management after simulation training course: Study protocol

Abstract

AimsPain is underestimated and insufficiently treated in Emergency Departments (ED). The primary objective of this multicenter, prospective, observational, and interventional study is to analyze the clinical impact of a simulation-based training for Emergency Nurses on pain assessment and management. Secondary objectives are to measure instructed staff's satisfaction with the simulation training and to evaluate the progress of participants as well as studying the clinical impact of this course: level of correlation between accuracy of analgesia and level of pain, assessment of patient and caregiver satisfaction.Designthis study will be undertaken in EDs at two university hospitals (Paris, France: Bichat and Beaujon) with randomly selected experimental and control groups.MethodsDuring the first phase, inventories in the EDs of current professional practice will be realized. Then, the control group will have theoretical classes and the experimental group will have both the theoretical class and simulation courses for all the nurses (with simulated patients in trauma pain scenarios). Post course assessment will be established of triage nurses' and other nurses’ practice changes concerning trauma pain management in EDs. Moreover, this study will include an assessment of the impact on patient and caregiver satisfaction. All patients over 18 years old who are admitted to the ED for a non-vital trauma are included. Exclusion criteria are patients who are admitted by an EMS ambulance.Clinical implicationthis study seeks to demonstrate that the implementation of a theoretical course combined with a simulation session will improve pain management in EDs by Emergency Nurses.

Pain Self-Management with Inhaled Methoxyflurane by Emergency Department Trauma Patients: A Prospective, Interventional, Single-Center Study

“…The study complied with the principles of the Declaration of Helsinki and was registered at the Thai Clinical Trial Registry (a World Health Organization (WHO)-approved primary registry; trial reference number: TCTR20170910001). The protocol was approved by the investigational review board at Bichat University Medical Center and by the French National Agency for the Safety of Medicines and Health Products (ANSM; reference: 2017-A01073-50) as an evaluation of professional practice [ 16 ].…”

The Mediating Effect of Model-Based Learning on Attitude and Pain Management Awareness Among Nurses During COVID 19 Pandemic in Saudi Arabia

“…This study's population size was 2,200 nurses, according to the (Krejcie & Morgan, 1970) table, the sample size is 330 nurses. The instrument used for the model-based learning questionnaire was adopted from (Aiham et al, 2019). The constants of this section are the 5-points Likert questionnaire from 1-5; the higher scores indicated better to evaluate the effectiveness of the model-based learning its 13 questions about the different parts of the learning programme.…”

Simulation‐based training for pain assessment in the emergency department

“…Although it is commonly assessed at the patient's arrival, pain is underestimated and insufficiently treated in emergency departments (EDs) . Consequently, the patient may have inadequate analgesia, especially in overcrowded conditions.…”

“…We tried to improve health outcomes through patient education and involvement in pain management. We created a pain assessment document (PAD) including five numeric rating scales (of 1–10) for the self‐assessment of pain . Each scale corresponds to a different stage in the ED process: arrival; triage zone exit; imagery; medical examination, and discharge.…”

“…This included a theoretical course lasting half a day during which the PAD was presented. Its aims were to increase knowledge on pain, analgesia protocols in accordance with the World Health Organization recommendations, and our ED protocol for directing patients with non‐life‐threatening limb trauma to the radiology department before they receive medical attention from the emergency team . Then, all ENs and EPs participated in in situ simulations with simulated patients over 1 day in which they performed all available analgesia techniques, asking the patients to use the PAD.…”