Emergency nurses' knowledge, attitude and clinical decision making skills about pain

Ucuzal, Meral; Doğan, Runida

doi:10.1016/j.ienj.2014.11.006

Cited by 25 publications

(26 citation statements)

References 23 publications

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“…Because of all these reasons, lack of organisational objectives, protocols and training of nurses on pain management in emergency services affected the findings of our study. Overall, the findings of this study are similar to those of Bergman (2012), Pretorius, Searle and Marshall (2015), Ucuzal andDoğan (2015), de Oliveira, Pereira, Santos &Souza, (2016).…”

Section: Discussionsupporting

confidence: 90%

Comparison of pain assessments made by patients and nurses in emergency services

Çakmak

Çalışkan

2020

HumanSciences

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Aim: This research aimed to compare pain assessments made by patients and by nurses. Method: This descriptive and comparative research was conducted in a state, a university and a private hospital emergency service monitoring unit that had the highest number of patient admissions in Ankara, Turkey. The research sample consisted of 175 patients and 35 nurses. For the collection of data, the following sources were consulted: the patient information form, the nurse information form and the McGill Pain Questionnaire. For evaluation of the data, number and percentage calculations, chi-square analysis, kappa compliance analysis and the Wilcoxon sign test were used. Written consent was received from the ethical council and hospitals as well as from nurses and patients. Results: 74.3% of nurses stated that they do not think that the pain level expressed by the patient is always right. While the point average given by patients related to all dimensions define the characteristics of pain was 20.48 ± 10.10, the average given by nurses was 14.35 ± 8.46. There is a statistically significant difference between the point averages given by patients and nurses related to total dimensions of pain characteristics (p<0.05). Conclusion: As a result, pain evaluations of nurses were found to be significantly lower than those of patients. It is suggested that the policies and procedures used in health personnel education institutes and health institutes related to pain management should be improved.

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Section: Discussionsupporting

confidence: 90%

Comparison of pain assessments made by patients and nurses in emergency services

Çakmak

Çalışkan

2020

HumanSciences

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“…On the other hand, the study 12 has identified that most medical charts had no records about pain by the multiprofessional team and, when existing, they were performed by physicians. In a study carried out in Turkey, just 35.1% of nurses reported keeping pain records in all medical charts 17 . Adequate and complete pain record on medical charts is a major tool to guide therapeutic approach and evaluation of its efficacy, especially for nursing professionals, aiming at assuring ethic-legal support.…”

Section: Discussionmentioning

confidence: 99%

Pain in patients attended at risk classification of an emergency service

Silva¹,

Cruz²,

Ribeiro³

et al. 2016

Revista Dor

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BACKGROUND AND OBJECTIVES: Pain is a major symptom responsible for the search for urgency care. This study aimed at checking the presence of pain in patients attending the risk classification. METHODS: This is a cross-sectional and descriptive study carried out at an urgency care unit, using a form with socio-demographic and clinical data, risk classification, analgesia and pain record on medical charts. Pain Management Index proposed by the World Health Organization was calculated. RESULTS: From 102 patients included in the study, 82 (80.2%) reported pain, 45 (54.9%) were females, 48 (58.5%) were married, most (62-75.6%) lived in Greater Aracaju, 28 (34.1%) were classified as yellow. Acute, severe to moderate pain was the most frequent. In 71 (86.6%) cases, continuous pain has motivated the search for urgency care. Pain recording was present in almost all medical charts, being 80.5% performed by physicians. Simple analgesics and non-steroid anti-inflammatory drugs were the most frequently prescribed analgesics (59-72%). Pain management was inadequate in 86.6% of cases and there has been wide variation between admission and administration of first analgesia (mean: 94.5 min; min-max: 8-360 min). CONCLUSION: The lack of analgesic protocols at risk classification may impair adequate pain management.

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“…The knowledge of pain management is essential in the clinical nursing practice, with a direct impact on the patient's health 1 . That's why the ability to assess the pain is critical 3 .…”

Section: Discussionmentioning

confidence: 99%

“…Pain is a subjective experience of complex assessment and management. However, its relief is a patient right 1 . The painful sensation can occur due to surgeries, injuries, diseases or medical procedures, causing distress to patients and their family members.…”

Section: Introductionmentioning

confidence: 99%

Nursing students’ knowledge about pain assessment

Santos¹,

Machado²,

Ribeiro³

et al. 2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: The difficulty of the nursing staff in assessing pain, the low adherence to the registry of pain and the quality reported in other studies brings the need to assess the related factors and one of them can be the lack of knowledge. The objective of this study was to evaluate the knowledge of nursing students about pain assessment. METHODS: A cross-sectional, descriptive and quantitative study, conducted in a Higher Education School in Aracaju, Brazil. The sample was composed of 169 nursing students over the last period of graduation. The data were obtained through a form that contained sociodemographic information, questions about pain assessment, and knowledge sources used. RESULTS: The scales to assess pain in children and in adults are known by 70 and 66% of the students, respectively. They reported that pain assessment and the incorrect pain treatment may impair the clinical picture and aggravate the disease, both in the child (17.2%) and the adult (15.4%). The rate of correct answers about pain assessment ranged from 26.6 to 87%. Most of them use articles to gain knowledge about pain (56.2%). The fact of having already used a scale to assess the patient's pain (p=0.045) showed significant differences in the average of hits. CONCLUSION: Nursing graduates are aware of the existence of scales to assess pain, but they do not have the ability to perform them. The prior use of scales promotes learning. The lack of knowledge about pain impacts on the patient's health.

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Emergency nurses' knowledge, attitude and clinical decision making skills about pain

Cited by 25 publications

References 23 publications

Comparison of pain assessments made by patients and nurses in emergency services

Comparison of pain assessments made by patients and nurses in emergency services

Pain in patients attended at risk classification of an emergency service

Nursing students’ knowledge about pain assessment

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