<p>Nurses’ Behavior Regarding Pain Treatment in an Emergency Department: A Single-Center Observational Study</p>

Abstract

The aim of this prospective study was to assess the behavior of emergency department (ED) nurses with regard to pain and their role in pain management in a reallife clinical setting. Methods: A total of 509 consecutive patients were enrolled during a 6-week period. A casereport form was used to collect data on nurses' approaches to pain, time to analgesia provision, and patient-perceived quality of analgesia. Results: Triage nurses actively inquired about pain in almost every case, but they did not estimate pain intensity in a third of patients. In the majority of cases, triage nurses did not report pain-related findings to the physician, who was the only professional that could prescribe analgesia to patients. The assignment of the color-coding of triage by nurses appears to be related to the perceived severity of the clinical case and a more comprehensive evaluation of pain. More than half of patients were at least fairly satisfied with analgesia. Conclusion: Pain is increasingly screened during triage, but its comprehensive assessment and management still lack systematic application. We believe that further education and implementation of analgesia protocols may empower nurses to manage ED patients' pain more effectively and in a more timely manner.

Improving the emergency services using quality improvement project and Donabedian model in a quaternary teaching hospital in South India

“…This achievement was made possible by implementing a pain management protocol, conducting regular pain assessments and reassessments, and ensuring that analgesia was administered within 20 min of arrival. Similar approaches with nurse-led analgesia protocols have been adopted in several other studies 19. While some studies have used pain scores as the outcome measure, others have focused on the time to analgesia 20.…”

“…Similar approaches with nurse-led analgesia protocols have been adopted in several other studies. 19 While some studies have used pain scores as the outcome measure, others have focused on the time to analgesia. 20 Enhancing pain assessment, prompt delivery of analgesia and accurate record-keeping can be achieved by increasing awareness, conducting thorough assessments, and implementing supportive protocols.…”

The Use of a Fixed 50:50 Mixture of Nitrous Oxide and Oxygen to Reduce Lumbar Puncture-Induced Pain in the Emergency Department: A Randomized Controlled Trial

“…Moving toward a pain-free hospital is, of course, a laudable objective. However, it remains very difficult in reality, especially in EDs [ 39 , 40 , 41 , 42 ]. As procedural pain is, by definition, predictable, this should be one of the priority targets to reduce patients’ pain.…”

Research Review: Emergency Nurse Perceptions of Pain and Opioids in the Emergency Department

“…This is consistent with the findings of similar studies. Sardo et al (2020) reported that while frequently assessed at triage, pain is less-well assessed at the bedside leading to suboptimal pain management. Moceri and Drevdahl (2014) also found patient behaviours influence nurses' assessment and choices in pain management, so that they often used their own assessment of the patient's pain instead of basing pain management on the description provided by the patient.…”