Pflegerische Schmerzexperten an deutschen Kliniken

Boche, Ruth; Nestler, Nadja; Erlenwein, Joachim; Pogatzki-Zahn, Esther

doi:10.1007/s00482-017-0260-8

Cited by 3 publications

(3 citation statements)

References 17 publications

(15 reference statements)

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“…Furthermore, certification of hospitals based on their acute postoperative pain management is available on demand 30,31 . Pain education has been integrated into the curriculum for medical students since 2016, and certain curricula for physicians, pain nurses and physiotherapists exists 32,33 . Two national surveys have evaluated the process and quality of APSs 34,35 and five minimal requirements were defined (Table Supplemental Digital Content S3, http://links.lww.com/EJA/A882).…”

Section: Resultsmentioning

confidence: 99%

“…30,31 Pain education has been integrated into the curriculum for medical students since 2016, and certain curricula for physicians, pain nurses and physiotherapists exists. 32,33 Two national surveys have evaluated the process and quality of APSs 34,35 and five minimal requirements were defined (Table Supplemental Digital Content S3, http:// links.lww.com/EJA/A882). In 2021, the German Society for Anaesthesiology and Intensive Care Medicine published their first recommendations on how APSs should be organised to ensure quality.…”

Section: Structurementioning

confidence: 99%

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Perioperative pain management models in four European countries

van den Heuvel,

van Boekel,

Cox

et al. 2023

European Journal of Anaesthesiology

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There is general agreement that acute pain management is an important component of perioperative medicine. However, there is no consensus on the best model of care for perioperative pain management, mainly because evidence is missing in many aspects. Comparing the similarities and differences between countries might reveal some insights into different organisational models and how they work. Here, we performed a narrative review to describe and compare the structures, processes and outcomes of perioperative pain management in the healthcare systems of four European countries using Donabedian's framework as a guide. Our comparison revealed many similarities, differences and gaps. Different structures of acute pain services in the four countries with no common definition and standards of care were found. Protocols have been implemented in all countries and guidelines in some. If outcome is assessed, it is mainly pain intensity, and many patients experiencing more intense pain than others have common risk factors (e.g. preoperative pain, preoperative opioid intake, female sex and young age). Outcome assessment beyond pain intensity (such as pain-related physical function, which is important for early rehabilitation and recovery) is currently not well implemented. Developing common quality indicators, a European guideline for perioperative pain management (e.g. for patients at high risk for experiencing severe pain and other outcome parameters) and common criteria for acute pain services might pave the way forward for improving acute pain management in Europe. Finally, the education of general and specialist staff should be aligned in Europe, for example, by using the curricula of European Pain Federation (EFIC).

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Section: Resultsmentioning

confidence: 99%

Section: Structurementioning

confidence: 99%

Perioperative pain management models in four European countries

van den Heuvel,

van Boekel,

Cox

et al. 2023

European Journal of Anaesthesiology

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show abstract

“…joue un rôle prépondérant(Chobi & al, 2001 ;Boccard & al, 2011). En Europe, les règles professionnelles de cette prise en charge sont bien codifiées(Lelièvre, 2004 ;Boche & al, 2018). Des études menées en milieu chirurgical africain ont montré l'importance des infirmiers dans la gestion des patients opérés(Lokossou & al, 2007 ; Diouf & al 2013 ;Aziato & Adejumo, 2014).…”

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Prise En Charge Infirmière De La Douleur Chez L’adulte Au CHU-Kara (Togo)

Houzou

Kakpovi

Komi

et al. 2018

ESJ

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Introduction: Pain is a frequent reason for consultation in health facilities. Thus, nurses are in the forefront in the fight against pain. The aim of this study was to determine the role of the nurse in the management of the painful adult patient. Methodology: It was a cross-sectional study conducted in 11 departments of Kara teaching hospital during two weeks. Nurses who had managed a painful adult in the past seven days were included in the study. Results: Thirty nurses participated in the study. They were made of 24 men (76.67%) and six women (23.33%). The average age of nurses was 35 years (extremes: 23 years old and 50 years old) and 43.33% of them had less than five years of work experience. The main etiologies of pain managed were: trauma (22%), headache (18%) and abdominal pain (14%). Pain assessment tools were almost non-existent. Fifty percent of nurses did not know pain assessment tools. The evaluation of pain was performed with conventional tools by 16% of nurses. The analogical visual scale was the most used (three out of five nurses). Nursing intervention was dominated by counseling (43%) and thermal stimulation (22%). The use of analgesics was carried out in 83.33% of cases. Conclusion: This study shows that few nurses evaluated the pain during its management in adults. Therefore, it is necessary to initiate medical training for Togolese nurses on the management of the painful patient in order to make them more effective.

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Aufgaben beruflich Pflegender in der palliativen Schmerzversorgung von Tumorpatienten

et al. 2018

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ZusammenfassungZiele einer palliativen Versorgung sind die Sicherung der Autonomie und Lebensqualität der Patienten sowie die Kontrolle ihrer Symptome, die insbesondere durch die Stabilisierung der Schmerzsituation erreicht werden. Für die professionelle Versorgung von Patienten mit Tumorschmerzen ist die Berücksichtigung des subjektiven Schmerzerlebens von besonderer Bedeutung. Damit verbunden ist die Notwendigkeit, im interprofessionellen Schmerzmanagement nach individuellen Lösungen zu suchen. Die Aufgaben Pflegender im Schmerzmanagement können dabei in 3 Felder zusammengefasst werden: erstens klinische, edukative und administrative Aufgaben, zweitens die interdisziplinäre Kooperation und Kommunikation sowie drittens die Mitwirkung bei schmerztherapeutischen Maßnahmen. Zur Anwendung des Konzeptes der stabilen Schmerzsituation benötigen Pflegende Kompetenzen, um ein systematisches pflegerisches Schmerzmanagement unter Einbeziehung von Pflegeexperten Schmerz und in Abstimmung mit dem interprofessionellen Team umsetzen zu können.

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Pflegerische Schmerzexperten an deutschen Kliniken

Cited by 3 publications

References 17 publications

Perioperative pain management models in four European countries

Perioperative pain management models in four European countries

Prise En Charge Infirmière De La Douleur Chez L’adulte Au CHU-Kara (Togo)

Aufgaben beruflich Pflegender in der palliativen Schmerzversorgung von Tumorpatienten

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