Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Enfermagem (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000300163 |
Resumo: | ABSTRACT Objectives: to assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department. Methods: a prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital’s Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration). Results: of the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level. Conclusions: despite low protocol adherence, the intervention resulted in higher reported pain relief. |
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Assessment of the implementation of a nurse-initiated pain management protocol in the emergency departmentNursesEmergenciesEmergency NursingPain ManagementTriageABSTRACT Objectives: to assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department. Methods: a prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital’s Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration). Results: of the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level. Conclusions: despite low protocol adherence, the intervention resulted in higher reported pain relief.Associação Brasileira de Enfermagem2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000300163Revista Brasileira de Enfermagem v.74 n.3 2021reponame:Revista Brasileira de Enfermagem (Online)instname:Associação Brasileira de Enfermagem (ABEN)instacron:ABEN10.1590/0034-7167-2020-1303info:eu-repo/semantics/openAccessSantos,Marcia Boessio dosToscano,Cristiana MariaBatista,Ruth Ester AssayagBohomol,Elenaeng2021-06-14T00:00:00Zoai:scielo:S0034-71672021000300163Revistahttp://www.scielo.br/rebenhttps://old.scielo.br/oai/scielo-oai.phpreben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br1984-04460034-7167opendoar:2021-06-14T00:00Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)false |
dc.title.none.fl_str_mv |
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department |
title |
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department |
spellingShingle |
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department Santos,Marcia Boessio dos Nurses Emergencies Emergency Nursing Pain Management Triage |
title_short |
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department |
title_full |
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department |
title_fullStr |
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department |
title_full_unstemmed |
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department |
title_sort |
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department |
author |
Santos,Marcia Boessio dos |
author_facet |
Santos,Marcia Boessio dos Toscano,Cristiana Maria Batista,Ruth Ester Assayag Bohomol,Elena |
author_role |
author |
author2 |
Toscano,Cristiana Maria Batista,Ruth Ester Assayag Bohomol,Elena |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Santos,Marcia Boessio dos Toscano,Cristiana Maria Batista,Ruth Ester Assayag Bohomol,Elena |
dc.subject.por.fl_str_mv |
Nurses Emergencies Emergency Nursing Pain Management Triage |
topic |
Nurses Emergencies Emergency Nursing Pain Management Triage |
description |
ABSTRACT Objectives: to assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department. Methods: a prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital’s Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration). Results: of the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level. Conclusions: despite low protocol adherence, the intervention resulted in higher reported pain relief. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000300163 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000300163 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0034-7167-2020-1303 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
dc.source.none.fl_str_mv |
Revista Brasileira de Enfermagem v.74 n.3 2021 reponame:Revista Brasileira de Enfermagem (Online) instname:Associação Brasileira de Enfermagem (ABEN) instacron:ABEN |
instname_str |
Associação Brasileira de Enfermagem (ABEN) |
instacron_str |
ABEN |
institution |
ABEN |
reponame_str |
Revista Brasileira de Enfermagem (Online) |
collection |
Revista Brasileira de Enfermagem (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN) |
repository.mail.fl_str_mv |
reben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br |
_version_ |
1754303039760498688 |