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- Title
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department.
- Authors
Boessio dos Santos, Marcia; Toscano, Cristiana Maria; Assayag Batista, Ruth Ester; Bohomol, Elena
- 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.
- Subjects
KRUSKAL-Wallis Test; NURSING; HOSPITAL emergency services; PAIN measurement; MEDICAL triage; EVALUATION of human services programs; CONFIDENCE intervals; ANALGESICS; SELF-evaluation; FISHER exact test; MANN Whitney U Test; MEDICAL protocols; HUMAN services programs; SOCIOECONOMIC factors; T-test (Statistics); TREATMENT effectiveness; HEALTH insurance; DESCRIPTIVE statistics; STATISTICAL correlation; DATA analysis software; PAIN management; EMERGENCY nursing; LONGITUDINAL method; NURSING interventions; MEDICAL needs assessment
- Publication
Revista Brasileira de Enfermagem, 2021, Vol 74, Issue 3, p1
- ISSN
0034-7167
- Publication type
Article
- DOI
10.1590/0034-7167-2020-1303