Reducing time to analgesia in the emergency department using a nurse-initiated pain protocol: s before-and-after study

Finn, Judith, Rae, Amanda, Gibson, Nick, Swift, Roger, Watters, Tamara and Jacobs, Ian G. (2012) Reducing time to analgesia in the emergency department using a nurse-initiated pain protocol: s before-and-after study. Contemporary Nurse, 43 1: 29-37. doi:10.5172/conu.2012.43.1.29


Author Finn, Judith
Rae, Amanda
Gibson, Nick
Swift, Roger
Watters, Tamara
Jacobs, Ian G.
Title Reducing time to analgesia in the emergency department using a nurse-initiated pain protocol: s before-and-after study
Journal name Contemporary Nurse   Check publisher's open access policy
ISSN 1037-6178
1839-3535
Publication date 2012-12
Sub-type Article (original research)
DOI 10.5172/conu.2012.43.1.29
Open Access Status
Volume 43
Issue 1
Start page 29
End page 37
Total pages 9
Place of publication Maleny, QLD, Australia
Publisher eContent Management
Language eng
Abstract Suboptimal management of pain in emergency departments (EDs) remains a problem, despite having been first described over two decades ago. A 'before-and-after' intervention study (with a historical control) was undertaken in one Western Australian tertiary hospital ED to test the effect of a 'nurse-initiated pain protocol' (NIPP) intervention. A total of 889 adult patients were included: 144 in the control group and 745 in the intervention group. Patients in the intervention group were: More likely to have a pain score recorded than those in the control group; have reduced median time to the first pain score; and reduced time to analgesia. The statistically significant reduction in both time to pain score and time to analgesia remained, even when adjusted by age and sex. Whilst we demonstrated the safety and efficacy of a NIPP in ED, an unacceptable proportion of patients continued to have inadequate pain relief.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 10 times in Scopus Article | Citations
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Created: Tue, 15 Jul 2014, 12:02:58 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work