Characteristics of effective interventions supporting quality pain management in Australian emergency departments: An exploratory study

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Title Characteristics of effective interventions supporting quality pain management in Australian emergency departments: An exploratory study
Author Shaban, Ramon Zenel; Holzhauser, Kerri; Gillespie, Kerri; Huckson, Sue; Bennetts, Scott
Journal Name Australasian Emergency Nursing Journal
Year Published 2012
Place of publication United Kingdom
Publisher Elsevier
Abstract Background It is well established that pain is the most common presenting complaint in Emergency Departments. Despite great improvements in available pain management strategies, patients are left waiting for longer than 60 min for pain relief on arrival to the emergency department. The aim of this study was to describe interventions that lead to successful implementation of the National Health and Medical Research Council approved guidelines Acute Pain Management: Scientific Evidence (2nd Edition) that include specific recommendations for best practice pain management. Methods A two-phased, mixed-method, exploratory study of all 52 Australian hospital emergency departments participating in the National Emergency Care Pain Management Initiative incorporating interview and document analysis was undertaken. Findings Interventions used by clinicians to improve pain management included nurse initiated analgesia, intranasal fentanyl for paediatric patients and lignocaine, and facio illiaca block. Education formed a major part of the intervention and the development of a working group of key stakeholders was critical in the successful implementation of change. Staff perceptions of patients’ pain level and attitudes toward pain assessment and pain management were identified as barriers. Conclusion This study highlighted how an effective framework to plan and implement practice change and tailored interventions, including education and training systems and products using the best available evidence, best equipped clinicians to manage pain in the ED.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.aenj.2011.11.003
Volume 15
Issue Number 1
Page from 23
Page to 30
ISSN 1574-6267
Date Accessioned 2012-05-19; 2012-08-08T23:43:14Z
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject Medical and Health Sciences; Nursing
URI http://hdl.handle.net/10072/46108
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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