Quality and impact of nurse-initiated analgesia in the emergency department: A systematic review

Varndell, W; Fry, M; Elliott, D

Quality and impact of nurse-initiated analgesia in the emergency department: A systematic review

Varndell, W

Fry, M

Elliott, D

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Publication Type:: Journal Article
Citation:: International Emergency Nursing, 2018, 40 pp. 46 - 53
Issue Date:: 2018-09-01

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Field	Value	Language
dc.contributor.author	Varndell, W https://orcid.org/0000-0002-4752-9679	en_US
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096	en_US
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.date.available	2018-05-28	en_US
dc.date.issued	2018-09-01	en_US
dc.identifier.citation	International Emergency Nursing, 2018, 40 pp. 46 - 53	en_US
dc.identifier.issn	1755-599X	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129698
dc.description.abstract	© 2018 Elsevier Ltd Aim: This paper reports a systematic literature review evaluating the impact and quality of pain management associated with nurse initiated analgesia in patients presenting to the emergency department (ED). Background: Pain is a major presenting complaint for individuals attending the ED. Timely access to effective analgesia continues to be a global concern in the ED setting; emergency nurses are optimally positioned to improve detection and management of pain. Design: Systematic review. Databases and data treatment: Four databases – CINAHL, EMBASE, Medline, ProQuest – the Cochrane Library and the National Institute of Clinical Excellence were searched from date of inception to December 2017; with no language restrictions applied. Studies were identified using predetermined inclusion criteria. Data were extracted and summarised and underwent evaluation using published valid criteria. Results: Twelve articles met inclusion, comprising a wide range of analgesics and administration routes to manage mild to severe pain. Overall study quality was high; 7 studies included a form of comparison group. Patient outcome measures included time to analgesia (n = 12; 100%), change in pain score (n = 6; 50.0%); adverse events (n = 6; 50.0%); patient satisfaction (n = 5; 41.7%) and documenting pain assessment (n = 2; 16.7%). Conclusion: Nurse-initiated analgesia was associated with safe, timely and effective pain relief.	en_US
dc.relation.ispartof	International Emergency Nursing	en_US
dc.relation.isbasedon	10.1016/j.ienj.2018.05.003	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pain	en_US
dc.subject.mesh	Analgesia	en_US
dc.subject.mesh	Nurse's Role	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Emergency Service, Hospital	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Pain Management	en_US
dc.subject.mesh	Time-to-Treatment	en_US
dc.title	Quality and impact of nurse-initiated analgesia in the emergency department: A systematic review	en_US
dc.type	Journal Article
utslib.citation.volume	40	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	40	en_US

Abstract:

© 2018 Elsevier Ltd Aim: This paper reports a systematic literature review evaluating the impact and quality of pain management associated with nurse initiated analgesia in patients presenting to the emergency department (ED). Background: Pain is a major presenting complaint for individuals attending the ED. Timely access to effective analgesia continues to be a global concern in the ED setting; emergency nurses are optimally positioned to improve detection and management of pain. Design: Systematic review. Databases and data treatment: Four databases – CINAHL, EMBASE, Medline, ProQuest – the Cochrane Library and the National Institute of Clinical Excellence were searched from date of inception to December 2017; with no language restrictions applied. Studies were identified using predetermined inclusion criteria. Data were extracted and summarised and underwent evaluation using published valid criteria. Results: Twelve articles met inclusion, comprising a wide range of analgesics and administration routes to manage mild to severe pain. Overall study quality was high; 7 studies included a form of comparison group. Patient outcome measures included time to analgesia (n = 12; 100%), change in pain score (n = 6; 50.0%); adverse events (n = 6; 50.0%); patient satisfaction (n = 5; 41.7%) and documenting pain assessment (n = 2; 16.7%). Conclusion: Nurse-initiated analgesia was associated with safe, timely and effective pain relief.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/129698