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

    Author(s)
    Shaban, RZ
    Holzhauser, K
    Gillespie, K
    Huckson, S
    Bennetts, S
    Griffith University Author(s)
    Shaban, Ramon Z.
    Holzhauser, Kerri
    Gillespie, Kerri M.
    Year published
    2012
    Metadata
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    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 ...
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    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.
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    Journal Title
    Australasian Emergency Nursing Journal
    Volume
    15
    Issue
    1
    DOI
    https://doi.org/10.1016/j.aenj.2011.11.003
    Subject
    Nursing
    Nursing not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/46108
    Collection
    • Journal articles

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