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dc.contributor.authorShaban, Ramonen_US
dc.contributor.authorHolzhauser, Kerrien_US
dc.contributor.authorGillespie, Kerrien_US
dc.contributor.authorHuckson, Sueen_US
dc.contributor.authorBennetts, Scotten_US
dc.date.accessioned2017-05-03T14:04:26Z
dc.date.available2017-05-03T14:04:26Z
dc.date.issued2012en_US
dc.date.modified2012-08-08T23:43:14Z
dc.identifier.issn15746267en_US
dc.identifier.doi10.1016/j.aenj.2011.11.003en_US
dc.identifier.urihttp://hdl.handle.net/10072/46108
dc.description.abstractBackground 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.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.languageEnglishen_US
dc.publisherElsevieren_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom23en_US
dc.relation.ispartofpageto30en_US
dc.relation.ispartofissue1en_US
dc.relation.ispartofjournalAustralasian Emergency Nursing Journalen_US
dc.relation.ispartofvolume15en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchNursing not elsewhere classifieden_US
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchcode111099en_US
dc.subject.fieldofresearchcode119999en_US
dc.titleCharacteristics of effective interventions supporting quality pain management in Australian emergency departments: An exploratory studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.date.issued2012
gro.hasfulltextNo Full Text


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