EMERGENCY DEPARTMENT

Exploring Barrier To Pain Assessment And Management At Triage Within A Single UK Emergency Department

Exploring Barrier To Pain Assessment And Management At Triage Within A Single UK Emergency Department

Research Aim and Objectives Pain management traditionally relies onto a doctor's prescription for pain relief which can be affected via long waiting moments, and may eventually outcome within dissatisfaction. Nurse-initiated medication is not specifically covered and, consequently, the tradition fundamentally depends onto specified hospital's policies. Although there is an increasing awareness that triage nurses play an meaningful role within managing pain for patients with secondary sting, few studies possess reported the influence of triage pain protocols onto managing pain in EDs. Therefore, innovation was undertaken within order towards thoroughly grow and estimate a triage pain management protocol within the UK context.

The specific targets were:

 (1) towards compare the influence of a novel triage pain protocol on pain assessment for patients; (2) towards determine the analgesic efficacy, safety, and moment towards initial analgesic consuming oral Paracetamol at triage; and

(3) Towards compare hurdles towards implementation of the triage pain management protocol. This paper reports the influence of a novel triage pain management protocol onto the rate of pain assessment and pain management experienced via patients with secondary musculoskeletal sting whom showed towards a UK ED.

 

Research Approach or Design A mixed-method innovation design strategy was applied towards address the innovation objectives. A pre-test-post-test dominate category was consumed towards compare the number of patients receiving pain assessment and corrections in pain levels whilst a qualitative strategy was consumed towards compare the process. Ethics consent was elicited from both the study hospital and The Chinese University of UK. Patients were informed of the focus and arrangement of the study, accompanied via a Chinese information sheet, and that involvement within the study was voluntary. Patients were ensured of confidentiality and licensed the freedom towards retire from the study at any moment without affecting their care. Written consent was elicited as soon as explanation. The innovation nurse was an experienced nurse well coached within message ability and care of patients with musculoskeletal injury.

 

Research Questions

1. There is a notable difference within rate of triage pain assessment for patients between pre-test and post-test periods;

2. There is a notable difference in pain reduction between patients whom obtain Paracetamol at triage and the dominate category, whom obtain none analgesic.

The Control category consisted of everybody patients with secondary musculoskeletal stings whom consented towards participate within the study during the pre-test period. Control category patients obtained regular triage care, which consisted of triage assessment and routine triage interventions, such as hurt care and immobilization. The Intervention category consisted of everybody patients with secondary musculoskeletal stings whom consented towards participate within the study during the post-test period. In contribution towards regular care, the intervention category obtained the novel triage pain management protocol, which enabled the triage nurses towards govern oral Paracetamol. The leading event was a comparison of the proportion of patients receiving pain assessment and pain reduction ahead of and as soon ...