Patients and emergency clinicians perceptions of improving pre-hospital pain management: a qualitative study
Emergency Medicine Journal,

Iqbal M et al. – Pain is often poorly managed and undertreated in the pre–hospital environment. The authors' findings may be used to inform guidance, education and policy to improve the pre–hospital pain management pathway.

Methods
  • This was a qualitative study involving a single emergency medical system.
  • Data were gathered through focus groups and semi-structured interviews.
  • Participants were purposively sampled from patients transported by ambulance to hospital with a painful condition during the past 6 months, ambulance service and emergency department (ED) clinicians.
  • Interviews were audiotaped, transcribed and thematic analysis was conducted.

Results
  • 55 participants were interviewed: 17 patients, 25 ambulance clinicians and 13 ED clinicians.
  • Key themes included: consider beliefs of patients and staff in pain management; widen pain assessment strategies; optimise non-drug treatment;increase drug treatment options; and enhance communication and coordination along the pre-hospital pain management pathway.
  • Patients and staff expected pain to be relieved in the ambulance; however, refusal of or inadequate analgesia were common.
  • Pain was commonly assessed using a verbal score, but practitioners' views of severity were sometimes discordant with this.
  • Morphine and Entonox were commonly used to treat pain.
  • Reassurance, positioning and immobilisation were used as alternatives to drugs.
  • Pre-hospital pain management could be improved by addressing practitioner and patient barriers, increasing available drugs and developing multi-organisational pain management protocols supported by training for staff.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

    Currently, there are no available articles.

Your Unread Messages in Nursing

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Nursing Articles

Indexed Journals in Nursing: Journal of Advanced Nursing, Journal of Clinical Nursing, Nurse Education In Practicemore

Looking for a physician job? Let us help!

Register now for our free job placement service.
A career consultant will contact you soon.
Click Here for more information.

Get Started Now!

Free-of-charge, no obligation.

Terms and Conditions For M3 Career Consult

By registering with the M3 Career Consult service you authorize M3 USA Corporation to represent you in your job search. The following is a summary of the terms of our service and our mutual obligations to help you find a job:

  • You designate M3 to act as your agent and represent you in your job search;
  • You will not pay us for this service
  • You will advise us of any companies or positions to which you apply or have applied;
  • You will advise us if you believe you are not capable of performing a position for which we submit you, or for which you interview;
  • You will keep all information we provide you about companies or positions strictly confidential;
  • You will promptly provide us with information we request of you;
  • You will make yourself reasonably available for phone, video and in-person conversations and interviews;
  • You will be truthful in all of your communications with us; and
  • You will advise us if anything above changes.
 

The Top Read Articles of 2014 are Now Available

Scouring thousands of peer-reviewed journals and popular press, Our Editors just released the Top Read Articles of the Year. See the Top Read List