An Exploratory Study of Nurse’s Belief and Knowledge About Pain Management for Conscious, Trauma Adult Patient in Emergency Department of Vietduc Hospital
Keywords:
Pain definition, pain tool or measure acute pain, pain management by emergency nurseAbstract
Purpose: Nursing care quality is depending on the knowledge and clinical practicing skill. VietDucHospital (VietDuc), one of the biggest centers of surgery and trauma in Vietnam with the large proportion of
trauma patients visiting the hospital every day, however at present, official pain assessment and management
is not available in all departments including the Emergency Department (ED). The patient’s pain is therefore
not managed effectively, resulting high morbidity and mortality due to trauma. Thus developing an acute pain
management procedure for conscious adult trauma patients in the ED of Viet Duc is recommended. Aim of this
study is to explore nurse’s knowledge about pain assessment and management for trauma patients through the
tool of acute pain management from ICSI which proposed to implement it to nurse work in the ED of Viet Duc.
Material and Methodology: The research design was based around the first cycle of action research for
an exploratory study using standardized open-ended interviews to explore the views of 20 nurses who were
selected purposively for interviews on the ward.
Results: Among 20 participants over 2 years of working experiences on trauma care who involved in this
study, they all presented the knowledge on the affect of pain to the trauma patient. However, almost participants
had limited experiences on acute pain assessment and management properly. Additionally, none of nurse
participated in the study has been trained on acute pain management. All participants were provided evidences
and acute pain management guideline from ICSI. It was highly appreciated as they considered it as an easy and
reliable pain tool to assess patient pain as well as to guide appropriate pain management.
Conclusions: The acute pain management is one important part of the ED nurse daily work at VietDuc,
however, the guideline on acute pain assessment and management is not available at present. Developing the
guidelines and providing training course on acute pain management for ED nurses are necessary which to
improve the quality of pain management for trauma patients and to help the nurses in their daily work
effectively.
References
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N. Kumar, Eds. Report of a Delphi Study to determine the
need for guidelines and to identify the number and topics
of guidelines that should be developed by WHO; 2007.
18. Lovrincevic M, Kotob F, Santarosa J. Pain management in
the trauma setting. Sem Anesth Periop Med Pain 2005; 24:
34-40.
19. Bible D. Pain assessment at nurse triage: a literature review.
Emergency Nurse. J RCN Accident Emerg Nurs Ass 2006; 14:
26-9.
20. Australian and New Zealand College of Anaesthetists and
Faculty of Pain Medicine (Ed.). Acute pain management:
scientic evidence. 2 ed. Melbourne: Australian and New
Zealand College of Anaesthetists 2005.
21. Jensen MP. The validity and reliability of pain measures in
adults with cancer. J Pain 2003; 4: 2-21.
22. Bijur PE, Latimer CT, Gallagher EJ. Validation of a V
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in the Emergency Department. Acad Emerg Med 2003; 10:
390-2.
Health of Vietnam. Evaluating the National Policy on injury
prevention during 2000 -2010 and the next plan to prevent
injury in community for a period of 2011 - 2015. Second
National Congress on Injury Prevention, Oct.2011.
2. McCaffrey M, & Beebe A, Eds. Pain: A Clinical Manual.
Philadelphia: Mosby; 1968.
3. International Assciation for Study of Pain. Development of
Clinical Practice Guidelines in the Field of Pain; 2009.
4. Viet Duc hospital Viêtíc. Annual report on hospital activities
for the years of 2008 -2010.
5. Notter J. Workbook Research. Enschede: Saxion University,
2009.
6. Patton MQ. (Ed.). Qualitative reserach and evalutation
methods. 3rd ed. London/New Dehli: Sage, 2002.
7. Stringer ET. Action research. 3rd ed. London: Sage
Publications, 2007.
8. Institute for Cilical System Improvement. Health Care
Guideline: Assessment and Management of Acute Pain,
2008.
9. Polit DF, Beck CT. Essentials of nursing research: Methods,
Appraisal, and Unitization (6th ed.). Philadelphia/London:
Lippincott Williams & Wilkins, 2006.
10. McManus JG, Harrison B. Pain and Sedation Management
In the 21st Century Emergency Department. Emerg Med
Clin North America, 2005; 23:15-6.
11. Tanabe P, Buschmann M. A prospective study of ED pain
management practices and the patient’s perspective. J
Emerg Nurs 1999; 25:171-7.
12. Macintyre PE, Walker S, Power I, Schug SA. Acute pain
management: scientific evidence revisited. Br J Anaes 2006;
96:1-4.
13. Health Care Association of New Jersey. Pain management
guideline. Hamilton. (2 sec), 2006:23.
14. Crooks LK. Assessing pain and the joint commission pain
standards. Emerg Med Clin North America, 2002; 24:1-9.
15. Board registered nursing. Pain Assessment: The fifth vital sign.
2000.
16. D’Arcy, Y. M. (Ed.). Pain management: Evidence-Based
Tools and Techniques for Nursing Professionals: HCPro, Inc.;
2007.
17. WHO. WHO Normative Guidelines on Pain Management. In
N. Kumar, Eds. Report of a Delphi Study to determine the
need for guidelines and to identify the number and topics
of guidelines that should be developed by WHO; 2007.
18. Lovrincevic M, Kotob F, Santarosa J. Pain management in
the trauma setting. Sem Anesth Periop Med Pain 2005; 24:
34-40.
19. Bible D. Pain assessment at nurse triage: a literature review.
Emergency Nurse. J RCN Accident Emerg Nurs Ass 2006; 14:
26-9.
20. Australian and New Zealand College of Anaesthetists and
Faculty of Pain Medicine (Ed.). Acute pain management:
scientic evidence. 2 ed. Melbourne: Australian and New
Zealand College of Anaesthetists 2005.
21. Jensen MP. The validity and reliability of pain measures in
adults with cancer. J Pain 2003; 4: 2-21.
22. Bijur PE, Latimer CT, Gallagher EJ. Validation of a V
erbally Administered Numerical Rating Scale of Acute Pain for Use
in the Emergency Department. Acad Emerg Med 2003; 10:
390-2.
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Published
2012-06-29
How to Cite
1.
Tran VO, Nguyen DC, Nguyen XH, Nguyen TQ, Bomers-Schenk A, Notter J. An Exploratory Study of Nurse’s Belief and Knowledge About Pain Management for Conscious, Trauma Adult Patient in Emergency Department of Vietduc Hospital. Thai J Surg [Internet]. 2012 Jun. 29 [cited 2024 Dec. 23];33(2). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226861
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