Evaluation of Clinical Nursing Practice Guidelines of Extremity Injury Pain Management in Emergency Room
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Abstract
This action research aimed to develop the clinical nursing practice guideline (CNPG) of extremity injury pain management in emergency room which developed based on evidence-based practices. It was tested for feasibility among 162 patients, 22 medical residents and 42 nurses at the University hospital, Bangkok. The instruments were divided into 3 parts; 1) screening patients 2) research instruments 3) data collection tool. Data were analyzed using descriptive statistics, One Sample T-test, and Mann Whitney U test. The results on the clinical outcomes showed that the average pain score on arrival and leaving the emergency room was significantly decrease (p<.05). It also continuously decreases of pain after pain management with this guideline on arrival and at 30, 60, 90, 120, 180, 240 minutes and leaving the emergency room. For patient’s outcome, the study showed the satisfaction with pain management was at a high level. The results of the feasibility indicated high scores for both providers’ satisfaction and collaboration with clinical nursing practice guidelines including nurses’ perception of pain management. Therefore, the clinical nursing practice guidelines of extremity injury pain management in emergency room could improve the patient outcomes and promote healthcare providers’ capability in this study. The guideline could be applied for pain management in each emergency room context. The healthcare provider should focus on continuing pain assessment and management using both pharmacological and non-pharmacological methods. The monitoring and recording of the management outcomes could help the patients receive appropriate pain management.
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