Acute care Nurses' competence on pain Management of adult Burn patients : A Descriptive Literature Review
Habarakada, Achala; Samarasekera, Kavindya (2024)
2024
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2024120232013
https://urn.fi/URN:NBN:fi:amk-2024120232013
Tiivistelmä
It is estimated that major burns remain a major global health problem with millions of affected individuals and high mortality, morbidity and disability particularly in the developing world. Consequently, it is with such injuries that their after-effects present continuous difficulties for the healthcare teams. Nurses have a vital responsibility in the management of burn patients primarily in terms of the severe pain that is often encountered in burns. Effective pain management is crucial to enhance a patient's well-being, however, there are evident shades in that regard at present. Nurses require essential knowledge and competencies regarding pain management to ensure the best care to patients. However, standards for competency of the burn care nurses have not been developed.
In this qualitative study, the aim is to produce new knowledge that can be utilized in addressing acute care nurses’ challenges regarding pain management of adult burn patients. In this research study, the researcher wants to generate knowledge that can enhance the level of competence of acute care nurses in managing pain for adult burn patients.
A qualitative descriptive literature review was executed following the PICo framework to find applicable articles. The inclusion criteria focused on the qualitative and quantitative peer reviewed research articles released from the period of 2018 to 2024, which resulted in the final sample of 10 articles and through inductive content analysis method, the articles were analysed as follows. Both CINAHL and PUBMED data bases as well as a manual search were used to retrieve data.
This study examines the challenges in acute burn pain management, focusing on nursing workload, patient care, communication, and pain assessment. Increased nurse responsibilities, non-standardized patient communication, and inconsistent use of pain management tools contribute to stress and emotional strain among nurses. Frequent, painful procedures like dressing changes heighten patient anxiety, adding to nurses' emotional burden.
Key strategies identified include implementing structured protocols, such as the Pathways to Pain Management (PPM), which standardize care and enhance patient engagement. Non pharmacological interventions like virtual reality, music therapy, and guided imagery reduce pain and anxiety. Enhanced practitioner competence and sensitive communication, using objective language and closed questions, support effective pain management. Together, these approaches create a more supportive environment, benefiting both patients and nurses in burn care.
In conclusion, effective burn pain management requires a multifaceted approach, combining structured protocols, empathetic communication, and complementary pain relief methods. Implementing standardized practices like the PPM protocol and non-pharmacological tools can alleviate nurse stress, enhance patient comfort, and improve care outcomes, ultimately fostering a supportive and responsive burn care environment.
In this qualitative study, the aim is to produce new knowledge that can be utilized in addressing acute care nurses’ challenges regarding pain management of adult burn patients. In this research study, the researcher wants to generate knowledge that can enhance the level of competence of acute care nurses in managing pain for adult burn patients.
A qualitative descriptive literature review was executed following the PICo framework to find applicable articles. The inclusion criteria focused on the qualitative and quantitative peer reviewed research articles released from the period of 2018 to 2024, which resulted in the final sample of 10 articles and through inductive content analysis method, the articles were analysed as follows. Both CINAHL and PUBMED data bases as well as a manual search were used to retrieve data.
This study examines the challenges in acute burn pain management, focusing on nursing workload, patient care, communication, and pain assessment. Increased nurse responsibilities, non-standardized patient communication, and inconsistent use of pain management tools contribute to stress and emotional strain among nurses. Frequent, painful procedures like dressing changes heighten patient anxiety, adding to nurses' emotional burden.
Key strategies identified include implementing structured protocols, such as the Pathways to Pain Management (PPM), which standardize care and enhance patient engagement. Non pharmacological interventions like virtual reality, music therapy, and guided imagery reduce pain and anxiety. Enhanced practitioner competence and sensitive communication, using objective language and closed questions, support effective pain management. Together, these approaches create a more supportive environment, benefiting both patients and nurses in burn care.
In conclusion, effective burn pain management requires a multifaceted approach, combining structured protocols, empathetic communication, and complementary pain relief methods. Implementing standardized practices like the PPM protocol and non-pharmacological tools can alleviate nurse stress, enhance patient comfort, and improve care outcomes, ultimately fostering a supportive and responsive burn care environment.