Pain Management in Acute Care Nursing
Kumar, Sajan; Singh, Karamjit (2023)
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2025051812930
https://urn.fi/URN:NBN:fi:amk-2025051812930
Tiivistelmä
The research has studied the current pain management techniques in acute care nursing and has identified the systemic and individual challenges that nurse face when they deliver patient-centred care. This studied has reviewed 12 peer-reviewed articles which were published between 2014 and 2024 from the database like PubMed, CINAHAL and Medline. These papers have been used to address two research question, the first question was to discuss the current pain management techniques in acute care while the challenges related to pain management in acute care. The PICO framework has been used in this study to synthesise finding from different database.
The key findings showed that pharmacological interventions like the use of fentanyl and morphine is important for acute pain which has been supported by the protocol-driven tools like CPOT and BPS. However, the concerns about opioid dependence and side effects have highlighted the need for balanced approaches. The non-pharmacological strategies like virtual reality, guided imagery and physical comfort measures shows significant potential to lower the intensity of pain and anxiety but due to the institutional and training gaps, the use of such strategies is not common. The multimodal approaches have emerged as the best practice for holistic care as it integrates the methods of non-pharmacological as well as pharmacological. The systemic challenges, psychosocial issues and shortage of knowledge and training have shortage of knowledge and training have seen to compromise and the patient-centred communication and the quality of care.
The study has concluded that effective pain management is required to reform the institutional policies, standardised the training programs and work on interdisciplinary teamwork. It has been recommended to revise those policies that let the nurse make independent decision on the protocol-driven intervention. It is also recommended to invest in virtual reality and digital assessment tools while the cultural competency training should also be included into the curricula. The healthcare system can enhance the quality of outcomes, lower the dependence on opioid and improve the overall well-being of the nurses as soon as the barriers have been addressed.
The key findings showed that pharmacological interventions like the use of fentanyl and morphine is important for acute pain which has been supported by the protocol-driven tools like CPOT and BPS. However, the concerns about opioid dependence and side effects have highlighted the need for balanced approaches. The non-pharmacological strategies like virtual reality, guided imagery and physical comfort measures shows significant potential to lower the intensity of pain and anxiety but due to the institutional and training gaps, the use of such strategies is not common. The multimodal approaches have emerged as the best practice for holistic care as it integrates the methods of non-pharmacological as well as pharmacological. The systemic challenges, psychosocial issues and shortage of knowledge and training have shortage of knowledge and training have seen to compromise and the patient-centred communication and the quality of care.
The study has concluded that effective pain management is required to reform the institutional policies, standardised the training programs and work on interdisciplinary teamwork. It has been recommended to revise those policies that let the nurse make independent decision on the protocol-driven intervention. It is also recommended to invest in virtual reality and digital assessment tools while the cultural competency training should also be included into the curricula. The healthcare system can enhance the quality of outcomes, lower the dependence on opioid and improve the overall well-being of the nurses as soon as the barriers have been addressed.