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Outcome Indicators for Evaluating Interventions by Advanced Practice Nurses Specialising in Acute Pain: A Scoping
Patricia Barroso-Castaño1,2,3, Sandra Cabrera-Jaime4,5,6, Maria Feijoo-Cid7,8
1Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Nursing Open
|April 18, 2025
Summary
This review identified key outcome indicators for evaluating advanced practice nurse (APN) interventions in acute pain management. These indicators, including pain scores and side effects, help standardize and improve APN-led acute pain care.
Area of Science:
- Nursing
- Pain Management
- Healthcare Quality
Background:
- Advanced practice nurses (APNs) play a crucial role in acute pain management.
- Evaluating the effectiveness of APN interventions requires specific outcome indicators.
- Existing literature shows diverse models of APN-led acute pain care.
Purpose of the Study:
- To identify and synthesize outcome indicators used in the scientific literature to evaluate interventions delivered by APNs specializing in acute pain.
- To provide a comprehensive overview of current practices and inform future research.
Main Methods:
- A systematic scoping review was conducted.
- Searches were performed in PubMed, Scopus, and CINAHL from 1996 to 2023.
- Data selection and extraction involved independent review by two authors, with conflicts resolved by a third.
Main Results:
- 1,263 studies were initially identified, with 14 full-text studies selected for analysis.
- Outcome indicators were categorized by study population/setting, intervention/model of care, and quality assessment.
- Key indicators identified include 'pain score', 'side effects', 'analgesia prescription', 'non-pharmacological interventions', 'nurses' pain management knowledge', 'patient/parent education', and 'APN contact'.
Conclusions:
- The review highlights the expanding role of APNs in acute pain management and the variety of care models.
- Identified indicators like 'pain score' and 'side effects' are crucial for evaluating APN interventions.
- Further research is needed to refine and standardize these outcome indicators for consistent evaluation of APN-led acute pain care.
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