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Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
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A National Randomized Controlled Trial Evaluating ASPMN Nurse-Delivered Empowered Relief®.

Holly Watson1, Luzmercy Perez2, Ross J Bindler3

  • 1Critical Encounters, PLLC, Bainbridge Island, Washington.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|November 14, 2025
PubMed
Summary

Registered nurses can effectively deliver Empowered Relief®, a single-session online pain management program, improving chronic pain outcomes. This accessible intervention addresses disparities in pain care access and effectiveness.

Keywords:
BehavioralBrief treatmentChronic painInternet-based interventionPain catastrophizingPsychological

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Area of Science:

  • Pain Management
  • Psychological Therapies
  • Telehealth Interventions

Background:

  • Chronic pain management faces access barriers, including limited professionals and high costs.
  • Skilled nurses can bridge these gaps by delivering evidence-based treatments.
  • Telehealth offers a scalable solution to improve access to pain therapies.

Purpose of the Study:

  • To evaluate Empowered Relief® (ER), a one-session pain relief skills intervention, delivered by nurses via videoconference.
  • To assess the impact of ER on chronic pain outcomes and its feasibility and acceptability.
  • To address disparities in pain management through accessible, nurse-led interventions.

Main Methods:

  • A randomized controlled trial with 150 adults with chronic pain comparing ER to a wait-list control.
  • Nurses delivered the ER intervention via videoconference.
  • Outcomes including pain catastrophizing, intensity, and psychological factors were measured over 8 weeks.

Main Results:

  • Significant improvements were observed in pain catastrophizing, pain intensity, depression, anxiety, and fatigue at 8 weeks.
  • High attendance and satisfaction ratings indicated feasibility and acceptability of the ER intervention.
  • Nurse-led telehealth delivery proved effective for improving chronic pain self-management.

Conclusions:

  • Empowered Relief® is an effective, single-session, psychology-based online intervention for chronic pain.
  • Registered nurses and advanced practice nurses can successfully deliver this intervention via telehealth.
  • This approach can improve self-reported outcomes and reduce disparities in chronic pain care.