紧急护士在危重病成人患者的急性疼痛管理中的看法和经验:一种定性研究
Wayne Varndell1,2, Margaret Fry2, Doug Elliott2
1Prince of Wales Hospital Emergency Department, Randwick, Australia.
Journal of advanced nursing
|May 11, 2025
概括
紧急护士在重症患者中管理急性疼痛,面临工作量和沟通等挑战. 提高他们的信心和实践是改善在复苏区域疼痛管理的关键.
科学领域:
- 紧急医疗 紧急医疗
- 护理研究 护理研究
- 关键的护理关键的护理
背景情况:
- 危急病患者的急性疼痛管理是复杂的.
- 紧急护士在患者护理连续性和疼痛控制方面发挥着至关重要的作用.
研究的目的:
- 检查急诊护士在危重病患者中管理急性疼痛的看法和经验.
- 为了确定影响在复苏区域疼痛管理的因素.
主要方法:
- 使用非参与者观察 (n=46) 和半结构面试 (n=30) 的定性描述性研究.
- 在澳大利亚大都会的急救部门进行.
- 使用反射主题分析分析的数据.
主要成果:
- 出现了三个主题:在复苏区的导航,在部门要求中优先考虑疼痛管理,以及护士和患者互动对舒适性的影响.
- 护士对治疗急性疼痛的信心有所不同.
- 不能预测的工作负载,人员配置和沟通阻碍了最佳的疼痛管理.
结论:
- 紧急护士在危急病患者的疼痛管理中起着至关重要的作用.
- 研究结果强调需要改善支持,教育和干预措施,以加强疼痛管理实践.
- 解决工作负载和沟通障碍对于优化患者舒适至关重要.
相关概念视频
Nociception
27.6K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.6K
The Professional Nurse
3.9K
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
3.9K
Ethical Issues
806
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
806
Ethical Dilemmas I
765
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
765
Analgesia and Pain Management
398
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
398
Acute Pancreatitis II: Clinical Manifestations and Management
71
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
71


