NYU Rory Meyers College of Nursing, New York, New York.
University of Florida, College of Nursing, Gainesville, Florida.
Pain Manag Nurs. 2021 Feb;22(1):58-68. doi: 10.1016/j.pmn.2020.11.007. Epub 2021 Jan 5.
Nursing brings a unique lens to care of patients with pain and opioid misuse.
This scoping review describes nursing's contribution to the literature on the management of patients with pain and opioid misuse, generating evidence to guide clinical care.
The scoping review was conducted according to Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews guideline.
Using combined key terms ("opioid misuse," "pain," "nursing") in systematic searches in PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) electronic databases, snowball technique, and personal knowledge resulted in 108 relevant articles, reports, and websites.
Summative approach to content analysis was used to quantify and describe nursing's contribution to the literature.
Contributions of nurses emerged in the areas of research, clinical practice, policy, and education. The highest number of publications addressed research (50%, 54 of 108), whereas the fewest number of publications involved education (7%, 8 of 108).
Results provide a picture of the breadth of expertise and crucial leadership that nurses contribute to influence management of patients with pain and opioid misuse.
This scoping review indicates the importance of continued support from key stakeholders, including training and interprofessional collaboration opportunities supported by the National Institutes of Health, to sustain nursing's contribution to quality care of patients with pain and opioid misuse. Ultimately, all health care professionals must collaborate to conduct rigorous research and construct evidence-based guidelines to inform policy initiatives and education strategies to solve the complex co-occurring epidemics of pain and opioid misuse.
护理为疼痛和阿片类药物滥用患者的护理带来了独特的视角。
本范围综述描述了护理在疼痛和阿片类药物滥用患者管理文献中的贡献，为指导临床护理提供了证据。
根据系统评价和荟萃分析扩展的首选报告项目对范围综述指南进行了范围综述。
在 PubMed 和 Cumulative Index to Nursing and Allied Health Literature（CINAHL）电子数据库中使用联合关键词（“阿片类药物滥用”、“疼痛”、“护理”）进行系统搜索、滚雪球技术和个人知识，共产生了 108 篇相关文章、报告和网站。
采用总结性内容分析方法来量化和描述护理在文献中的贡献。
护士的贡献出现在研究、临床实践、政策和教育领域。发表的文章数量最多的是研究领域（50%，108 篇中有 54 篇），而教育领域的文章数量最少（7%，108 篇中有 8 篇）。
结果描绘了护士在影响疼痛和阿片类药物滥用患者管理方面的专业知识广度和关键领导力。
本范围综述表明，需要继续得到包括培训和 NIH 支持的跨专业合作机会在内的主要利益相关者的支持，以维持护理对疼痛和阿片类药物滥用患者优质护理的贡献。最终，所有医疗保健专业人员必须共同努力，开展严格的研究并构建基于证据的指南，为政策倡议和教育策略提供信息，以解决疼痛和阿片类药物滥用这两个复杂的共同流行症。
