University of Cincinnati College of Nursing, Cincinatti, Ohio; Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio; Center for Addiction Research, University of Cincinnati College of Medicine, Cincinnati, Ohio.
University of Cincinnati College of Nursing, Cincinatti, Ohio.
Pain Manag Nurs. 2021 Oct;22(5):586-591. doi: 10.1016/j.pmn.2021.05.003. Epub 2021 Jun 5.
The opioid crisis is a national health emergency with immense morbidity, mortality, and socioeconomic cost. Emergency department (ED) pain management is tightly linked to the issue of opioid use disorder (OUD), because opioid exposure is necessary for development of OUD. Emergency nurses are on the frontlines of this complex problem, yet little, if any, attention has been paid to the role they play in the prevention and management of either pain or OUD in this unique and important setting. A framework that conceptualizes and optimizes emergency nurses as change agents in the opioid epidemic is urgently needed. While ED pain management and OUD prevention is dependent on the entire care team, this innovative study qualitatively characterizes emergency nurse perceptions of pain management, OUD prevention, and their potential role in each. Content analysis produced 14 categories that were clustered into two themes, "nurses influence ED pain management" and "adjustments in ED pain management", and an overarching message that "pain management depends on the care team." By generating a more comprehensive and nuanced understanding of the role played by emergency nurses, our findings provide essential insights into potential interventions and frameworks.
阿片类药物危机是一场全国性的卫生紧急事件，造成了巨大的发病率、死亡率和社会经济成本。急诊部（ED）的疼痛管理与阿片类药物使用障碍（OUD）问题密切相关，因为阿片类药物的暴露是 OUD 发展的必要条件。急诊护士处于这一复杂问题的前沿，但几乎没有（如果有的话）关注他们在这一独特而重要的环境中在预防和管理疼痛或 OUD 方面所扮演的角色。迫切需要一个框架，将急诊护士概念化为阿片类药物流行中的变革推动者，并优化其作用。虽然 ED 疼痛管理和 OUD 预防依赖于整个护理团队，但这项创新性研究定性地描述了急诊护士对疼痛管理、OUD 预防及其在每种情况下的潜在作用的看法。内容分析产生了 14 个类别，这些类别被聚类为两个主题，“护士对 ED 疼痛管理的影响”和“ED 疼痛管理的调整”，以及一个总体信息，即“疼痛管理取决于护理团队”。通过更全面和细致地了解急诊护士所扮演的角色，我们的发现为潜在的干预措施和框架提供了重要的见解。
