Bernier Andréanne, Poitras Marie-Eve, Lacasse Anaïs
Département des sciences de la santé, Université du Québec en Abitibi-Témiscamingue, UQAT, Rouyn-Noranda, Québec, Canada.
Département de médecine familiale et de médecine d'urgence, Université de Sherbrooke, Campus Saguenay, Sherbrooke, Québec, Canada.
Can J Pain. 2024 Oct 7;8(1):2394207. doi: 10.1080/24740527.2024.2394207. eCollection 2024.
Primary care nursing expertise is crucial in meeting the needs of patients living with chronic disease. In Canada, one in five individuals lives with chronic pain (CP), creating a major socioeconomic burden. However, the role of primary care nursing in CP remains underdeveloped. This narrative review analyzes the alignment of the recent Quebec Action Plan on CP with recognized chronic disease management models and examines the potential role of nurses in implementing this plan. A literature synthesis was conducted using various databases (CINAHL, PubMed) and documentary sources in both French and English. Results were interpreted through the lens of the Chronic Care Model, a recognized framework for improving chronic diseases care. Although the Quebec Action Plan on CP aligns with its intended goals, its implementation will need to overcome various challenges. Findings indicate effective professional opportunities in CP management, as evidenced in studies of primary care nursing practice. They reveal that nursing staff already engage in chronic disease management activities applicable to CP. We recognize the contribution of primary care nursing expertise is crucial for reassessing care organization models, promoting evidence-based shared responsibilities, and supporting future research and clinical innovation in CP management.
初级护理专业知识对于满足慢性病患者的需求至关重要。在加拿大,五分之一的人患有慢性疼痛(CP),这造成了重大的社会经济负担。然而,初级护理在慢性疼痛方面的作用仍未得到充分发展。本叙述性综述分析了魁北克最近的慢性疼痛行动计划与公认的慢性病管理模式的一致性,并探讨了护士在实施该计划中的潜在作用。使用各种数据库(CINAHL、PubMed)以及法语和英语的文献资料进行了文献综合分析。结果通过慢性病护理模式这一公认的改善慢性病护理的框架进行解读。尽管魁北克慢性疼痛行动计划与其预期目标一致,但其实施仍需克服各种挑战。研究结果表明在慢性疼痛管理方面存在有效的专业机会,这在初级护理实践研究中得到了证明。这些结果表明护理人员已经参与了适用于慢性疼痛的慢性病管理活动。我们认识到初级护理专业知识对于重新评估护理组织模式、促进基于证据的共同责任以及支持慢性疼痛管理方面未来的研究和临床创新具有至关重要的作用。