Quality of nursing care in pain management in orthopedic surgical patients: a scoping review.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0110en
Bárbara Ventura Fontes, Amanda Magalhaes de Oliveira, Érica Brandão de Moraes, Juliane de Macedo Antunes, Marina de Góes Salvetti, Thalita Gomes do Carmo
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Abstract

Objective: To map the evidence on quality nursing care practices in pain management in orthopedic surgical patients.

Method: Scoping review, as per the JBI Manual recommendations. Searches were performed in the MEDLINE (PubMed), LILACS (Regional VHL), Scopus, Embase, Web of Science, Cochrane, Cinahl databases, and gray literature, regardless of language and period. Selection and extraction were performed by two independent reviewers, using inclusion/exclusion criteria, and the extracted data were organized to reflect key themes or recurring patterns related to the purpose of the review.

Results: A total of 94 studies were included, most from the United States, corresponding to 34% of the sample, and published between 1997 and 2022. The findings were categorized into: nursing quality practices in pain management related to the organization and monitoring of units, and pre- and post-operative period.

Conclusion: The research revealed that quality nursing care practices in pain management in orthopedic surgical patients encompass a variety of approaches, from the use of nonpharmacological practices and patient education to the use of pain assessment scales, staff training, to innovative pharmacological procedures.

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