Best-practice guidelines for nurses for the assessment and management of acute trauma-related pain in adult patients: A scoping review

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100888

Yolande N. Magerman, Portia J. Jordan, Chinwe J. Iwu-Jaja, Mariana M. Van der Heever

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引用次数: 0

Abstract

Background

Trauma-related pain represents a large proportion of admissions to emergency centres (ECs) across Europe and globally. Best recommendations in the form of best practice guidelines (BPGs) are recommended for effective pain management in any setting. The preliminary search revealed no guidelines specific to the assessment and management of acute trauma-related pain by nurses in the EC, prompting a scoping review. The review aimed to identify, appraise and summarise BPGs for the assessment and management of acute trauma-related pain in adult patients within the EC settings.

Methods

Following the PRISMA-ScR framework and JBI methodology for scoping reviews, the researchers conducted a comprehensive search focusing on acute pain, trauma-related pain, pain assessment and management in ECs worldwide. Electronic databases and search engines included PubMed, EBSCOhost, CINAHL, and Guideline Clearinghouses. Data extraction and synthesis focused on guidelines addressing acute pain assessment and management.

Results

Between 14 December 2020 to 14 June 2021, a total of 4 029 records were identified from electronic databases, 1 379 from guideline repositories and 15 from search engines. After the screening, 34 records were assessed for eligibility, of which 22 were excluded. Twelve BPGs were screened. After the critical appraisal, six guidelines were included.

Conclusion

There is a dearth of guidelines for the assessment and management of acute trauma-related pain in ECs. The included guidelines covered medical and trauma emergencies and acute and chronic pain and were not specific to the EC. The paucity of such guidelines in ECs was highlighted, emphasising the need for BPGs.

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护士评估和管理成人患者急性创伤相关疼痛的最佳实践指南：范围审查

背景创伤相关疼痛在欧洲和全球急诊中心（ECs）的入院人数中占很大比例。以最佳实践指南（bpg）形式的最佳建议被推荐用于任何情况下有效的疼痛管理。初步调查显示，没有具体的指导方针评估和管理急性创伤相关疼痛的护士在EC，促使范围审查。本综述旨在识别、评价和总结bpg在EC环境下评估和管理成年患者急性创伤性疼痛方面的作用。方法遵循PRISMA-ScR框架和JBI方法进行范围审查，研究人员对全球ECs的急性疼痛、创伤相关疼痛、疼痛评估和管理进行了全面的搜索。电子数据库和搜索引擎包括PubMed、EBSCOhost、CINAHL和guidelines Clearinghouses。数据提取和综合侧重于解决急性疼痛评估和管理的指导方针。结果2020年12月14日至2021年6月14日，共从电子数据库中识别出4 029条记录，从指南库中识别出1 379条记录，从搜索引擎中识别出15条记录。筛选后，34个记录被评估为合格，其中22个被排除。筛选了12个bpg。经过严格的评估，包括六个指导方针。结论目前缺乏评估和治疗急性创伤性疼痛的指南。所包括的准则涵盖医疗和创伤紧急情况以及急性和慢性疼痛，并非针对欧共体。会议强调了ec缺乏此类指导方针，强调了bpg的必要性。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.