Utilization of Pediatric Standing Orders by Triage Nurses in a Free-Standing Emergency Department.

IF 0.2 Q4 NURSING
Randy Hamm
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Abstract

Background: Pediatric pain-related complaints continue to be a common presenting factor of most emergency departments (EDs). Studies have shown that several barriers in assessing and treating pediatric pain exist, including nursing knowledge regarding appropriate pain level assessment.

Objective: This quality improvement study aimed to provide and evaluate specific education regarding pediatric pain management for free-standing ED triage nurses to expedite medication administration during the triage phase of an ED visit.

Method: This pre/post-test intervention study was used to measure whether the education provided to nurses working in a primarily adult patient free-standing ED increased the utilization of triage standing orders related to pediatric pain management.

Results: Paired sample t-tests results indicated a statistically significant increase (p = .000) in the percentage of patients that received pain medication during the triage phase of an ED visit after specific education was provided to triage nurses.

Conclusion: Free-standing ED triage nurses are more likely to follow and implement triage standing orders if education explicitly related to pain management in pediatric patients has been provided.

Implications for practice: Pediatric pain management education should be revisited annually to re-educate nurses on the importance of early interventions.

独立急诊科分诊护士对儿科常设医嘱的利用。
背景:儿童疼痛相关的投诉仍然是大多数急诊科(ed)的常见表现因素。研究表明,评估和治疗儿童疼痛存在一些障碍,包括关于适当疼痛水平评估的护理知识。目的:本质量改进研究旨在为独立的急诊科分诊护士提供和评估关于儿科疼痛管理的特殊教育,以加快急诊科就诊分诊阶段的药物管理。方法:这项测试前/测试后干预研究用于测量对主要为成人患者独立式急诊科工作的护士提供的教育是否增加了与儿科疼痛管理相关的分诊站立单的利用率。结果:配对样本t检验结果显示,在向分诊护士提供特殊教育后,在急诊科就诊的分诊阶段接受止痛药治疗的患者百分比有统计学意义上的显著增加(p = .000)。结论:如果提供了明确与儿科患者疼痛管理相关的教育,独立急诊科分诊护士更有可能遵循和执行分诊单。对实践的启示:儿科疼痛管理教育应每年重新审视,以重新教育护士早期干预的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
45
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