护士在意大利院前急救中提供镇痛的观点:一项现象学研究。

IF 1.8 4区 医学 Q2 NURSING
Francesca Sandroni, Martina Pia Pugliese, Silvia Magagna, Stefano Sebastiani, Boaz Gedaliahu Samolsky Dekel, Guglielmo Imbriaco
{"title":"护士在意大利院前急救中提供镇痛的观点:一项现象学研究。","authors":"Francesca Sandroni, Martina Pia Pugliese, Silvia Magagna, Stefano Sebastiani, Boaz Gedaliahu Samolsky Dekel, Guglielmo Imbriaco","doi":"10.1016/j.ienj.2025.101696","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Effective pain management is a fundamental aspect of prehospital emergency care. However, numerous barriers, including inconsistent protocols, limited pharmacological options, and documentation gaps, hinder optimal pain relief. Emergency medical services (EMS) nurses play a crucial role in assessing and managing pain, yet their perspectives on prehospital analgesia remain underexplored.</p><p><strong>Objective: </strong>This study aims to explore the experiences and perceptions of Italian EMS nurses regarding prehospital pain management, identifying key challenges and potential improvements.</p><p><strong>Methods: </strong>A qualitative study was conducted using an interpretative phenomenological approach. Semi-structured interviews were performed with 14 EMS nurses from various Italian regions. Data was analyzed through thematic analysis, identifying recurring themes related to pain assessment, treatment, and documentation.</p><p><strong>Results: </strong>Five main themes emerged: (1) variability in analgesia protocols and pharmacological options, (2) inconsistent pain assessment and documentation, (3) challenges in pain management related to specific patient populations or environmental and logistical factors, (4) nurses' personal experiences shaping their approach to pain management, and (5) interprofessional collaboration challenges. While nurses emphasized the importance of systematic pain evaluation, barriers such as legal restrictions, inconsistent protocols, and limited pharmacological options were frequently reported.</p><p><strong>Conclusion: </strong>Prehospital pain management by EMS nurses in Italy faces significant challenges. Expanding protocol-approved pharmacological options, improving documentation practices, and enhancing training for pain management in vulnerable populations could improve care. A standardized, evidence-based national framework is needed to optimize pain relief and ensure equitable patient outcomes.</p>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"83 ","pages":"101696"},"PeriodicalIF":1.8000,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nurses' perspectives on providing analgesia in the Italian prehospital emergency setting: A phenomenological study.\",\"authors\":\"Francesca Sandroni, Martina Pia Pugliese, Silvia Magagna, Stefano Sebastiani, Boaz Gedaliahu Samolsky Dekel, Guglielmo Imbriaco\",\"doi\":\"10.1016/j.ienj.2025.101696\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Effective pain management is a fundamental aspect of prehospital emergency care. However, numerous barriers, including inconsistent protocols, limited pharmacological options, and documentation gaps, hinder optimal pain relief. Emergency medical services (EMS) nurses play a crucial role in assessing and managing pain, yet their perspectives on prehospital analgesia remain underexplored.</p><p><strong>Objective: </strong>This study aims to explore the experiences and perceptions of Italian EMS nurses regarding prehospital pain management, identifying key challenges and potential improvements.</p><p><strong>Methods: </strong>A qualitative study was conducted using an interpretative phenomenological approach. Semi-structured interviews were performed with 14 EMS nurses from various Italian regions. Data was analyzed through thematic analysis, identifying recurring themes related to pain assessment, treatment, and documentation.</p><p><strong>Results: </strong>Five main themes emerged: (1) variability in analgesia protocols and pharmacological options, (2) inconsistent pain assessment and documentation, (3) challenges in pain management related to specific patient populations or environmental and logistical factors, (4) nurses' personal experiences shaping their approach to pain management, and (5) interprofessional collaboration challenges. While nurses emphasized the importance of systematic pain evaluation, barriers such as legal restrictions, inconsistent protocols, and limited pharmacological options were frequently reported.</p><p><strong>Conclusion: </strong>Prehospital pain management by EMS nurses in Italy faces significant challenges. Expanding protocol-approved pharmacological options, improving documentation practices, and enhancing training for pain management in vulnerable populations could improve care. A standardized, evidence-based national framework is needed to optimize pain relief and ensure equitable patient outcomes.</p>\",\"PeriodicalId\":48914,\"journal\":{\"name\":\"International Emergency Nursing\",\"volume\":\"83 \",\"pages\":\"101696\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-10-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Emergency Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ienj.2025.101696\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Emergency Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ienj.2025.101696","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

摘要

背景:有效的疼痛管理是院前急救的一个基本方面。然而,许多障碍,包括不一致的方案,有限的药理学选择和文献空白,阻碍了最佳的疼痛缓解。急诊医疗服务(EMS)护士在评估和管理疼痛方面发挥着至关重要的作用,但他们对院前镇痛的看法仍未得到充分探讨。目的:本研究旨在探讨意大利EMS护士在院前疼痛管理方面的经验和看法,确定主要挑战和潜在的改进。方法:采用解释性现象学方法进行定性研究。对来自意大利不同地区的14名EMS护士进行了半结构化访谈。通过专题分析分析数据,确定与疼痛评估、治疗和记录相关的反复出现的主题。结果:出现了五个主要主题:(1)镇痛方案和药物选择的可变性;(2)不一致的疼痛评估和记录;(3)与特定患者群体或环境和后勤因素相关的疼痛管理挑战;(4)护士的个人经历塑造了他们的疼痛管理方法;(5)跨专业合作挑战。虽然护士强调系统疼痛评估的重要性,但法律限制、不一致的方案和有限的药物选择等障碍经常被报道。结论:意大利急诊护士院前疼痛管理面临重大挑战。扩大方案批准的药理学选择,改进文献实践,加强对弱势群体疼痛管理的培训,可以改善护理。需要一个标准化的、以证据为基础的国家框架来优化疼痛缓解并确保公平的患者结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurses' perspectives on providing analgesia in the Italian prehospital emergency setting: A phenomenological study.

Background: Effective pain management is a fundamental aspect of prehospital emergency care. However, numerous barriers, including inconsistent protocols, limited pharmacological options, and documentation gaps, hinder optimal pain relief. Emergency medical services (EMS) nurses play a crucial role in assessing and managing pain, yet their perspectives on prehospital analgesia remain underexplored.

Objective: This study aims to explore the experiences and perceptions of Italian EMS nurses regarding prehospital pain management, identifying key challenges and potential improvements.

Methods: A qualitative study was conducted using an interpretative phenomenological approach. Semi-structured interviews were performed with 14 EMS nurses from various Italian regions. Data was analyzed through thematic analysis, identifying recurring themes related to pain assessment, treatment, and documentation.

Results: Five main themes emerged: (1) variability in analgesia protocols and pharmacological options, (2) inconsistent pain assessment and documentation, (3) challenges in pain management related to specific patient populations or environmental and logistical factors, (4) nurses' personal experiences shaping their approach to pain management, and (5) interprofessional collaboration challenges. While nurses emphasized the importance of systematic pain evaluation, barriers such as legal restrictions, inconsistent protocols, and limited pharmacological options were frequently reported.

Conclusion: Prehospital pain management by EMS nurses in Italy faces significant challenges. Expanding protocol-approved pharmacological options, improving documentation practices, and enhancing training for pain management in vulnerable populations could improve care. A standardized, evidence-based national framework is needed to optimize pain relief and ensure equitable patient outcomes.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.20
自引率
11.10%
发文量
85
期刊介绍: International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信