The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature
Aims and objectives. To identify, summarise and critically appraise the current evidence regarding the impact and effectiveness of nurse‐led care in acute and chronic pain. Background. A diverse range of models of care exist within the services available for the management of acute and chronic pai...
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| Veröffentlicht in: | Journal of Clinical Nursing 2008-08, Vol.17 (15), p.2001-2013 |
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| container_title | Journal of Clinical Nursing |
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| creator | Courtenay, Molly Carey, Nicola |
| description | Aims and objectives. To identify, summarise and critically appraise the current evidence regarding the impact and effectiveness of nurse‐led care in acute and chronic pain.
Background. A diverse range of models of care exist within the services available for the management of acute and chronic pain. Primary studies have been conducted evaluating these models, but, review and synthesis of the findings from these studies has not been undertaken.
Design. Literature review.
Method. Searches of Pubmed (NLM) Medline, CINAHL, Web of Knowledge (Science Index, Social Science index), British Nursing Index from January 1996–March 2007 were conducted. The searches were supplemented by an extensive hand search of the literature through references identified from retrieved articles and by contact with experts in the field.
Results. Twenty‐one relevant publications were identified and included findings from both primary and secondary care. The areas, in which nurses, caring for patients in pain are involved, include assessment, monitoring, evaluation of pain, interdisciplinary collaboration and medicines management. Education programmes delivered by specialist nurses can improve the assessment and documentation of acute and chronic pain. Educational interventions and the use of protocols by specialist nurses can improve patients understanding of their condition and improve pain control. Acute pain teams, led by nurses, can reduce pain intensity and are cost effective.
Conclusions. Nurses play key roles in the diverse range of models of care that exist in acute and chronic pain. However, there are methodological weaknesses across this body of research evidence and under researched issues that point to a need for further rigorous evaluation.
Relevance to clinical practice. Nurse‐led care is an integral element of the pain services offered to patients. This review highlights the effect of this care and the issues that require consideration by those responsible for the development of nurse‐led models in acute and chronic pain. |
| doi_str_mv | 10.1111/j.1365-2702.2008.02361.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764367652</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1515546941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6111-2fa7cf0bbf79a01fa32a647f2c8d02ffcb2d9a18adeddc1fa9aa1ffed94122273</originalsourceid><addsrcrecordid>eNqNkV9v0zAUxSMEYmXwFZCFBDwl-E9jJzwgQWEbMLaXAY_WrXPNXBKn2EnXfXuctSoSDwi_2NL9nXN9dLKMMFqwdF6tCiZkmXNFecEprQrKhWTF9l42OwzuZzNaS54zKtVR9ijGFaVMcC4eZkesUrRUFZ1lm6trJK5bgxkI-IagtWgGt0GPMZLeEj-GiHmLDTEQEurJkBQdePiBHfphYsCMA97JzXXovTNkDc6_JkACbhzeTMykat2AAYYx4OPsgYU24pP9fZx9PflwtTjLzy9PPy7enudGppw5t6CMpculVTVQZkFwkHNluakayq01S97UwCposGlMmtcALCVo6jnjnCtxnL3c-a5D_2vEOOjORYNtCx77MWol50IqWfJEvvgnKeu5EKquEvjsL3DVj8GnFJqLMpVRymlvtYNM6GMMaPU6uA7CrWZUTxXqlZ6a0lNTeqpQ31Wot0n6dO8_Ljts_gj3nSXg-R6AaKC1Abxx8cBxpqgQrEzcmx1341q8_e8P6E-Xi4vpmQzynYGLA24PBhB-6hRRlfr7xanmXz6ffXt3Uun34jcL-ccY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>235008567</pqid></control><display><type>article</type><title>The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature</title><source>Access via Wiley Online Library</source><source>MEDLINE</source><creator>Courtenay, Molly ; Carey, Nicola</creator><creatorcontrib>Courtenay, Molly ; Carey, Nicola</creatorcontrib><description>Aims and objectives. To identify, summarise and critically appraise the current evidence regarding the impact and effectiveness of nurse‐led care in acute and chronic pain.
Background. A diverse range of models of care exist within the services available for the management of acute and chronic pain. Primary studies have been conducted evaluating these models, but, review and synthesis of the findings from these studies has not been undertaken.
Design. Literature review.
Method. Searches of Pubmed (NLM) Medline, CINAHL, Web of Knowledge (Science Index, Social Science index), British Nursing Index from January 1996–March 2007 were conducted. The searches were supplemented by an extensive hand search of the literature through references identified from retrieved articles and by contact with experts in the field.
Results. Twenty‐one relevant publications were identified and included findings from both primary and secondary care. The areas, in which nurses, caring for patients in pain are involved, include assessment, monitoring, evaluation of pain, interdisciplinary collaboration and medicines management. Education programmes delivered by specialist nurses can improve the assessment and documentation of acute and chronic pain. Educational interventions and the use of protocols by specialist nurses can improve patients understanding of their condition and improve pain control. Acute pain teams, led by nurses, can reduce pain intensity and are cost effective.
Conclusions. Nurses play key roles in the diverse range of models of care that exist in acute and chronic pain. However, there are methodological weaknesses across this body of research evidence and under researched issues that point to a need for further rigorous evaluation.
Relevance to clinical practice. Nurse‐led care is an integral element of the pain services offered to patients. This review highlights the effect of this care and the issues that require consideration by those responsible for the development of nurse‐led models in acute and chronic pain.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2008.02361.x</identifier><identifier>PMID: 18705780</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Acute Disease ; Biological and medical sciences ; Chronic Disease ; Clinical Nursing Research ; Cooperative Behavior ; Cost-Benefit Analysis ; Drug Monitoring - nursing ; education ; Effectiveness studies ; Evidence-Based Medicine ; Humans ; Leadership ; Medical sciences ; medicines management ; Miscellaneous ; Models, Nursing ; Nurse Clinicians - organization & administration ; Nurse's Role ; nurse-led care ; Nurses ; Nursing ; Nursing administration ; Nursing Assessment ; Nursing Evaluation Research ; Nursing Process - organization & administration ; Pain - diagnosis ; Pain - nursing ; Pain management ; Pain Measurement - nursing ; Patient Care Planning - organization & administration ; Patient Care Team - organization & administration ; Professional Autonomy ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Research Design</subject><ispartof>Journal of Clinical Nursing, 2008-08, Vol.17 (15), p.2001-2013</ispartof><rights>2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd</rights><rights>Copyright Blackwell Publishing Ltd. Aug 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6111-2fa7cf0bbf79a01fa32a647f2c8d02ffcb2d9a18adeddc1fa9aa1ffed94122273</citedby><cites>FETCH-LOGICAL-c6111-2fa7cf0bbf79a01fa32a647f2c8d02ffcb2d9a18adeddc1fa9aa1ffed94122273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2702.2008.02361.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2702.2008.02361.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,315,782,786,794,1419,27931,27933,27934,45583,45584</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21703315$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18705780$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Courtenay, Molly</creatorcontrib><creatorcontrib>Carey, Nicola</creatorcontrib><title>The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature</title><title>Journal of Clinical Nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives. To identify, summarise and critically appraise the current evidence regarding the impact and effectiveness of nurse‐led care in acute and chronic pain.
Background. A diverse range of models of care exist within the services available for the management of acute and chronic pain. Primary studies have been conducted evaluating these models, but, review and synthesis of the findings from these studies has not been undertaken.
Design. Literature review.
Method. Searches of Pubmed (NLM) Medline, CINAHL, Web of Knowledge (Science Index, Social Science index), British Nursing Index from January 1996–March 2007 were conducted. The searches were supplemented by an extensive hand search of the literature through references identified from retrieved articles and by contact with experts in the field.
Results. Twenty‐one relevant publications were identified and included findings from both primary and secondary care. The areas, in which nurses, caring for patients in pain are involved, include assessment, monitoring, evaluation of pain, interdisciplinary collaboration and medicines management. Education programmes delivered by specialist nurses can improve the assessment and documentation of acute and chronic pain. Educational interventions and the use of protocols by specialist nurses can improve patients understanding of their condition and improve pain control. Acute pain teams, led by nurses, can reduce pain intensity and are cost effective.
Conclusions. Nurses play key roles in the diverse range of models of care that exist in acute and chronic pain. However, there are methodological weaknesses across this body of research evidence and under researched issues that point to a need for further rigorous evaluation.
Relevance to clinical practice. Nurse‐led care is an integral element of the pain services offered to patients. This review highlights the effect of this care and the issues that require consideration by those responsible for the development of nurse‐led models in acute and chronic pain.</description><subject>Acute Disease</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Clinical Nursing Research</subject><subject>Cooperative Behavior</subject><subject>Cost-Benefit Analysis</subject><subject>Drug Monitoring - nursing</subject><subject>education</subject><subject>Effectiveness studies</subject><subject>Evidence-Based Medicine</subject><subject>Humans</subject><subject>Leadership</subject><subject>Medical sciences</subject><subject>medicines management</subject><subject>Miscellaneous</subject><subject>Models, Nursing</subject><subject>Nurse Clinicians - organization & administration</subject><subject>Nurse's Role</subject><subject>nurse-led care</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing administration</subject><subject>Nursing Assessment</subject><subject>Nursing Evaluation Research</subject><subject>Nursing Process - organization & administration</subject><subject>Pain - diagnosis</subject><subject>Pain - nursing</subject><subject>Pain management</subject><subject>Pain Measurement - nursing</subject><subject>Patient Care Planning - organization & administration</subject><subject>Patient Care Team - organization & administration</subject><subject>Professional Autonomy</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Research Design</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV9v0zAUxSMEYmXwFZCFBDwl-E9jJzwgQWEbMLaXAY_WrXPNXBKn2EnXfXuctSoSDwi_2NL9nXN9dLKMMFqwdF6tCiZkmXNFecEprQrKhWTF9l42OwzuZzNaS54zKtVR9ijGFaVMcC4eZkesUrRUFZ1lm6trJK5bgxkI-IagtWgGt0GPMZLeEj-GiHmLDTEQEurJkBQdePiBHfphYsCMA97JzXXovTNkDc6_JkACbhzeTMykat2AAYYx4OPsgYU24pP9fZx9PflwtTjLzy9PPy7enudGppw5t6CMpculVTVQZkFwkHNluakayq01S97UwCposGlMmtcALCVo6jnjnCtxnL3c-a5D_2vEOOjORYNtCx77MWol50IqWfJEvvgnKeu5EKquEvjsL3DVj8GnFJqLMpVRymlvtYNM6GMMaPU6uA7CrWZUTxXqlZ6a0lNTeqpQ31Wot0n6dO8_Ljts_gj3nSXg-R6AaKC1Abxx8cBxpqgQrEzcmx1341q8_e8P6E-Xi4vpmQzynYGLA24PBhB-6hRRlfr7xanmXz6ffXt3Uun34jcL-ccY</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>Courtenay, Molly</creator><creator>Carey, Nicola</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200808</creationdate><title>The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature</title><author>Courtenay, Molly ; Carey, Nicola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6111-2fa7cf0bbf79a01fa32a647f2c8d02ffcb2d9a18adeddc1fa9aa1ffed94122273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Acute Disease</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Clinical Nursing Research</topic><topic>Cooperative Behavior</topic><topic>Cost-Benefit Analysis</topic><topic>Drug Monitoring - nursing</topic><topic>education</topic><topic>Effectiveness studies</topic><topic>Evidence-Based Medicine</topic><topic>Humans</topic><topic>Leadership</topic><topic>Medical sciences</topic><topic>medicines management</topic><topic>Miscellaneous</topic><topic>Models, Nursing</topic><topic>Nurse Clinicians - organization & administration</topic><topic>Nurse's Role</topic><topic>nurse-led care</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing administration</topic><topic>Nursing Assessment</topic><topic>Nursing Evaluation Research</topic><topic>Nursing Process - organization & administration</topic><topic>Pain - diagnosis</topic><topic>Pain - nursing</topic><topic>Pain management</topic><topic>Pain Measurement - nursing</topic><topic>Patient Care Planning - organization & administration</topic><topic>Patient Care Team - organization & administration</topic><topic>Professional Autonomy</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Research Design</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Courtenay, Molly</creatorcontrib><creatorcontrib>Carey, Nicola</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Clinical Nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Courtenay, Molly</au><au>Carey, Nicola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature</atitle><jtitle>Journal of Clinical Nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2008-08</date><risdate>2008</risdate><volume>17</volume><issue>15</issue><spage>2001</spage><epage>2013</epage><pages>2001-2013</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives. To identify, summarise and critically appraise the current evidence regarding the impact and effectiveness of nurse‐led care in acute and chronic pain.
Background. A diverse range of models of care exist within the services available for the management of acute and chronic pain. Primary studies have been conducted evaluating these models, but, review and synthesis of the findings from these studies has not been undertaken.
Design. Literature review.
Method. Searches of Pubmed (NLM) Medline, CINAHL, Web of Knowledge (Science Index, Social Science index), British Nursing Index from January 1996–March 2007 were conducted. The searches were supplemented by an extensive hand search of the literature through references identified from retrieved articles and by contact with experts in the field.
Results. Twenty‐one relevant publications were identified and included findings from both primary and secondary care. The areas, in which nurses, caring for patients in pain are involved, include assessment, monitoring, evaluation of pain, interdisciplinary collaboration and medicines management. Education programmes delivered by specialist nurses can improve the assessment and documentation of acute and chronic pain. Educational interventions and the use of protocols by specialist nurses can improve patients understanding of their condition and improve pain control. Acute pain teams, led by nurses, can reduce pain intensity and are cost effective.
Conclusions. Nurses play key roles in the diverse range of models of care that exist in acute and chronic pain. However, there are methodological weaknesses across this body of research evidence and under researched issues that point to a need for further rigorous evaluation.
Relevance to clinical practice. Nurse‐led care is an integral element of the pain services offered to patients. This review highlights the effect of this care and the issues that require consideration by those responsible for the development of nurse‐led models in acute and chronic pain.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18705780</pmid><doi>10.1111/j.1365-2702.2008.02361.x</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute Disease Biological and medical sciences Chronic Disease Clinical Nursing Research Cooperative Behavior Cost-Benefit Analysis Drug Monitoring - nursing education Effectiveness studies Evidence-Based Medicine Humans Leadership Medical sciences medicines management Miscellaneous Models, Nursing Nurse Clinicians - organization & administration Nurse's Role nurse-led care Nurses Nursing Nursing administration Nursing Assessment Nursing Evaluation Research Nursing Process - organization & administration Pain - diagnosis Pain - nursing Pain management Pain Measurement - nursing Patient Care Planning - organization & administration Patient Care Team - organization & administration Professional Autonomy Public health. Hygiene Public health. Hygiene-occupational medicine Research Design |
| title | The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature |
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