Potential factors influencing inadequate pain management in adult patients presenting in pain to the emergency department: a mixed-method systematic review.
Tracks
Concurrent Stream 2
| Thursday, October 17, 2024 |
| 1:50 PM - 2:10 PM |
| Tuscan Room |
Overview
Abdulmalik Almutairi
Speaker
Mr Abdulmalik Almutairi
PhD Student
Queensland University Of Technology
Potential factors influencing inadequate pain management in adult patients presenting in pain to the emergency department: a mixed-method systematic review.
1:50 PM - 2:10 PMAbstract
Introduction
Previous work has identified that not everyone presenting in pain to the emergency department (ED) is treated equally. Patients will therefore have variable experiences of pain management. In this systematic review, we sought to identify pain care outcomes in the ED and who might be vulnerable to inadequate pain management. This leads to the question, “What factors may contribute to experiencing inadequate pain management in adult patients presenting in pain to the ED?”
Methods
This systematic review employed a mixed-methods approach, integrating quantitative and qualitative studies to identify factors contributing to inadequate pain management. The study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches were conducted in CINHAL, PubMed, EMBASE, Scopus, Web of Science, and Google Scholar using the key terms “pain”, “pain management”, emergency department” “analgesics”, “analgesia”, “analgesics”, “pain disparities”,” delay pain”, “inadequate pain”. “time to treatment” corresponding MeSH terms. Both quantitative and qualitative synthesis occurred and contributed to the outcome.
Results
Searches identified 111 studies for inclusion. We identified 83 factors and 50 outcome measures associated with inadequate pain management in the ED. The most common factors included age, race/ethnicity, sex/gender, pain intensity, and triage acuity. Common outcome measures were the receipt of analgesics, receipt of opioids, time to analgesia, and pain relief. Meta-analysis results indicated that older age, female sex/gender, and non-White race/ethnicity were significantly associated with a higher risk of experiencing inadequate pain management in the ED.
Discussion
The findings highlight significant disparities in factors and outcome measures associated with pain management in the ED. These disparities pertain to patient-related, clinician-related, and environmental factors, underscoring the need for a unified model and standardised outcome measures to improve pain management practices in the ED.
PROSPERO identifier: CRD42022353807
Funding: This Review had no dedicated funding.
Previous work has identified that not everyone presenting in pain to the emergency department (ED) is treated equally. Patients will therefore have variable experiences of pain management. In this systematic review, we sought to identify pain care outcomes in the ED and who might be vulnerable to inadequate pain management. This leads to the question, “What factors may contribute to experiencing inadequate pain management in adult patients presenting in pain to the ED?”
Methods
This systematic review employed a mixed-methods approach, integrating quantitative and qualitative studies to identify factors contributing to inadequate pain management. The study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches were conducted in CINHAL, PubMed, EMBASE, Scopus, Web of Science, and Google Scholar using the key terms “pain”, “pain management”, emergency department” “analgesics”, “analgesia”, “analgesics”, “pain disparities”,” delay pain”, “inadequate pain”. “time to treatment” corresponding MeSH terms. Both quantitative and qualitative synthesis occurred and contributed to the outcome.
Results
Searches identified 111 studies for inclusion. We identified 83 factors and 50 outcome measures associated with inadequate pain management in the ED. The most common factors included age, race/ethnicity, sex/gender, pain intensity, and triage acuity. Common outcome measures were the receipt of analgesics, receipt of opioids, time to analgesia, and pain relief. Meta-analysis results indicated that older age, female sex/gender, and non-White race/ethnicity were significantly associated with a higher risk of experiencing inadequate pain management in the ED.
Discussion
The findings highlight significant disparities in factors and outcome measures associated with pain management in the ED. These disparities pertain to patient-related, clinician-related, and environmental factors, underscoring the need for a unified model and standardised outcome measures to improve pain management practices in the ED.
PROSPERO identifier: CRD42022353807
Funding: This Review had no dedicated funding.
Biography
Abdulmalik Almutairi is a PhD candidate at the School of Nursing at Queensland University of Technology. Mr Almutairi achieved a bachelor's degree in Nursing Science in 2016 and worked as an emergency nurse for several years before transitioning to a lecturer position at Tabuk University. In 2019, he completed a Master’s Degree in Advanced Practice Nursing at QUT. Currently, he is a PhD candidate, and the PhD research is on identifying and modelling potential factors that contribute to inadequate pain management in adults presenting in pain.
