• Pain Manag Nurs · Feb 2021

    Review

    A Scoping Review of Nursing's Contribution to the Management of Patients with Pain and Opioid Misuse.

    • Janet H Van Cleave, Staja Q Booker, Keesha Powell-Roach, Eva Liang, and Jennifer Kawi.
    • NYU Rory Meyers College of Nursing, New York, New York. Electronic address: janet.vancleave@nyu.edu.
    • Pain Manag Nurs. 2021 Feb 1; 22 (1): 58-68.

    BackgroundNursing brings a unique lens to care of patients with pain and opioid misuse.AimsThis scoping review describes nursing's contribution to the literature on the management of patients with pain and opioid misuse, generating evidence to guide clinical care.DesignThe scoping review was conducted according to Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews guideline.Data SourcesUsing combined key terms ("opioid misuse," "pain," "nursing") in systematic searches in PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) electronic databases, snowball technique, and personal knowledge resulted in 108 relevant articles, reports, and websites.Analysis MethodSummative approach to content analysis was used to quantify and describe nursing's contribution to the literature.ResultsContributions of nurses emerged in the areas of research, clinical practice, policy, and education. The highest number of publications addressed research (50%, 54 of 108), whereas the fewest number of publications involved education (7%, 8 of 108).ConclusionResults provide a picture of the breadth of expertise and crucial leadership that nurses contribute to influence management of patients with pain and opioid misuse.Implications For NursingThis scoping review indicates the importance of continued support from key stakeholders, including training and interprofessional collaboration opportunities supported by the National Institutes of Health, to sustain nursing's contribution to quality care of patients with pain and opioid misuse. Ultimately, all health care professionals must collaborate to conduct rigorous research and construct evidence-based guidelines to inform policy initiatives and education strategies to solve the complex co-occurring epidemics of pain and opioid misuse.Copyright © 2021 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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