Pain management nursing : official journal of the American Society of Pain Management Nurses
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The study aimed to determine how pain documentation audits and repeated feedback (REFPAD intervention) affect registered nurses' pain documentation and knowledge, and to discover how background variables relate to such documentation and knowledge. ⋯ More focus should be paid to feedback implementation and continuous monitoring of the quality of pain care is recommended.
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Little is known about the use of collaborative care models for patients with co-occurring chronic pain and substance use disorders (SUD). This study aimed to pilot test a collaborative care intervention delivered over telehealth to rural patients engaged with SUD treatment who experienced chronic pain. ⋯ An NCM-led collaborative care intervention delivered via telehealth may improve both pain and substance use outcomes for rural patients with these comorbidities. Large-scale clinical trials are needed to demonstrate intervention efficacy.
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The aim was to establish a competency index system for pain resource nurses (PRNs) in China. ⋯ The postcompetency index system for PRNs developed in this study is reliable and scientifically grounded. It provides an objective quantitative basis for training and evaluating PRNs.
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Although nurses frequently are responsible to care for and ensure safety of patients receiving epidural analgesia resources to guide them in this care are difficult to locate and not inclusive of all aspects of such care. The purpose of this manuscript is to provide a comprehensive resource to provide information for nurses when caring for patients receiving analgesia via an epidural catheter. ⋯ To ensure patient safety, RNs need to have didactic knowledge with annual competencies as well as practical training. Education of nurses who are caring for patients with epidural catheters should include anatomy; indications and contraindications for epidural analgesia; nursing responsibility during placement of the epidural; management of the catheter after placement including monitoring, assessment for side effects, and medications used; and knowledge of potential complications and their treatment. Depending on the nurses' role the practical instruction may include ACLS, administration of anxiolytics or opioids, and/or the treatment of local anesthetic systemic toxicity (LAST). Institutional policies and procedures as well as the state description of nurses' scope of practice must define the education required of the nurses who are taking care of patients with epidural analgesia.
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This scoping review explores hybrid healthcare models combining telehealth and in-person visits for pain management. It examines their components, effectiveness compared to traditional care, advantages, and disadvantages of telehealth, and the influence of future technologies. ⋯ Nurses should be trained in telehealth technologies to facilitate the implementation of hybrid models while continuing to provide essential in-person care to engage patients and build trust.