{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:18:18Z","timestamp":1788344298396,"version":"build-2803163510"},"reference-count":63,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Acute pain significantly impairs patients' quality of life and well\u2010being. Its management frequently presents complex ethical dilemmas for healthcare professionals, particularly when dealing with diverse patient populations, raising critical questions about practice and equity. The primary objective of this scoping review is to examine the ethical challenges encountered by healthcare professionals in managing acute pain. By exploring these dilemmas, the review aims to enhance understanding of the complexities involved in pain management across different patient demographics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Scoping review conducted following the PRISMA\u2010ScR (Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses Extension for Scoping Reviews) guidelines. A comprehensive literature search was performed across multiple databases, including ProQuest, Web of Science, PubMed, Scopus, and ScienceDirect, focusing on studies published up to April 2025 without any lower date restrictions. Thematic analysis of ethical challenges identified within the included literature. Fifty\u2010three relevant studies meeting the inclusion criteria were analyzed to identify and synthesize themes related to ethical challenges in acute pain management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Key ethical challenges identified include navigating informed consent processes, managing patient expectations effectively, and balancing the benefits of pain relief (particularly with opioids) against significant risks like dependence and misuse. The findings underscore the critical importance of a patient\u2010centered approach, reliant on clear communication and interprofessional collaboration. Cultural sensitivity and strict adherence to medical ethics principles were emphasized as paramount, especially for vulnerable populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review advocates for integrating ethical considerations into clinical decision\u2010making frameworks and promoting empathetic responses through training programs. By addressing these themes, it seeks to enhance healthcare practitioners' understanding and improve best practices in acute pain management, ultimately leading to better quality of care and patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72184","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T04:35:15Z","timestamp":1778560515000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ethical Challenges of Acute Pain Management: A Scoping Review"],"prefix":"10.1002","volume":"9","author":[{"given":"Mehdi Azimian","family":"Zavareh","sequence":"first","affiliation":[{"name":"Department of Health Philosophy and Ethics School of Religion and Health Qom University of Medical Sciences Qom Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Mashkoori","sequence":"additional","affiliation":[{"name":"Department of Health Philosophy and Ethics School of Religion and Health Qom University of Medical Sciences Qom Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6025-4879","authenticated-orcid":false,"given":"Mohadeseh","family":"Motamed\u2010Jahromi","sequence":"additional","affiliation":[{"name":"Department of Public Health School of Health Fasa University of Medical Sciences Fasa Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Afshar","sequence":"additional","affiliation":[{"name":"Department of Medical Ethics Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Aminnejad","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology School of Medicine, Shahid Beheshti Hospital Qom University of Medical Sciences Qom Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansure","family":"Madani","sequence":"additional","affiliation":[{"name":"Department of Health Philosophy and Ethics School of Religion and Health Qom University of Medical Sciences Qom Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5033-5165","authenticated-orcid":false,"given":"Mohammad","family":"Parvaresh\u2010Masoud","sequence":"additional","affiliation":[{"name":"Spiritual Health Research Center Qom University of Medical Sciences Qom Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"issue":"10","key":"e_1_2_12_2_1","article-title":"Ethical Dilemmas and Approaches to Acute Pain Management in Patients With Substance Use Disorders","volume":"17","author":"Virno T.","year":"2025","journal-title":"Cureus"},{"issue":"10","key":"e_1_2_12_3_1","article-title":"Ethical Dilemmas and Approaches to Acute Pain Management in Patients With Substance Use Disorders","volume":"17","author":"Virno T.","year":"2025","journal-title":"Cureus"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","unstructured":"W. A.Alvis N. M.Mustafah andA. N. M.YusofEthical Challenges in Managing People Living With Chronic Pain: A Scoping Review.2025.","DOI":"10.21203\/rs.3.rs-7846794\/v1"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S162926"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2025.2517769"},{"issue":"1","key":"e_1_2_12_7_1","first-page":"1","article-title":"ANA Position Statement: The Ethical Responsibility to Manage Pain and the Suffering It Causes","volume":"24","author":"Liz Stokes J.","year":"2019","journal-title":"Online Journal of Issues in Nursing"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.farma.2025.11.004"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2020.03.029"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0098858820933500"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2049463719888551"},{"issue":"4","key":"e_1_2_12_12_1","first-page":"381","article-title":"Controlling Pain and Reducing Misuse of Opioids: Ethical Considerations","volume":"58","author":"Kotalik J.","year":"2012","journal-title":"Canadian Family Physician Medecin de famille canadien"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2020.01.004"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/19.2.140"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0963180100901063"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12158"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-018-0611-x"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebnurs-2024-103969"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2024.111572"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11017-025-09700-x"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2025.01.055"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-080740"},{"issue":"7","key":"e_1_2_12_24_1","article-title":"The Relationship Between Nurses' Professional Values and Ethical Attitudes to Pain","volume":"31","author":"Korkut S.","year":"2024","journal-title":"Nursing Ethics"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0296518"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.15635"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2023.03.008"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-072187"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/7054089"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/pne2.12116"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnac057"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.7202\/1094698ar"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.2022.e11897"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1353\/tho.2022.0002"},{"issue":"1","key":"e_1_2_12_35_1","first-page":"59","article-title":"Ethical Decision\u2010Making for Nurses Treating Acute Pain in Patients With Opioid Abuse History","volume":"29","author":"Sturdivant T.","year":"2020","journal-title":"Medsurg Nursing"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/journalofethics.2018.20.6.cscm1-1806"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12514"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-016-9854-0"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2016.06.014"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnw222"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.2217\/pmt.15.18"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-44519-8_13"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/179320"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e3182516e64"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2012.01465.x"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.09.003"},{"issue":"1","key":"e_1_2_12_47_1","first-page":"4","article-title":"Ethics: Ethics and Pain Management in Hospitalized Patients","volume":"17","author":"Bernhofer E. B. S. N. R. N. B. C.","year":"2012","journal-title":"Online Journal of Issues in Nursing"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733010378932"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.7547\/1000511"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733008100077"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265160903316263"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2008.026443"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951509990538"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2009.02.007"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e318161979d"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000268148.38688.e7"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-720X.2005.tb00541.x"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1526-9523(04)00103-5"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpnu.2002.129223"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1053\/sonu.2002.32511"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1019521923979"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2002.02965.x"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.1164"},{"key":"e_1_2_12_64_1","doi-asserted-by":"publisher","DOI":"10.1177\/096973300000700503"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.72184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.72184","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.72184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T09:55:23Z","timestamp":1788342923000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.72184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":63,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/hsr2.72184"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.72184","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-09-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72184"}}