{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:40:23Z","timestamp":1787740823590,"version":"build-2784847793"},"reference-count":22,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2016,10,1]],"date-time":"2016-10-01T00:00:00Z","timestamp":1475280000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","scandinavianjournalpain.com","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_j.sjpain.2016.06.006_s_001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pain is one of the most common symptoms treated in emergency department (ED). Pain may cause suffering and disability for the patient. Inadequate pain management may be associated with increased risk of complications such as sleep disturbance, delirium and depression. Previous studies conclude that pain management in ED is insufficient and inadequate. Yet, little is known about patients\u2019 own experience regarding pain management in ED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_j.sjpain.2016.06.006_s_002\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to explore the satisfaction of pain management in patients having acute musculoskeletal injuries before and after implementation of mandatory documentation regarding pain assessment in the ED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_j.sjpain.2016.06.006_s_003\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>An observational pre-post intervention study design was used. The study was conducted on patients having acute musculoskeletal injuries such as soft tissue injury, back pain or wrist\/arm\/leg\/foot fractures in a 24-h adult (&gt;15 years) ED at a public urban teaching hospital in Stockholm, Sweden. Data was collected by an interview based on a questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_j.sjpain.2016.06.006_s_004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 160 patients answered the questionnaire. In the pre- (\n                      <jats:italic>n<\/jats:italic>\n                      = 80) and post-intervention (\n                      <jats:italic>n<\/jats:italic>\n                      = 80) groups, 91\/95% experienced pain in the ED. A significant difference (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.003) was found during the post-intervention period, with more patients receiving analgesics compared to the pre-intervention group. A significant decline (p &lt; 0.03) in patients\u2019 own reported pain intensity at discharge was found between the groups. Patients\u2019 reported satisfaction on pain management in the ED increased in the post-intervention group, but the difference was not statistically significantly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_j.sjpain.2016.06.006_s_005\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients\u2019 satisfaction with pain management increased, but not statistically significantly. However, both percentages of patients receiving analgesic drugs increased and pain intensity decrease at discharge were statistically significant after the intervention that made nurses obliged to register pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_j.sjpain.2016.06.006_s_006\">\n                    <jats:title>Implication<\/jats:title>\n                    <jats:p>According to the findings of this study, mandatory pain documentation facilitates pain management in the ED, but there is still room for improvement. Additional actions are needed to improve patients\u2019 satisfaction on pain management in the ED. Mandatory pain documentation in combination with person-centred care could be a way of improving patients\u2019 satisfaction on pain management. Effective pain management is an important quality measure, and should be focused on in acute care in the ED. By routinely asking patients to report the pain intensity at discharge, the ED personnel can have direct feedback about the factual pain management. RNs may also be encouraged to use intravenous analgesics in higher extent when the patients have very severe pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.sjpain.2016.06.006","type":"journal-article","created":{"date-parts":[[2016,7,15]],"date-time":"2016-07-15T17:01:51Z","timestamp":1468602111000},"page":"32-35","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Mandatory documentation of pain in the emergency department increases analgesic administration but does not improve patients\u2019 satisfaction of pain management"],"prefix":"10.1515","volume":"13","author":[{"given":"Lars","family":"Sturesson","sequence":"first","affiliation":[{"name":"Karolinska Institutet , Department of Clinical Science and Education, S\u00f6dersjukhuset and Section of Emergency Medicine, S\u00f6dersjukhuset , Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Charlotte","family":"Falk","sequence":"additional","affiliation":[{"name":"Intensive Care Unit , Karolinska University Hospital , Solna , Sweden"},{"name":"Karolinska Institutet , Department of Neurobiology, Care Sciences and Society, Division of Nursing , Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maaret","family":"Castr\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Services , Helsinki University Hospital and University of Helsinki , Helsinki , Finland"},{"name":"Academic EMS , Stockholm , Sweden"},{"name":"Karolinska Institutet , Department of Clinical Science and Education, S\u00f6dersjukhuset , Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Niemi-Murola","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine , University of Helsinki and Helsinki University Hospital , Helsinki , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Lindstr\u00f6m","sequence":"additional","affiliation":[{"name":"Academic EMS , Stockholm , Sweden"},{"name":"Karolinska Institutet , Department of Clinical Science and Education, S\u00f6dersjukhuset , Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2016,10,1]]},"reference":[{"key":"2025120909563237338_j_j.sjpain.2016.06.006_ref_001","doi-asserted-by":"crossref","unstructured":"Purser L, Warfield K, Richardson C. 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