{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:47:36Z","timestamp":1792622856193,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"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":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To implement strategies to improve the care of patients with acute pain in the emergency department (ED).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Pre\u2013post implementation study using a Type 2 hybrid effectiveness\u2013implementation design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Implementation strategies were introduced and monitored through the Ottawa Model of Research Uses' assessment, monitoring and evaluation cycles, supported by focused and sustained facilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Improvements in time\u2010to\u2010analgesia within 30\u2009min (21%\u201327%), administration of nurse\u2010initiated analgesia (NIA) (17%\u201327%) and measurement of pain (65%\u201375%) were achieved post\u2010implementation. NIA was the strongest predictor of receiving analgesia within 30\u2009min. Adoption of pain interventions into practice was not immediate yet responded to sustained facilitation of implementation strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Collaboration with local clinicians to introduce simple interventions that did not disrupt workflow or substantially add to workload were effective in improving analgesia administration rates, and the proportion of patients receiving analgesia within 30\u2009min. The assessment, monitoring and evaluation cycles enabled agile and responsive facilitation of implementation activities within the dynamic ED environment. Improvements took time to embed into practice, trending upward over the course of the implementation period, supporting the sustained facilitation approach throughout the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Sustained adoption of evidence\u2010based pain interventions into the care of people presenting to the ED with acute pain can be achieved through sustained facilitation of implementation. NIA should be at the centre of acute pain management in the ED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study addressed the lingering gap between evidence and practice for patients with acute pain in the ED. Implementation of locally relevant\/informed implementation strategies supported by focused and sustained facilitation improved the care of patients with acute pain in the ED. This research will have an impact on people presenting to EDs with acute pain, and on clinicians treating people with acute pain in the ED. Relevant equator guidelines were followed and the StaRI reporting method used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution in this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16457","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T21:54:37Z","timestamp":1728424477000},"page":"7956-7967","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Implementing Evidence\u2010Based Pain Management Interventions Into an Emergency Department: Outcomes Guided by Use of the Ottawa Model of Research Use"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4502-6514","authenticated-orcid":false,"given":"Luke","family":"Burgess","sequence":"first","affiliation":[{"name":"QUT School of Nursing and Centre for Healthcare Transformation  Brisbane Queensland Australia"},{"name":"Mater Hospital Brisbane  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Theobald","sequence":"additional","affiliation":[{"name":"QUT School of Nursing and Centre for Healthcare Transformation  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5353-9876","authenticated-orcid":false,"given":"Kathryn","family":"Kynoch","sequence":"additional","affiliation":[{"name":"QUT School of Nursing and Centre for Healthcare Transformation  Brisbane Queensland Australia"},{"name":"Mater Hospital Brisbane  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2797-4388","authenticated-orcid":false,"given":"Samantha","family":"Keogh","sequence":"additional","affiliation":[{"name":"QUT School of Nursing and Centre for Healthcare Transformation  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"Australasian College for Emergency Medicine.2015.\u201cQuality Standards for Emergency Departments and other Hospital\u2010Based Emergency Care Services\u201d."},{"key":"e_1_2_14_3_1","unstructured":"Australian Institute of Health and Welfare.2021.\u201cEmergency Department Care 2020\u201321: Australian Hospital Statistics\u201d."},{"key":"e_1_2_14_4_1","volume-title":"NHS Key Statistics: England, July 2023","author":"Baker C.","year":"2023"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2021.01.003"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2024.03.010"},{"key":"e_1_2_14_7_1","first-page":"1","article-title":"Emergency Department Visit Rates by Selected Characteristics: United States, 2018","volume":"401","author":"Cairns C.","year":"2021","journal-title":"NCHS Data Brief"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182408812"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2021.100976"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2017.432"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12022"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017572"},{"key":"e_1_2_14_13_1","first-page":"19","volume-title":"Emergency Triage Education Kit","author":"Gerdtz M.","year":"2007"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119123316.ch4"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203557334"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118548387"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.5204\/thesis.eprints.123311"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14216"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2020.16"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2021.04.003"},{"key":"e_1_2_14_21_1","first-page":"83","volume-title":"The Ottawa Model of Research Use. 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