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Transcribed data were analysed using reflexive thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The qualitative analysis yielded three main themes and eight subthemes: (i)\n                      <jats:italic>being in the resuscitation area<\/jats:italic>\n                      in which participants detail learning to work in the resuscitation area; influences in managing critically ill patients and confidence in acute pain management; (ii)\n                      <jats:italic>prioritising pain management<\/jats:italic>\n                      identified the challenges in optimising pain management and balancing departmental demands; and (iii)\n                      <jats:italic>between being and doing<\/jats:italic>\n                      and how nurse\u2013patient interactions and care behaviours impacted on optimising pain management and comfort in the resuscitation area.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Emergency nurses were primarily responsible for the continuity of patient care and optimisation of pain control for critically ill patients. Confidence in managing acute pain in critically ill patients was variable. While nurses actively sought ways to provide a reassuring presence and comfort to critically ill patients, this was limited by unpredictable workloads, availability of staff and communication challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>These study findings may assist in the development of policy and formal education of emergency nurses transitioning into the resuscitation area and the management of acute pain in critically ill patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Pain is under\u2010assessed and managed in critically ill patients, and this could stem from emergency nurses' practices. The findings could inform interventions to enhance pain management and practices.<\/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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This study adhered to the COREQ criteria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.17033","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T09:23:24Z","timestamp":1748337804000},"page":"791-806","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Emergency Nurses' Perceptions and Experiences in Managing Acute Pain in Critically Ill Adult Patients: A Qualitative Study"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4752-9679","authenticated-orcid":false,"given":"Wayne","family":"Varndell","sequence":"first","affiliation":[{"name":"Prince of Wales Hospital Emergency Department  Randwick Australia"},{"name":"Faculty of Health University of Technology Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Fry","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Technology Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6081-5442","authenticated-orcid":false,"given":"Doug","family":"Elliott","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Technology Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,10]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Agency for Clinical Innovation.2024.\u201cResuscitation Area Model: Evidence Brief.\u201dhttps:\/\/aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0009\/970047\/ACI\u2010Evidence\u2010brief\u2010resuscitation\u2010area.pdf."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-023-00793-y"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.glmedi.2024.100051"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.glmedi.2024.100171"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.07.014"},{"key":"e_1_2_10_7_1","volume-title":"G24: Guidelines of the Implementation of the Australasian Triage Scale in Emergency Department","author":"Australasian College for Emergency Medicine","year":"2023"},{"key":"e_1_2_10_8_1","volume-title":"Adult Patient Database Activity Report 2017\/2018","author":"Australian and New Zealand Intensive Care Society","year":"2019"},{"key":"e_1_2_10_9_1","unstructured":"Australian Institute of Health and Welfare.2015.\u201cEmergency Department Care 2014\u201315.\u201d"},{"key":"e_1_2_10_10_1","unstructured":"Australian Institute of Health and Welfare.2025.\u201cEmergency Department Care 2023\u201324.\u201dhttps:\/\/www.aihw.gov.au\/reports\u2010data\/myhospitals\/sectors\/emergency\u2010department\u2010care."},{"key":"e_1_2_10_11_1","volume-title":"Qualitative Research: A Practical Guide for Health and Social Care Researchers and Practitioners","author":"Ayton D.","year":"2023"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S151169"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S124379"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16209"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2011.06.015"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_17_1","unstructured":"Bureau of Health Information.2023.\u201cEmergency Department: Results From the 2021\u201322 Patient Survey.\u201dhttps:\/\/www.bhi.nsw.gov.au\/__data\/assets\/pdf_file\/0008\/890270\/BHI_EDPS_2021\u201022_Snapshot.pdf."},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2021.01.003"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000266585.74905.5A"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-022-06807-w"},{"key":"e_1_2_10_21_1","volume-title":"Constructing Grounded Theory. 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