{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:43:13Z","timestamp":1761709393303,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2017,12,7]],"date-time":"2017-12-07T00:00:00Z","timestamp":1512604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Emergency Department at S\u00f6dersjukhuset in Stockholm, Sweden"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore registered nurses\u2019 (<jats:styled-content style=\"fixed-case\">RN<\/jats:styled-content>s) own experience of using the nurse\u2010initiated pain protocol (<jats:styled-content style=\"fixed-case\">NIPP<\/jats:styled-content>) in the emergency department (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>) based on their working experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Pain is known to be one of the most common symptoms among adult patients seeking care at the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>. Several strategies aiming to improve pain management have been developed. Despite some improvements in pain management using <jats:styled-content style=\"fixed-case\">NIPP<\/jats:styled-content>, a large number of patients continue to have inadequate pain treatment when cared for in <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>s.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and method<\/jats:title><jats:p>A cross\u2010sectional study design based on a questionnaire was used. The variable working experience was based on a theory that experience will make a change in <jats:styled-content style=\"fixed-case\">RN<\/jats:styled-content>s\u2019 knowledge. Descriptive statistics and Pearson's chi\u2010square tests were used for analysing quantative data. Qualitative data were analysed by summative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy <jats:styled-content style=\"fixed-case\">RN<\/jats:styled-content>s answered the questionnaire (response rate 42%) and 61% considered the <jats:styled-content style=\"fixed-case\">NIPP<\/jats:styled-content> adequate to relieve patients\u2019 acute pain at the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>. No significant difference was found on how the <jats:styled-content style=\"fixed-case\">RN<\/jats:styled-content>s used the <jats:styled-content style=\"fixed-case\">NIPP<\/jats:styled-content>. However, qualitative data showed that more experienced <jats:styled-content style=\"fixed-case\">RN<\/jats:styled-content>s adapt the <jats:styled-content style=\"fixed-case\">NIPP<\/jats:styled-content> according to the patients\u2019 needs in a higher extent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A majority of the <jats:styled-content style=\"fixed-case\">RN<\/jats:styled-content>s consider the <jats:styled-content style=\"fixed-case\">NIPP<\/jats:styled-content> to be adequate to relieve patients\u2019 acute pain in the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>. An increase in working experience showed an impact on how the <jats:styled-content style=\"fixed-case\">NIPP<\/jats:styled-content> was used, with an increase in pain management that is personalised depending on individual patients\u2019 needs. The <jats:styled-content style=\"fixed-case\">RN<\/jats:styled-content>s used several alternatives to both dosage and type of medication when the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> becomes crowded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Registered nurses\u2019 working experience should be considered when planning nursing schedules to be better able to meet patients\u2019 needs. Guidelines should be developed and evaluated by both healthcare professionals and patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14125","type":"journal-article","created":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T07:02:37Z","timestamp":1509087757000},"page":"829-835","source":"Crossref","is-referenced-by-count":1,"title":["Registered nurses\u2019 own experience of using a nurse\u2010initiated pain protocol based on their working experience"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6906-4115","authenticated-orcid":false,"given":"Lars","family":"Sturesson","sequence":"first","affiliation":[{"name":"Department of Clinical Science and Education Karolinska Institute S\u00f6dersjukhuset Stockholm Sweden"},{"name":"Section\u00a0of Emergency Medicine S\u00f6dersjukhuset Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann\u2010Charlotte","family":"Falk","sequence":"additional","affiliation":[{"name":"Division of Nursing &amp; Intensive Care Unit Department of Neurobiology, Care Sciences, and Society Karolinska Institute Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Ulfvarson","sequence":"additional","affiliation":[{"name":"Division of Nursing Stockholm Department of Neurobiology, Care Sciences, and Society Karolinska Institute Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Lindstr\u00f6m","sequence":"additional","affiliation":[{"name":"Division of Nursing Stockholm Department of Neurobiology, Care Sciences, and Society Karolinska Institute Stockholm Sweden"},{"name":"Academic EMS Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,7]]},"reference":[{"volume-title":"AHRQ comparative effectiveness reviews pain management interventions for hip fracture","year":"2011","author":"Abou\u2010Setta A. 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