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Acute pain management: Implications of scientific evidence for nursing practice in the postoperative context

journal contribution
posted on 2001-08-01, 00:00 authored by Tracey BucknallTracey Bucknall, Elizabeth ManiasElizabeth Manias, Mari BottiMari Botti
Unrelieved acute pain remains prevalent in hospitalized patients despite advances in pain management. A decade after the Australian National Health and Medical Research Council called for improved pain management practices by health professionals, it released clinical guidelines to provide clinicians with current scientific evidence to augment their clinical decision-making. This paper examines the implications of national guidelines on nursing practice and highlights the inadequacies of current implementation policies. Pain management guidelines have failed to decrease patients' postoperative pain because organizations and researchers have ignored the impact of contextual influences on clinicians' decision-making. It is recommended that for successful implementation of national guidelines to occur at the local level of practice, organizations must assist clinicians to identify local influences on their decision-making, to address the issues specific to their own work environment and to evaluate any changes in practice.


History

Journal

International journal of nursing practice

Volume

7

Issue

4

Pagination

266 - 273

Publisher

Wiley Interscience

Location

Malden, Mass.

ISSN

1322-7114

eISSN

1440-172X

Language

eng

Notes

Published Online: 21 Dec 2001

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2008, Blackwell Publishing Asia Pty Ltd

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