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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 BottiUnrelieved 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 practiceVolume
7Issue
4Pagination
266 - 273Publisher
Wiley InterscienceLocation
Malden, Mass.Publisher DOI
ISSN
1322-7114eISSN
1440-172XLanguage
engNotes
Published Online: 21 Dec 2001Publication classification
C1 Refereed article in a scholarly journalCopyright notice
2008, Blackwell Publishing Asia Pty LtdUsage metrics
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