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首页> 外文期刊>The Canadian journal of nursing research >Optimizing the role of the nurse practitioner to improve pain management in long-term care.
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Optimizing the role of the nurse practitioner to improve pain management in long-term care.

机译：优化护理人员的作用，以改善长期护理中的疼痛管理。

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摘要

The purpose of this study was to examine the role of the nurse practitioner (NP) within an interdisciplinary model of pain management in long-term care (LTC). In a cross-sectional survey, 16 NPs in the Canadian province of Ontario (89%) indicated whether they currently performed and whether they should be performing 33 activities related to pain management and identified barriers to the fulfilment of their pain-management role. Most NPs (81.3%) reported use of pain-assessment tools, but less than half reported use of pain-management clinical practice guidelines. NPs were less involved in activities related to (a) prescribing and adjusting pain medications, (b) providing leadership in pain management, and (c) engaging in pain-related research initiatives. However, most felt that they should be more involved in these activities. Barriers to NP management of pain included time constraints; prescribing restrictions; lack of knowledge; difficulties with assessing pain; MD, staff, resident, and family reservations about use of opioids; and poor collaboration with physicians.The results indicate that NPs are not being used to their full potential in managing pain among elderly LTC residents.
机译：这项研究的目的是在长期护理（LTC）疼痛管理的跨学科模型中检验护士（NP）的作用。在一项横断面调查中，加拿大安大略省的16个NP（89％）指出他们目前是否进行以及是否应该进行与疼痛管理相关的33项活动，并确定了实现其疼痛管理作用的障碍。大多数NP（81.3％）报告使用了疼痛评估工具，但只有不到一半的报告使用了疼痛管理临床实践指南。 NP较少参与与（a）处方和调整止痛药物，（b）领导疼痛管理以及（c）参与疼痛相关研究计划有关的活动。但是，大多数人认为他们应该更多地参与这些活动。 NP疼痛管理的障碍包括时间限制;规定限制;缺少知识;评估疼痛有困难;医生，工作人员，居民和阿片类药物使用的家庭保留;结果表明，NPs在控制LTC老年人中的疼痛方面没有得到充分利用。

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