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The management of patients with acute abdominal pain in the emergency department: A qualitative study of nurse perceptions.
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- Author(s): Donnelly, Frank; Feo, Rebecca; Jangland, Eva; Muntlin Athlin, Åsa
- Source:
Australasian Emergency Care; Jun2019, Vol. 22 Issue 2, p97-102, 6p- Subject Terms:
DIAGNOSIS of abdominal pain; TREATMENT of abdominal pain; EMERGENCY nursing; HOSPITAL emergency services; INTERVIEWING; RESEARCH methodology; MEDICAL quality control; NURSES; NURSES' attitudes; NURSING; QUALITATIVE research; JUDGMENT sampling; OCCUPATIONAL roles; THEMATIC analysis; ACUTE diseases; DATA analysis software; TERTIARY care - Source:
- Additional Information
- Subject Terms:
- Abstract: Acute abdominal pain is a common reason for presentation to the emergency department. Understanding the role of nurses involved in management of acute abdominal pain is important for improving patient care and outcomes. The aim of this study was to understand the perceptions of emergency nurses in the management of acute abdominal pain. Using a qualitative design, a purposeful sample (n = 9) of experienced registered nurses was recruited from the emergency department of a large tertiary public hospital in South Australia. Semi-structured interviews, informed by literature describing the management of acute abdominal pain, were used to identify the perceptions of emergency nurses when caring for patients with acute abdominal pain. Thematic analysis of interviews identified four themes: Centrality of Diagnosis; Busyness and Patient Management; Systems Issues; and Communication Challenges. Of the four themes, the Centrality of Diagnosis was especially important to the nurses' sense of contribution to patient care. Care was also affected by the busyness of the environment, the systems and processes in place to manage patients and communication in the emergency department. The management of patients with acute abdominal pain is influenced by how nurses participate in the diagnostic process. Nurses identified their role in this process and described how this role impacted their delivery of fundamental care. Further studies of the nursing contribution to diagnosis, communication, and the systems that affect care delivery in the emergency department are required. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Australasian Emergency Care is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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