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Nurses’ perspectives on providing analgesia in the Italian prehospital emergency setting: A phenomenological study

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Τίτλος: Nurses’ perspectives on providing analgesia in the Italian prehospital emergency setting: A phenomenological study
Συγγραφείς: Sandroni F., Pugliese M. P., Magagna S., Sebastiani S., Samolsky Dekel B. G., Imbriaco G.
Συνεισφορές: Sandroni, F., Pugliese, M. P., Magagna, S., Sebastiani, S., Samolsky Dekel, B. G., Imbriaco, G.
Έτος έκδοσης: 2025
Συλλογή: IRIS Università degli Studi di Bologna (CRIS - Current Research Information System)
Θεματικοί όροι: Analgesia, Emergency Medical Service, Nurse, Pain management, Prehospital care, Qualitative research
Περιγραφή: Background: Effective pain management is a fundamental aspect of prehospital emergency care. However, numerous barriers, including inconsistent protocols, limited pharmacological options, and documentation gaps, hinder optimal pain relief. Emergency medical services (EMS) nurses play a crucial role in assessing and managing pain, yet their perspectives on prehospital analgesia remain underexplored. Objective: This study aims to explore the experiences and perceptions of Italian EMS nurses regarding prehospital pain management, identifying key challenges and potential improvements. Methods: A qualitative study was conducted using an interpretative phenomenological approach. Semi-structured interviews were performed with 14 EMS nurses from various Italian regions. Data was analyzed through thematic analysis, identifying recurring themes related to pain assessment, treatment, and documentation. Results: Five main themes emerged: (1) variability in analgesia protocols and pharmacological options, (2) inconsistent pain assessment and documentation, (3) challenges in pain management related to specific patient populations or environmental and logistical factors, (4) nurses' personal experiences shaping their approach to pain management, and (5) interprofessional collaboration challenges. While nurses emphasized the importance of systematic pain evaluation, barriers such as legal restrictions, inconsistent protocols, and limited pharmacological options were frequently reported. Conclusion: Prehospital pain management by EMS nurses in Italy faces significant challenges. Expanding protocol-approved pharmacological options, improving documentation practices, and enhancing training for pain management in vulnerable populations could improve care. A standardized, evidence-based national framework is needed to optimize pain relief and ensure equitable patient outcomes.
Τύπος εγγράφου: article in journal/newspaper
Περιγραφή αρχείου: ELETTRONICO
Γλώσσα: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/41056830; info:eu-repo/semantics/altIdentifier/wos/WOS:001591691300001; volume:83; firstpage:1; lastpage:9; numberofpages:9; journal:INTERNATIONAL EMERGENCY NURSING; https://hdl.handle.net/11585/1028800; https://www.sciencedirect.com/science/article/pii/S1755599X25001272?via=ihub#ak005
DOI: 10.1016/j.ienj.2025.101696
Διαθεσιμότητα: https://hdl.handle.net/11585/1028800
https://doi.org/10.1016/j.ienj.2025.101696
https://www.sciencedirect.com/science/article/pii/S1755599X25001272?via=ihub#ak005
Rights: info:eu-repo/semantics/openAccess ; license:Licenza per Accesso Aperto. Creative Commons Attribuzione (CCBY) ; license uri:iris.PUB15
Αριθμός Καταχώρησης: edsbas.3C1616CD
Βάση Δεδομένων: BASE
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  Data: Nurses’ perspectives on providing analgesia in the Italian prehospital emergency setting: A phenomenological study
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  Data: <searchLink fieldCode="AR" term="%22Sandroni+F%2E%22">Sandroni F.</searchLink><br /><searchLink fieldCode="AR" term="%22Pugliese+M%2E+P%2E%22">Pugliese M. P.</searchLink><br /><searchLink fieldCode="AR" term="%22Magagna+S%2E%22">Magagna S.</searchLink><br /><searchLink fieldCode="AR" term="%22Sebastiani+S%2E%22">Sebastiani S.</searchLink><br /><searchLink fieldCode="AR" term="%22Samolsky+Dekel+B%2E+G%2E%22">Samolsky Dekel B. G.</searchLink><br /><searchLink fieldCode="AR" term="%22Imbriaco+G%2E%22">Imbriaco G.</searchLink>
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  Data: Sandroni, F.<br />Pugliese, M. P.<br />Magagna, S.<br />Sebastiani, S.<br />Samolsky Dekel, B. G.<br />Imbriaco, G.
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  Data: 2025
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  Data: IRIS Università degli Studi di Bologna (CRIS - Current Research Information System)
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  Data: <searchLink fieldCode="DE" term="%22Analgesia%22">Analgesia</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+Medical+Service%22">Emergency Medical Service</searchLink><br /><searchLink fieldCode="DE" term="%22Nurse%22">Nurse</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Prehospital+care%22">Prehospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink>
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  Data: Background: Effective pain management is a fundamental aspect of prehospital emergency care. However, numerous barriers, including inconsistent protocols, limited pharmacological options, and documentation gaps, hinder optimal pain relief. Emergency medical services (EMS) nurses play a crucial role in assessing and managing pain, yet their perspectives on prehospital analgesia remain underexplored. Objective: This study aims to explore the experiences and perceptions of Italian EMS nurses regarding prehospital pain management, identifying key challenges and potential improvements. Methods: A qualitative study was conducted using an interpretative phenomenological approach. Semi-structured interviews were performed with 14 EMS nurses from various Italian regions. Data was analyzed through thematic analysis, identifying recurring themes related to pain assessment, treatment, and documentation. Results: Five main themes emerged: (1) variability in analgesia protocols and pharmacological options, (2) inconsistent pain assessment and documentation, (3) challenges in pain management related to specific patient populations or environmental and logistical factors, (4) nurses' personal experiences shaping their approach to pain management, and (5) interprofessional collaboration challenges. While nurses emphasized the importance of systematic pain evaluation, barriers such as legal restrictions, inconsistent protocols, and limited pharmacological options were frequently reported. Conclusion: Prehospital pain management by EMS nurses in Italy faces significant challenges. Expanding protocol-approved pharmacological options, improving documentation practices, and enhancing training for pain management in vulnerable populations could improve care. A standardized, evidence-based national framework is needed to optimize pain relief and ensure equitable patient outcomes.
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  Data: info:eu-repo/semantics/altIdentifier/pmid/41056830; info:eu-repo/semantics/altIdentifier/wos/WOS:001591691300001; volume:83; firstpage:1; lastpage:9; numberofpages:9; journal:INTERNATIONAL EMERGENCY NURSING; https://hdl.handle.net/11585/1028800; https://www.sciencedirect.com/science/article/pii/S1755599X25001272?via=ihub#ak005
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  Data: https://hdl.handle.net/11585/1028800<br />https://doi.org/10.1016/j.ienj.2025.101696<br />https://www.sciencedirect.com/science/article/pii/S1755599X25001272?via=ihub#ak005
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