Paula J Tanabe

Journal Article Biol Res Nurs · October 2024 Objective: Sickle cell disease (SCD), the most common inherited blood disorder in the United States, is associated with severe psychoneurological symptoms. While epigenetic age acceleration has been linked to psychoneurological symptom burden in other dise ... Full text Link to item Cite

Comparison of Measures of Pain Intensity During Sickle Cell Disease Vaso-Occlusive Episodes.

Journal Article The journal of pain · August 2024 We aimed to determine the minimal clinically important difference (MCID) in pain severity and agreement between the visual analog scale (VAS) and the verbal numeric rating scale (NRS) in people with sickle cell disease (SCD) experiencing an acute vaso-occl ... Full text Cite

Association of hydroxyurea adherence with transcranial Doppler screenings in children with sickle cell disease.

Journal Article Pediatr Blood Cancer · July 2024 BACKGROUND: National sickle cell disease (SCD) guidelines recommend oral hydroxyurea (HU) starting at 9 months of age, and annual transcranial Doppler (TCD) screenings to identify stroke risk in children aged 2-16 years. We examined prevalence and proporti ... Full text Link to item Cite

Opioid Use Among Children and Adults With Sickle Cell Disease in North Carolina Medicaid Enrollees in the Era of Opioid Harm Reduction.

Journal Article J Pediatr Hematol Oncol · May 1, 2024 Adults and children with sickle cell disease (SCD) are predominantly African American, with pain-related health disparities. We examined opioid prescription fill patterns in adults and children with SCD and compared factors associated with fills in North C ... Full text Link to item Cite

Nurse practitioner satisfaction with in-person versus telehealth chronic care delivery.

Journal Article Journal of the American Association of Nurse Practitioners · March 2024 BackgroundThe widespread use of telehealth and regulatory changes that enhanced nurse practitioner (NP) practice authority because of the SARS-CoV-2 pandemic offers an opportunity to assess postpandemic NP satisfaction with telehealth care deliver ... Full text Cite

Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study.

Journal Article J Health Psychol · February 21, 2024 Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans' experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.e. re ... Full text Open Access Link to item Cite

Characterizing epigenetic aging in an adult sickle cell disease cohort.

Journal Article Blood Adv · January 9, 2024 Sickle cell disease (SCD) affects ∼100 000 predominantly African American individuals in the United States, causing significant cellular damage, increased disease complications, and premature death. However, the contribution of epigenetic factors to SCD pa ... Full text Open Access Link to item Cite

Provider Implicit Racial Bias in Pediatric Sickle Cell Disease

Journal Article Journal of Racial and Ethnic Health Disparities · January 1, 2024 Background/Objectives: This study is to (1) assess implicit racial bias among pediatric providers and (2) use virtual patient (VP) vignettes to determine the impact of implicit racial bias on clinical decision-making in pediatric sickle cell disease (SCD) ... Full text Cite

A comparison of the effect of patient-specific versus weight-based protocols to treat vaso-occlusive episodes in the emergency department.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · December 2023 BackgroundVaso-occlusive crises (VOCs) cause debilitating pain and are a common cause of emergency department (ED) visits, for people with sickle cell disease (SCD). Strategies for achieving optimal pain control vary widely despite evidence-based ... Full text Open Access Cite

“The project did not come to us with a solution”: Perspectives of research teams on implementing a study about electronic health record-embedded individualized pain plans for emergency department treatment of vaso-occlusive episodes in adults with sickle cell disease

Journal Article BMC Health Services Research · December 1, 2023 Background: This study aimed to capture the implementation process of the ALIGN Study, (An individualized Pain Plan with Patient and Provider Access for Emergency Department care of Sickle Cell Disease). ALIGN aimed to embed Individualized Pain Plans in th ... Full text Cite

Infertility and treatment-seeking practices among females and males with sickle cell disease in the Sickle Cell Disease Implementation Consortium registry.

Journal Article Pediatr Blood Cancer · July 2023 OBJECTIVE: To describe the prevalence of infertility and infertility treatment seeking among people enrolled in the Sickle Cell Disease Implementation Consortium (SCDIC) registry and identify sociodemographic and clinical correlates of infertility. DESIGN: ... Full text Link to item Cite

Stigma and quality of life in adults with sickle cell disease in Jamaica and the United States.

Journal Article Psychology, health & medicine · June 2023 Sickle cell disease (SCD) is the most common inherited blood disorder in both Jamaica and the United States and is characterized by poor quality of life and debilitating complications, with the hallmark symptom being pain caused by acute and chronic condit ... Full text Cite

Time to pain relief: A randomized controlled trial in the emergency department during vaso-occlusive episodes in sickle cell disease.

Journal Article Eur J Haematol · May 2023 OBJECTIVE: Compare time to pain relief (minimum of a 13 mm and 30% reduction) during an Emergency Department (ED) visit among patients with sickle cell disease (SCD) experiencing severe pain associated with a vaso-occlusive episode who were randomized to r ... Full text Open Access Link to item Cite

Characterising the prevalence of overweight and obese status among adults with sickle cell disease.

Journal Article Br J Haematol · March 2023 Individuals with sickle cell disease (SCD) have historically been considered underweight. Despite increasing body mass index (BMI) in the general population, the prevalence of overweight and obese status remains unclear in the adult SCD population. Our pri ... Full text Link to item Cite

Evaluating Associations between Average Pain Intensity and Genetic Variation in People with Sickle Cell Disease: An Exploratory Study.

Journal Article Pain Manag Nurs · February 2023 BACKGROUND: Pain is one of the most common and deleterious symptoms experienced by individuals with sickle cell disease (SCD). There is a paucity of studies identifying potential genetic mechanisms of pain in this population. AIM: Examine associations betw ... Full text Link to item Cite

Establishing a research racial justice task force to improve diversity, equity, and inclusion in nursing research.

Journal Article Nursing outlook · September 2022 Full text Cite

Severe Persistent Pain and Inflammatory Biomarkers in Sickle Cell Disease: An Exploratory Study.

Journal Article Biol Res Nurs · January 2022 BACKGROUND: Severe pain is among the most common and deleterious symptoms experienced by individuals with sickle cell disease (SCD), of whom more than 50% report chronic pain. Despite this, the understanding of the biological contributors to persistent sev ... Full text Link to item Cite

Perspectives of individuals with sickle cell disease on barriers to care.

Journal Article PLoS One · 2022 INTRODUCTION: Sickle cell disease (SCD) is an inherited hemoglobinopathy that predominantly affects African Americans in the United States. The disease is associated with complications leading to high healthcare utilization rates, including emergency depar ... Full text Link to item Cite

What does it mean to be affiliated with care?: Delphi consensus on the definition of "unaffiliation" and "specialist" in sickle cell disease.

Journal Article PLoS One · 2022 Accruing evidence reveals best practices for how to help individuals living with Sickle Cell Disease (SCD); yet, the implementation of these evidence-based practices in healthcare settings is lacking. The Sickle Cell Disease Implementation Consortium (SCDI ... Full text Open Access Link to item Cite

Identifying barriers to evidence-based care for sickle cell disease: results from the Sickle Cell Disease Implementation Consortium cross-sectional survey of healthcare providers in the USA.

Journal Article BMJ open · November 2021 ObjectivesSickle cell disease (SCD) leads to chronic and acute complications that require specialised care to manage symptoms and optimise clinical results. The National Heart Lung and Blood Institute (NHLBI) evidence-based guidelines assist provi ... Full text Cite

Epigenetic Aging Associations With Psychoneurological Symptoms and Social Functioning in Adults With Sickle Cell Disease.

Comparison of Measures of Pain Intensity During Sickle Cell Disease Vaso-Occlusive Episodes.

Association of hydroxyurea adherence with transcranial Doppler screenings in children with sickle cell disease.

Opioid Use Among Children and Adults With Sickle Cell Disease in North Carolina Medicaid Enrollees in the Era of Opioid Harm Reduction.

Nurse practitioner satisfaction with in-person versus telehealth chronic care delivery.

Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study.

Characterizing epigenetic aging in an adult sickle cell disease cohort.

Provider Implicit Racial Bias in Pediatric Sickle Cell Disease

A comparison of the effect of patient-specific versus weight-based protocols to treat vaso-occlusive episodes in the emergency department.

“The project did not come to us with a solution”: Perspectives of research teams on implementing a study about electronic health record-embedded individualized pain plans for emergency department treatment of vaso-occlusive episodes in adults with sickle cell disease

Infertility and treatment-seeking practices among females and males with sickle cell disease in the Sickle Cell Disease Implementation Consortium registry.

Stigma and quality of life in adults with sickle cell disease in Jamaica and the United States.

Time to pain relief: A randomized controlled trial in the emergency department during vaso-occlusive episodes in sickle cell disease.

Characterising the prevalence of overweight and obese status among adults with sickle cell disease.

Evaluating Associations between Average Pain Intensity and Genetic Variation in People with Sickle Cell Disease: An Exploratory Study.

Establishing a research racial justice task force to improve diversity, equity, and inclusion in nursing research.

Journal Article Nursing outlook · September 2022 Full text Cite

Severe Persistent Pain and Inflammatory Biomarkers in Sickle Cell Disease: An Exploratory Study.

Perspectives of individuals with sickle cell disease on barriers to care.

What does it mean to be affiliated with care?: Delphi consensus on the definition of "unaffiliation" and "specialist" in sickle cell disease.

Identifying barriers to evidence-based care for sickle cell disease: results from the Sickle Cell Disease Implementation Consortium cross-sectional survey of healthcare providers in the USA.

Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews.

Journal Article Sci Diabetes Self Manag Care · October 2021 PURPOSE: The purpose of this project was to identify additional facets of diabetes distress (DD) in veterans that may be present due to the veteran's military-related experience. METHODS: The study team completed cognitive interviews with veterans with typ ... Full text Open Access Link to item Cite

Severe Pain Profiles and Associated Sociodemographic and Clinical Characteristics in Individuals With Sickle Cell Disease.

Journal Article Clin J Pain · September 1, 2021 OBJECTIVE: The aim of this study was to identify classes of individuals with sickle cell disease (SCD) who share distinct severe pain profiles and evaluate differences in demographic, clinical, and psychosocial characteristics between classes. METHODS: Thi ... Full text Link to item Cite

It's Time to Provide Evidence-Based Care to Individuals with Sickle Cell Disease: A Call to Action.

Journal Article Journal of emergency nursing · September 2021 Full text Cite

Effective Recruitment Strategies for a Sickle Cell Patient Registry Across Sites from the Sickle Cell Disease Implementation Consortium (SCDIC).

Journal Article J Immigr Minor Health · August 2021 Sickle cell disease (SCD) is a genetic disorder predominantly affecting people of African descent and is associated with significant morbidity and mortality. To improve SCD outcomes, the National Heart Lung and Blood Institute funded eight centers to parti ... Full text Link to item Cite

"It Is Not Easy": Cultural Influences of Sickle Cell Disease Management in Rural, Eastern Sierra Leone.

Journal Article Qualitative health research · July 2021 Sickle cell disease (SCD) is a chronic genetic disease that causes life-threatening complications and requires robust comprehensive management. Developing comprehensive SCD programs in sub-Saharan African countries requires knowledge of the cultural factor ... Full text Cite

Electronic Health Record-Embedded Individualized Pain Plans for Emergency Department Treatment of Vaso-occlusive Episodes in Adults With Sickle Cell Disease: Protocol for a Preimplementation and Postimplementation Study.

Journal Article JMIR Res Protoc · April 16, 2021 BACKGROUND: Individuals living with sickle cell disease often require aggressive treatment of pain associated with vaso-occlusive episodes in the emergency department. Frequently, pain relief is poor. The 2014 National Heart, Lung, and Blood Institute evid ... Full text Link to item Cite

Patient Perspectives of Sickle Cell Management in the Emergency Department.

Journal Article Crit Care Nurs Q · April 2021 Sickle cell disease (SCD) is a common genetic blood disorder predominantly affecting African Americans in the United States. The objective of this study was to use a multimethods approach to describe how patients with SCD in North Carolina perceive the car ... Full text Link to item Cite

Pediatric Neurodevelopmental Delays in Children 0 to 5 Years of Age With Sickle Cell Disease: A Systematic Literature Review.

Journal Article Journal of pediatric hematology/oncology · April 2021 IntroductionSickle cell disease (SCD) is the most common abnormal genetic blood disease that affects ∼100,000 Americans. Approximately 20% to 37% of children with sickle cell anemia have silent cerebral infarcts by the age of 14 years old. Neuroco ... Full text Cite

Dissemination of Evidence-Based Recommendations for Sickle Cell Disease to Primary Care and Emergency Department Providers in North Carolina: A Cost Benefit Analysis.

Journal Article J Health Econ Outcomes Res · April 1, 2021 Background: Sickle cell disease (SCD) is a genetic condition affecting primarily individuals of African descent, who happen to be disproportionately impacted by poverty and who lack access to health care. Individuals with SCD are at high likelihood of high ... Full text Open Access Link to item Cite

"Pain is Subjective": A Mixed-Methods Study of Provider Attitudes and Practices Regarding Pain Management in Sickle Cell Disease Across Three Countries.

Journal Article J Pain Symptom Manage · March 2021 CONTEXT: Sickle cell disease (SCD), an autosomal recessive blood disorder, affects millions of people worldwide. Approximately 80% of all cases are located in Africa. OBJECTIVES: This cross-national, interdisciplinary, collaborative study investigated prov ... Full text Link to item Cite

Trial design of comparing patient-specific versus weight-based protocols to treat vaso-occlusive episodes in sickle cell disease (COMPARE-VOE).

Journal Article Contemporary clinical trials · February 2021 ObjectivesPainful vaso-occlusive episodes (VOE) are the most common reason for emergency department (ED) visits experienced by patients with sickle cell disease (SCD). The National Heart, Lung and Blood Institute (NHLBI) evidence-based recommendat ... Full text Cite

An Interrupted Time Series Analysis of the Dissemination of a Sickle Cell Vaso-Occlusive Episode Treatment Algorithm and a Case Management Referral Form for Individuals With Sickle Cell Disease in the Emergency Department.

Journal Article J Emerg Nurs · January 2021 BACKGROUND: Sickle cell disease is associated with frequent vaso-occlusive episode and emergency department visits. Our group developed (1) a vaso-occlusive episode treatment algorithm based on the National Heart, Lung, and Blood Institute recommendations, ... Full text Link to item Cite

Assessment of Interrater Reliability of the Emergency Severity Index After Implementation in Emergency Departments in Jamaica Using a Learning Collaborative Approach.

Journal Article Journal of emergency nursing · January 2021 IntroductionIn 2016, the Ministry of Health in Jamaica selected the Emergency Severity Index as the triage tool to be used nationally. This study evaluated the effectiveness of this approach by assessing the interrater reliability among new users ... Full text Cite

A Needs Assessment of Persons With Sickle Cell Disease in a Major Medical Center in North Carolina.

Journal Article N C Med J · 2021 BACKGROUND Sickle cell disease (SCD) is a complex disease associated with many complications and a shortened lifespan. In 2016, the National Heart, Lung and Blood Institute funded 8 centers in the United States to form the Sickle Cell Disease Implementatio ... Full text Link to item Cite

Awareness and Use of the Sickle Cell Disease Toolbox by Primary Care Providers in North Carolina.

Journal Article J Prim Care Community Health · 2021 BACKGROUND: Sickle cell disease (SCD) is a complex chronic blood disorder characterized by severe disease complications ideally managed by both hematologists and primary care providers (PCP's). PCP's report knowledge gaps and discomfort with SCD management ... Full text Link to item Cite

Sex-based differences in the manifestations and complications of sickle cell disease: Report from the Sickle Cell Disease Implementation Consortium.

Journal Article PLoS One · 2021 INTRODUCTION: Sex-based clinical outcome differences in sickle cell disease (SCD) remain largely unknown despite evidence that female sex is associated with an increased lifespan. To better characterize sex-based differences in SCD, we assessed pain, treat ... Full text Link to item Cite

A Survey-Based Needs Assessment of Barriers to Optimal Sickle Cell Disease Care in the Emergency Department.

Journal Article Annals of emergency medicine · September 2020 Study objectiveGuided by an implementation science framework, this needs assessment identifies institutional-, provider-, and patient-level barriers to care of sickle cell disease (SCD) in the emergency department (ED) to inform future interventio ... Full text Cite

Intentional and unintentional nonadherence to hydroxyurea among people with sickle cell disease: a qualitative study.

Journal Article Blood advances · September 2020 Hydroxyurea is an efficacious treatment for sickle cell disease (SCD), but adoption is low among individuals with SCD. The objective of this study was to examine barriers to patients' adherence to hydroxyurea use regimens by using the intentional and unint ... Full text Cite

Impact of Medicaid expansion on access and healthcare among individuals with sickle cell disease.

Journal Article Pediatric blood & cancer · May 2020 PurposeSickle cell disease (SCD) is associated with high acute healthcare utilization. The purpose of this study was to examine whether Medicaid expansion in California increased Medicaid enrollment, increased hydroxyurea prescriptions filled, and ... Full text Cite

Sickle-Cell Disease Co-Management, Health Care Utilization, and Hydroxyurea Use.

Journal Article J Am Board Fam Med · 2020 BACKGROUND: Sickle-cell disease (SCD) causes significant morbidity, premature mortality, and high disease burden, resulting in frequent health care use. Comanagement may improve utilization and patient adherence with treatments such as Hydroxyurea. The pur ... Full text Link to item Cite

Implementation of an Emergency Department Screening and Care Management Referral Process for Patients With Sickle Cell Disease.

Journal Article Professional case management · September 2019 Purpose of studyThe purpose of the project was to describe the implementation and evaluation of a care management referral program from emergency departments (EDs) to care management services for patients with sickle cell disease (SCD).Primary ... Full text Cite

Improving the Care of Individuals With Sickle Cell Disease in the Emergency Department Using a Quality Improvement Framework: The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS).

Journal Article Advanced emergency nursing journal · July 2019 Sickle cell disease (SCD) is a severe chronic disease that leads to premature mortality caused by serious complications of the disease such as acute chest syndrome, stroke, and sepsis. Patients presenting to the emergency department (ED) with pain due to v ... Full text Cite

Acceptability and Feasibility of a Mindfulness-Based Intervention for Pain Catastrophizing among Persons with Sickle Cell Disease.

Journal Article Pain Manag Nurs · June 2019 BACKGROUND: Few investigators have developed and tested nonpharmacological interventions for helping persons with sickle cell disease (SCD) manage persistent pain. AIMS: The purpose of this pilot study was to examine the feasibility and acceptability of a ... Full text Link to item Cite

CE: Understanding the Complications of Sickle Cell Disease.

Journal Article The American journal of nursing · June 2019 : Sickle cell disease (SCD) is an autosomal recessive genetic condition that alters the shape and function of the hemoglobin molecule in red blood cells. While the overall survival rate among children with SCD has improved in recent years, pediatric rates ... Full text Cite

Twelve tips for teaching a comprehensive disease-focused course with a global perspective: A sickle cell disease example.

Journal Article Medical teacher · March 2019 A disease-focused course entitled "Understanding Sickle Cell Disease: A Biopsychosocial Approach" addressed the complex nature of SCD using patient-centered, global and interdisciplinary approaches. Sickle cell disease (SCD) is a rare inherited blood disor ... Full text Cite

Implementing the Emergency Severity Index Triage System in Jamaican Accident and Emergency Departments.

Journal Article Journal of emergency nursing · March 2019 Full text Cite

Transition to adult care in sickle cell disease: A longitudinal study of clinical characteristics and disease severity.

Journal Article Pediatr Blood Cancer · January 2019 BACKGROUND: Sickle cell disease (SCD) is a chronic blood disorder in which mortality has increased for adolescents and young adults (AYA). PROCEDURE: A longitudinal analysis of medical records was conducted to describe the clinical course among AYAs (ages ... Full text Link to item Cite

Exploring Emergency Department Provider Experiences With and Perceptions of Weight-Based Versus Individualized Vaso-Occlusive Treatment Protocols in Sickle Cell Disease.

Journal Article Adv Emerg Nurs J · 2019 Treatment of vaso-occlusive episodes (VOEs) is the most common reason for emergency department (ED) treatment of sickle cell disease (SCD). We (1) compared perceptions of the usability and ability to manage VOE pain between ED nurses and other ED provider ... Full text Open Access Link to item Cite

Barriers and facilitators to care for individuals with sickle cell disease in central North Carolina: The emergency department providers' perspective.

Journal Article PLoS One · 2019 BACKGROUND: Sickle cell disease (SCD) is an inherited blood disorder associated with acute pain crisis and other complications that lead to frequent emergency department (ED) visits. To improve outcomes, the National Heart, Lung and Blood Institute (NHLBI) ... Full text Link to item Cite

A pilot test of the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) and the Jenerette Self-Care Assessment (J-SAT) Tools in adults with sickle cell disease.

Journal Article Pilot and feasibility studies · January 2019 BackgroundThe purpose of this study was to pilot test two sickle cell-specific instruments, the Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) and Jenerette Self-Care Assessment Tool (J-SAT), to determine recruitment ra ... Full text Cite

Stigma of Sickle Cell Disease: A Systematic Review.

Journal Article Issues in mental health nursing · August 2018 The aim of this systematic review was to synthesize the literature regarding health-related stigma in adolescents and adults living with sickle cell disease (SCD). Four domains were identified from 27 studies: (1) social consequences of stigma; (2) the eff ... Full text Cite

Barriers to Care for Persons With Sickle Cell Disease: The Case Manager's Opportunity to Improve Patient Outcomes.

Journal Article Professional case management · July 2018 Purpose and objectivesThe purpose of this discussion is to review the barriers to care for patients with sickle cell disease (SCD). Chronic pain and the perception of addiction, implicit bias, frequent hospitalizations and emergency department vis ... Full text Cite

Bereaved Parents' Health Status During the First 6 Months After Their Child's Death.

Journal Article The American journal of hospice & palliative care · June 2018 PurposeTo examine bereaved parents' physical, mental, and social health during the first 6 months after their child's (<12 years) death from a life-threatening illness.Background and significanceBereaved parents have higher mortality and ... Full text Cite

Emergency Department (ED), ED Observation, Day Hospital, and Hospital Admissions for Adults with Sickle Cell Disease.

Journal Article The western journal of emergency medicine · March 2018 IntroductionUse of alternative venues to manage uncomplicated vaso-occlusive crisis (VOC), such as a day hospital (DH) or ED observation unit, for patients with sickle cell anemia, may significantly reduce admission rates, which may subsequently r ... Full text Cite

A randomized controlled trial comparing two vaso-occlusive episode (VOE) protocols in sickle cell disease (SCD).

Journal Article Am J Hematol · February 2018 Limited evidence guides opioid dosing strategies for acute Sickle Cell (SCD) pain. We compared two National Heart, Lung and Blood (NHBLI) recommended opioid dosing strategies (weight-based vs. patient-specific) for ED treatment of acute vaso-occlusive epis ... Full text Open Access Link to item Cite

Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization.

Journal Article Journal of health care for the poor and underserved · January 2018 The purposeto determine frequency of health care encounters among people with sickle cell disease (SCD) seeking treatment for a vaso-occlusive crisis (VOC). Health care encounters are categorized by visit type (day hospital, ED visit, hospitalizat ... Full text Cite

Identifying Social-Behavioral Health Needs of Adults with Sickle Cell Disease in the Emergency Department.

Journal Article Journal of emergency nursing · September 2017 IntroductionSickle cell disease (SCD) is a complex illness with many social-behavioral co-morbidities. The aim of this project was to describe unmet social-behavioral health needs for adults with SCD who presented to the emergency department for t ... Full text Cite

A telephonic mindfulness-based intervention for persons with sickle cell disease: study protocol for a randomized controlled trial.

Journal Article Trials · May 2017 BackgroundOne of the most difficult symptoms for persons with sickle cell disease (SCD) to manage is chronic pain. Chronic pain impacts approximately one-third of persons with SCD and is associated with increased pain intensity, pain behavior, and ... Full text Cite

A Prospective Emergency Department Quality Improvement Project to Improve the Treatment of Vaso-Occlusive Crisis in Sickle Cell Disease: Lessons Learned.

Journal Article Joint Commission journal on quality and patient safety · March 2017 BackgroundGuidelines recommend rapid, aggressive management of vaso-occlusive crisis (VOC) for patients with sickle cell disease (SCD). A large prospective research and quality improvement (QI) project was conducted to measure changes in clinical ... Full text Cite

A Comparison of an Individualized and Weight-Based Opioid Protocols for the Treatment of Vaso-Occlusive Episodes in the Emergency Department

Conference Blood · December 2, 2016 AbstractIntroduction: Vaso-occlusive episodes are the most common complication experienced by individuals with sickle cell disease (SCD). Treatment in an emergency department (ED) i ... Full text Cite

Unique Educational Needs of Emergency Nurse Practitioners.

Journal Article Advanced emergency nursing journal · October 2016 The purpose of this study is to identify the unique educational needs of emergency nurse practitioners (ENPs). A survey from 167 nurse practitioners (NPs) practicing in the emergency department (ED) settings was analyzed. A variety of certified NPs practic ... Full text Cite

A Quality Improvement Initiative for Designing and Implementing a Military Service Screening Tool for a Community Emergency Department.

Journal Article Journal of emergency nursing · September 2016 ProblemVeterans eligible for health care in the Veterans Administration (VA) health system often receive care in community emergency Departments. In line with initiatives from Joining Forces and the American Academy of Nursing, emergency departmen ... Full text Cite

Shift in Emergency Department Provider Attitudes Toward Patients With Sickle Cell Disease.

Journal Article Advanced emergency nursing journal · July 2016 Patients with sickle cell disease frequently seek care in the emergency department. They have reported experiencing negative attitudes from emergency providers. This study was undertaken to evaluate change in emergency provider attitudes toward patients wi ... Full text Cite

Does Attendance at a Sickle Cell Educational Conference Improve Clinician Knowledge and Attitude Toward Patients with Sickle Cell Disease?

Journal Article Pain management nursing : official journal of the American Society of Pain Management Nurses · June 2016 Sickle cell disease (SCD) is a genetic disease associated with both chronic pain and acute painful events referred to as vaso-occlusive crises. Individuals with SCD suffer from a multitude of medical complications in addition to pain. Patients often are st ... Full text Cite

Evaluation of a Sickle Cell Disease Educational Website for Emergency Providers.

Journal Article Advanced emergency nursing journal · April 2016 Sickle cell disease (SCD) is a complex multisystem debilitating disease. Despite its complexity, health care providers who are not SCD experts receive little formal education on SCD. An open-access, educational website, "Emergency Department Sickle Cell Di ... Full text Cite

Sickle Cell Disease: A Review of Nonpharmacological Approaches for Pain.

Journal Article Journal of pain and symptom management · February 2016 ContextSickle cell disease (SCD) is a life-threatening condition that affects more than seven million people worldwide. The most common complication experienced by persons living with SCD is pain. Evidence supports the use of nonpharmacologic ther ... Full text Cite

Challenges in Shifting Management Responsibility From Parents to Adolescents With Sickle Cell Disease.

Journal Article J Pediatr Nurs · 2016 UNLABELLED: This study explored the challenges faced by adolescents with sickle cell disease (SCD) and their parents and the work they engage in to progressively shift from parent management to independent adolescent self-management. DESIGN AND METHODS: A ... Full text Link to item Cite

Mindfulness-Based Stress Reduction in Advanced Nursing Practice: A Nonpharmacologic Approach to Health Promotion, Chronic Disease Management, and Symptom Control.

Journal Article Journal of holistic nursing : official journal of the American Holistic Nurses' Association · September 2015 The aim of this article is to discuss how advanced practice nurses (APNs) can incorporate mindfulness-based stress reduction (MBSR) as a nonpharmacologic clinical tool in their practice. Over the last 30 years, patients and providers have increasingly used ... Full text Cite

Safety of an ED High-Dose Opioid Protocol for Sickle Cell Disease Pain.

Journal Article Journal of emergency nursing · May 2015 IntroductionA nurse-initiated high dose, opioid protocol for vaso-occlusive crisis (VOC) was implemented. Total intravenous morphine sulfate equivalents (IVMSE) in mgs] and safety was evaluated.MethodsA medical record review was conducted ... Full text Cite

Evidence gaps in the management of sickle cell disease: A summary of needed research.

Journal Article Am J Hematol · April 2015 Full text Link to item Cite

Attitudes toward patients with sickle cell disease in a multicenter sample of emergency department providers.

Journal Article Advanced emergency nursing journal · October 2014 Patients with sickle cell disease (SCD) often seek care in the emergency department (ED) for pain associated with vaso-occlusive crises. Research has shown that negative provider attitudes serve as a barrier to care in this patient population. Our aim was ... Full text Cite

Management of sickle cell disease: summary of the 2014 evidence-based report by expert panel members.

Journal Article JAMA · September 10, 2014 IMPORTANCE: Sickle cell disease (SCD) is a life-threatening genetic disorder affecting nearly 100,000 individuals in the United States and is associated with many acute and chronic complications requiring immediate medical attention. Two disease-modifying ... Full text Link to item Cite

Application of a proactive risk analysis to emergency department sickle cell care.

Journal Article The western journal of emergency medicine · July 2014 IntroductionPatients with sickle cell disease (SCD) often seek care in emergency departments (EDs) for severe pain. However, there is evidence that they experience inaccurate assessment, suboptimal care, and inadequate follow-up referrals. The aim ... Full text Cite

Implementing a urinary tract infection clinical practice guideline in an ambulatory urgent care practice.

Journal Article The Nurse practitioner · April 2014 A clinical practice guideline for uncomplicated urinary tract infections in an ambulatory urgent care practice was implemented. Aims were to increase the number of first-line antibiotics prescribed to treat uncomplicated urinary tract infections, increase ... Full text Cite

Development of a screening and brief intervention and referral for treatment for ED patients at risk for undiagnosed hypertension: a qualitative study.

Journal Article Journal of emergency nursing · January 2014 IntroductionProviding a screening, brief intervention, and referral for treatment (SBIRT) may encourage patients to obtain provider follow-up for definitive evaluation and treatment of undiagnosed hypertension (HTN). The aims of this study were to ... Full text Cite

Evaluation of a train-the-trainer workshop on sickle cell disease for ED providers.

Journal Article J Emerg Nurs · November 2013 OBJECTIVE: (1) Determine the difference in pre-test and post-test knowledge scores for attendees of a train-the-trainer workshop and (2) determine the number of attendees who disseminated the content within 6 months of attending the workshop. METHODS: A 1- ... Full text Link to item Cite

Patient input into the development and enhancement of ED discharge instructions: a focus group study.

Journal Article Journal of emergency nursing · November 2013 ObjectivesPrevious research indicates that patients have difficulty understanding ED discharge instructions; these findings have important implications for adherence and outcomes. The objective of this study was to obtain direct patient input to i ... Full text Cite

Emergency provider analgesic practices and attitudes toward patients with sickle cell disease.

Journal Article Annals of emergency medicine · October 2013 Study objectiveWe determine whether emergency provider attitudes and demographics are associated with adherence to national guidelines for the management of acute sickle cell disease pain.MethodsWe conducted a cross-sectional survey of em ... Full text Cite

Care of children with sickle cell disease in the emergency department: parent and provider perspectives inform quality improvement efforts.

Journal Article Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses · July 2013 Children with sickle cell disease (SCD) present to the emergency department (ED) with complex medical and behavioral health needs. Little research has been conducted to understand elements necessary to provide a comprehensive approach. We conducted 9 focus ... Full text Cite

Among emergency physicians, use of the term "Sickler" is associated with negative attitudes toward people with sickle cell disease.

Journal Article American journal of hematology · June 2013 Full text Cite

The impact of race and disease on sickle cell patient wait times in the emergency department.

Journal Article The American journal of emergency medicine · April 2013 Study objectiveTo determine whether patients with sickle cell disease (SCD) experience longer wait times to see a physician after arrival to an emergency department (ED) compared to patients with long bone fracture and patients presenting with all ... Full text Cite

The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS): reliability and validity.

Journal Article Advanced emergency nursing journal · April 2013 Emergency department (ED) management of adults with sickle cell disease (SCD) is complex and frustrating. The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS) is a research-based decision support and quality improvement (QI) to ... Full text Cite

Sickle cell disease patients' perceptions of emergency department pain management.

Journal Article Journal of the National Medical Association · September 2012 Patients with sickle cell disease (SCD) experience painful crises that often require admission to the emergency department (ED) for pain management. Factors such as ED overcrowding and negative perception and stigmatization of SCD may impact patients' perc ... Full text Cite

How do emergency department patients store and dispose of opioids after discharge? A pilot study.

Journal Article Journal of emergency nursing · May 2012 IntroductionOpioid abuse and overdose have increased drastically in recent years. Diversion of opioids used to treat pain, either through theft or sharing, is increasing and may contribute to this misuse. Based on these trends, we designed a study ... Full text Cite

Adult emergency department patients with sickle cell pain crisis: results from a quality improvement learning collaborative model to improve analgesic management.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · April 2012 ObjectivesThe aims of this study were to 1) estimate differences in pain management process and patient-reported outcomes, pre- and postimplementation of analgesic protocols for adults with sickle cell disease (SCD), and 2) examine the effects of ... Full text Cite

Promoting equity: developing quality measures for sickle cell disease.

Journal Article American journal of medical quality : the official journal of the American College of Medical Quality · January 2012 Full text Cite

More patients are triaged using the Emergency Severity Index than any other triage acuity system in the United States.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · January 2012 ObjectivesPatient acuity triage systems can play an important role in supporting patient safety and emergency department (ED) operations. In 2003, the boards of the American College of Emergency Physicians (ACEP) and the Emergency Nurses Associati ... Full text Cite

Sickle cell disease management in the emergency department: what every emergency nurse should know.

Journal Article Journal of emergency nursing · July 2011 Full text Cite

Nurse practitioner certification and practice settings: implications for education and practice.

Journal Article Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · June 2011 PurposeNurse Practitioners (NPs) are certified within a population-focused specialty area, practice in a variety of settings, and treat a wide range of patients. Little is known about what agreement exists between certification obtained and actual ... Full text Cite

Understanding and meeting the hospitalist's challenge: caring for adults with sickle cell disease.

Journal Article Journal of hospital medicine · May 2011 Full text Cite

Survey Research: An Effective Design for Conducting Nursing Research

Journal Article Journal of Nursing Regulation · January 1, 2011 An important advantage of survey research is its flexibility. Surveys can be used to conduct large national studies or to query small groups. Surveys can be made up of a few unstructured questions or can involve a large-scale, multisite longitudinal study ... Full text Cite

Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension.

Journal Article Journal of emergency nursing · January 2011 ObjectivesWe describe clinician-reported knowledge of the Joint National Committee (JNC7) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure definitions of Stage I hypertension; perceived causes of elevated blood pressure; ... Full text Cite

Examining emergency department communication through a staff-based participatory research method: identifying barriers and solutions to meaningful change.

Journal Article Annals of emergency medicine · December 2010 Study objectiveWe test an initiative with the staff-based participatory research (SBPR) method to elicit communication barriers and engage staff in identifying strategies to improve communication within our emergency department (ED).Methods Full text Cite

A qualitative analysis of best self-management practices: sickle cell disease.

Journal Article Journal of the National Medical Association · November 2010 BackgroundSickle cell disease (SCD) is associated with serious comorbidities resulting in a shortened lifespan, and many clients suffer from frequent pain episodes. However, others successfully manage their disease in the outpatient setting withou ... Full text Cite

Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS), a focus group and decision support tool development project.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · August 2010 ObjectivesA decision support tool may guide emergency clinicians in recognizing assessment, analgesic and overall management, and health service delivery needs for patients with sickle cell disease (SCD) in the emergency department (ED). We aimed ... Full text Cite

Adult emergency department patients with sickle cell pain crisis: a learning collaborative model to improve analgesic management.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · April 2010 ObjectivesThe objectives were to report the baseline (prior to quality improvement interventions) patient and visit characteristics and analgesic management practices for each site participating in an emergency department (ED) sickle cell learning ... Full text Cite

A comparison of analgesic management for emergency department patients with sickle cell disease and renal colic.

Journal Article The Clinical journal of pain · March 2010 ObjectivesTo determine whether there is a difference in time to initial analgesic for patients with acute pain from sickle cell disease (SCD) versus renal colic (RC) and to identify factors contributing to variance in time to analgesic.Methods ... Full text Cite

Evaluation, management, and referral of elderly emergency department patients with elevated blood pressure.

Journal Article Blood pressure monitoring · December 2009 ObjectivesTo determine blood pressure (BP) reassessment rates and to describe the evaluation and outpatient referral rates of elderly emergency department (ED) patients with elevated BP.MethodsThis was a retrospective cohort of patients w ... Full text Cite

Erratum: The emergency severity index version 4: Reliability in pediatric patients (Pediatric Emergency Care 25:8)

Journal Article Pediatric Emergency Care · November 1, 2009 Full text Cite

The use of topical anesthesia during intravenous catheter insertion in adults: a comparison of pain scores using LMX-4 versus placebo.

Journal Article Journal of emergency nursing · July 2009 IntroductionIntravenous (IV) catheter placement is an extremely common painful procedure performed in all ages and healthcare settings, more often than not without anesthetics, despite clear research and guidelines demonstrating their effectivenes ... Full text Cite

Can education and staff-based participatory research change nursing practice in an era of ED overcrowding? A focus group study.

Journal Article Journal of emergency nursing · July 2009 IntroductionIn our facility an operational process intervention was implemented to decrease overcrowding. The intervention consisted of implementing criteria (developed from a series of 8 interactive workshops led by the investigators with all cha ... Full text Cite

Provider self-report and practice: reassessment and referral of emergency department patients with elevated blood pressure.

Journal Article American journal of hypertension · June 2009 BackgroundWe attempted to identify patient factors associated with blood pressure (BP) reassessment and to compare health-care provider self-reported reassessment and referral to actual practice in an emergency department (ED) setting.Methods< ... Full text Cite

Impact of physician and patient gender on pain management in the emergency department--a multicenter study.

Journal Article Pain medicine (Malden, Mass.) · March 2009 ObjectivePain is a complex experience influenced by factors such as age, race, and ethnicity. We conducted a multicenter study to better understand emergency department (ED) pain management practices and examined the influence of patient and provi ... Full text Cite

Patient perspectives on communication with the medical team: pilot study using the Communication Assessment Tool-Team (CAT-T).

Journal Article Patient education and counseling · November 2008 ObjectiveEffective communication is an essential aspect of high-quality patient care and a core competency for physicians. To date, assessment of communication skills in team-based settings has not been well established. We sought to tailor a psyc ... Full text Cite

The influence of triage systems and triage scores on timeliness of ED analgesic administration.

Journal Article The American journal of emergency medicine · October 2008 ObjectivesThe aim of the study was to examine the association between triage scoring systems and triage priority scores on time to initial emergency department (ED) analgesic administration.MethodsAn observational, multicenter, prospectiv ... Full text Cite

Evaluating disparities in door-to-EKG time for patients with noncardiac chest pain.

Journal Article Journal of emergency nursing · October 2008 IntroductionOur objective was to examine gender, racial, and age differences in door-to-EKG time in patients diagnosed with non-cardiac chest pain.MethodsThis was a prospective cohort study of adult patients with an explicitly stated chie ... Full text Cite

Does this patient meet the criteria for Emergency Severity Index level 2?

Journal Article Journal of emergency nursing · August 2008 Full text Cite

Should you close your waiting room? Addressing ED overcrowding through education and staff-based participatory research.

Journal Article Journal of emergency nursing · August 2008 IntroductionThe purpose of this project was to develop operational criteria to "close the ED waiting room".MethodsA prospective, staff-based participatory research model was used. Nurses at an urban ED with 70,000 visits attended a four-h ... Full text Cite

Recovering and reporting medical errors in the emergency department

Journal Article Advanced Emergency Nursing Journal · April 1, 2008 The Research to Practice column attempts to serve 2 purposes: (1) fine-tune the research critique skills of advanced practice nurses and (2) suggest strategies to translate findings from a research study into bedside practice. For each column, a topic and ... Full text Cite

Increased blood pressure in the emergency department: pain, anxiety, or undiagnosed hypertension?

Journal Article Annals of emergency medicine · March 2008 Study objectiveWe determine the proportion of patients with increased emergency department (ED) blood pressure and no history of hypertension who have persistently increased blood pressure at home, describe characteristics associated with sustaine ... Full text Cite

Pathways and protocols for the triage patient with acute pain

Journal Article · January 1, 2008 SCOPE OF THE PROBLEM Emergency departments (EDs) face many challenges. Recent data suggest that patient visits in United States EDs have increased 18% over the past 10 years and are now estimated to approximate 110 million visits annually. Pain is the most ... Full text Cite

Who is leaving the emergency department without being seen?

Journal Article Advanced Emergency Nursing Journal · January 1, 2008 The Research to Practice column selects a research article with important meaning for the advanced practice nurse. The column first discusses why the topic is important, and then provides a summary and critique of the research methods. Finally, the finding ... Full text Cite

Knowledge translation of the American College of Emergency Physicians clinical policy on hypertension.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · November 2007 ObjectivesTo determine if dissemination of the American College of Emergency Physicians clinical policy on hypertension to emergency physicians would lead to improvements in blood pressure reassessment and referral of emergency department (ED) pat ... Full text Cite

Can the use of ultrasound technology or bladder scanning prevent unnecessary pediatric urethral catheterizations?

Journal Article Advanced Emergency Nursing Journal · October 1, 2007 Full text Cite

Stop delays in treatment of sickle cell pain patients: Believe what the patient tells you

Journal Article ED Nursing · July 1, 2007 Patients with sickle cell disease coming to EDs with an acute pain episode waited an average of 90 minutes for the first analgesic to be given, says a new study. • Patients may not appear to be in severe pain because they have chronic pain. • High triage s ... Cite

Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study.

Journal Article The journal of pain · June 2007 UnlabelledPain is the most common reason for emergency department (ED) use, and oligoanalgesia in this setting is known to be common. The Joint Commission on Accreditation of Healthcare Organizations has revised standards for pain management; howe ... Full text Cite

Emergency department management of acute pain episodes in sickle cell disease.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · May 2007 ObjectivesTo characterize the initial management of patients with sickle cell disease and an acute pain episode, to compare these practices with the American Pain Society Guideline for the Management of Acute and Chronic Pain in Sickle-Cell Diseas ... Full text Cite

Emergency Severity Index version 4: clarifying common questions.

Journal Article Journal of emergency nursing · April 2007 Full text Cite

Etomidate or propofol for deep sedation: Are these agents ready for emergency department prime-time use?

Journal Article Advanced Emergency Nursing Journal · April 1, 2007 Full text Cite

Oral rehydration therapy for pediatric gastroenteritis: Can oral ondansetron eliminate the need for intravenous therapy?

Journal Article Advanced Emergency Nursing Journal · January 1, 2007 Full text Cite

Can different types of central venous catheters be used to measure central venous pressure in an emergent situation?

Journal Article Advanced Emergency Nursing Journal · January 1, 2006 Full text Cite

Transporting low-risk chest pain patients - Do you need an RN and a monitor/defibrillator?

Journal Article Advanced Emergency Nursing Journal · January 1, 2006 Full text Cite

The Emergency Severity Index Version 4: changes to ESI level 1 and pediatric fever criteria.

Journal Article Journal of emergency nursing · August 2005 Full text Cite

Emergency department triage: why we need a research agenda.

Journal Article Annals of emergency medicine · August 2005 Full text Cite

Refining Emergency Severity Index triage criteria.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · June 2005 ObjectivesThe Emergency Severity Index (ESI) version 3 is a five-level triage acuity scale with demonstrated reliability and validity. Patients are rated from ESI level 1 (highest acuity) to ESI level 5 (lowest acuity). Clinical experience has dem ... Full text Cite

Five-level triage: a report from the ACEP/ENA Five-level Triage Task Force.

Journal Article Journal of emergency nursing · February 2005 Full text Cite

Triage questions [1] (multiple letters)

Journal Article Annals of Emergency Medicine · January 1, 2005 Full text Cite

Undiagnosed hypertension in the ED setting--an unrecognized opportunity by emergency nurses.

Journal Article Journal of emergency nursing · June 2004 IntroductionHypertension is often undiagnosed, untreated, undertreated, and poorly controlled. Many patients use the emergency department as their primary source of health care, and the emergency department represents an opportunity to identify un ... Full text Cite

Factors affecting pain scores during female urethral catheterization.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · June 2004 ObjectivesTo compare pain and discomfort ratings of female patients undergoing urethral catheterization randomized to topical application of plain lubricant versus lidocaine gel prior to the procedure.MethodsThis was a prospective, random ... Full text Cite

The effect of blood-drawing techniques and equipment on the hemolysis of ED laboratory blood samples.

Journal Article Journal of emergency nursing · April 2004 Full text Cite

The Emergency Severity Index (version 3) 5-level triage system scores predict ED resource consumption.

Journal Article Journal of emergency nursing · February 2004 ObjectivesThe Emergency Severity Index (ESI) version 3 is a valid and reliable 5-level triage instrument that is gaining in popularity. A unique component of the ESI algorithm is prediction of resource consumption. Our objective was to validate th ... Full text Cite

Assessment of inter-observer reliability of two five-level triage and acuity scales: A randomized controlled trial

Journal Article Canadian Journal of Emergency Medicine · January 1, 2004 Introduction: The Emergency Severity Index (ESI©) is an initial measure of patient assessment in the emergency department (ED). It rates patients based on acuity and predicted resource intensity from Level 1 (most ill) to Level 5 (least resource intensive) ... Full text Cite

Reliability and validity of scores on The Emergency Severity Index version 3.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · January 2004 ObjectivesNo widely used triage instrument accurately assesses patient acuity. The Emergency Severity Index (ESI) promises to facilitate reliable acuity assessment and possibly predict patient disposition. However, reliability and validity of ESI ... Full text Cite

Factors affecting the risk of blood bank specimen hemolysis.

Journal Article Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · August 2003 ObjectivesTo evaluate simultaneously several possible risk factors for blood bank specimen hemolysis.MethodsThis was a prospective cohort study of emergency department and labor and delivery patients to estimate the effect of various fact ... Full text Cite

Erratum: Factors affecting the risk of blood bank specimen hemolysis (Academic Emergency Medicine (August 2003) 10 (897-900))

Journal Article Academic Emergency Medicine · January 1, 2003 Full text Cite

Knowledge assessment and preparation for the certified emergency nurses examination

Journal Article Journal of Emergency Nursing · January 1, 2002 Full text Cite

The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma.

Journal Article Journal of emergency nursing · April 2001 ObjectiveThe purposes of this study were to determine the most effective nursing intervention to decrease pain for patients with minor musculoskeletal trauma and moderate pain at triage and to examine patient satisfaction.MethodsPatients ... Full text Cite

Emergency nurses' knowledge of pain management principles.

Journal Article Journal of emergency nursing · August 2000 IntroductionThe purpose of this study was to determine areas of emergency nurses' knowledge deficit regarding pain management, and to identify barriers to pain management as perceived by emergency nurses.MethodsData were collected anonymo ... Full text Cite

Emergency management of acute coronary syndromes

Journal Article Journal of Emergency Nursing · January 1, 2000 Full text Cite

A prospective study of ED pain management practices and the patient's perspective.

Journal Article Journal of emergency nursing · June 1999 ObjectiveThis study was conducted to describe the prevalence of pain in the emergency department and to identify factors that may contribute to its treatment.MethodsInterviews were conducted with 203 patients who entered the emergency dep ... Full text Cite