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The management of patients with acute abdominal pain in the emergency department: A qualitative study of nurse perceptions
Adelaide Nursing Sch, Fac Hlth & Med Sci, Level 4,Adelaide Hlth & Med Sci Bldg, Adelaide, SA 5005, Australia.
Flinders Univ S Australia, Coll Nursing & Hlth Sci, Sturt Rd, Bedford Pk, SA 5042, Australia;Flinders Univ S Australia, Coll Nursing & Hlth Sci, GPO Box 2100, Adelaide, SA 5001, Australia.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences. Uppsala Univ Hosp, Dept Surg, Uppsala, Sweden.ORCID iD: 0000-0001-6888-3792
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. Adelaide Nursing Sch, Fac Hlth & Med Sci, Level 4,Adelaide Hlth & Med Sci Bldg, Adelaide, SA 5005, Australia;Uppsala Univ Hosp, Dept Emergency Care & Internal Med, Entrance 40,Level 3,5th Floor, S-75185 Uppsala, Sweden.ORCID iD: 0000-0002-7221-2876
2019 (English)In: AUSTRALASIAN EMERGENCY CARE, ISSN 2588-994X, Vol. 22, no 2, p. 97-102Article in journal (Refereed) Published
Abstract [en]

Background: 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. Methods: 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. Results: 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. Conclusions: 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.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2019. Vol. 22, no 2, p. 97-102
Keywords [en]
Abdominal pain, Diagnosis, Nursing, Emergency department, Hospital, Fundamentals of care
National Category
Nursing Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:uu:diva-390030DOI: 10.1016/j.auec.2019.04.002ISI: 000471239500006PubMedID: 31056349OAI: oai:DiVA.org:uu-390030DiVA, id: diva2:1340973
Available from: 2019-08-07 Created: 2019-08-07 Last updated: 2019-08-07Bibliographically approved

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Jangland, EvaMuntlin Athlin, Åsa

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