Nursing patients with acute chest pain: practice guided by the Prince Edward Island conceptual model for nursing.
Current research suggests that pain is a relatively common phenomenon with 60-90% of patients presenting to emergency departments reporting pain (e.g., chest pain, trauma, extremity fractures and migraine headache) that require treatment [Hogan, S.L., 2005. Patient satisfaction with pain management in the emergency department. Advanced Emergency Nursing Journal 27(4), 284-294]. This article explores the use of conceptual theoretical empirical (C-T-E) framework to guide a senior nursing student in a case study of patient with chest pain. The Middle Range Theory of Pain described by Good [Good, M., 1998. A middle-range theory of acute pain management: use in research. Nursing Outlook 46(3), 120-124] and Melzack's [Melzack, R., 1987. The short-form McGill pain questionnaire. Pain, 30, 191-197] short form McGill pain questionnaire were applied along with the Prince Edward Island conceptual model (PEICM) for nursing. Results indicate that the nursing student increased her ability to work in partnership, assess relevant and specific information, and identify a number of strategies to help the patient achieve pain control by using a complement of pharmacological and non-pharmacological interventions. Moreover, the C-T-E approach provided an organized and systematic theoretical approach for the nursing student to assist a patient in pain control.
Blanchard
Janelle F
JF
Emergency Room Nurse, Charlottetown, Prince Edward Island, Canada. janelleblanchard@hotmail.com
Murnaghan
Donna A
DA
D002637:Chest Pain / Q000451:nursing*; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D009736:Nursing Process / Q000592:standards*; D017060:Patient Satisfaction; D011320:Primary Health Care; D011325:Prince Edward Island; D011795:Surveys and Questionnaires