Evidence map›Paper›PMID 35508451›Full record

ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2022

Patient Pain Experiences and the Emergency Department Encounter: A Qualitative Analysis.

Brittany E Punches, Jennifer L Brown, Summer Soliman, Kimberly D Johnson, Caroline E Freiermuth, Quinn Walker, Shammah O Omololu, Michael S Lyons

Abstract read
In one paragraph

Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Development and Validation of the Decisions to use Opioids Measure.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2025
    Article
  5. Article
  6. Patient perceptions of microaggressions and discrimination toward patients during emergency department care.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    Article
  7. Patient motivators to use opioids for acute pain after emergency care.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Brittany E PunchesCollege of Nursing, The Ohio State University, Columbus, Ohio; Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio. Electronic address: punches.5@osu.edu.
Jennifer L BrownDepartment of Psychology, University of Cincinnati College of Arts and Sciences, Cincinnati, Ohio; Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, Ohio; Center for Addiction Research, University of Cincinnati, Cincinnati, Ohio.
Summer SolimanDepartment of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Kimberly D JohnsonCollege of Nursing, University of Cincinnati, Cincinnati, Ohio.
Caroline E FreiermuthCenter for Addiction Research, University of Cincinnati, Cincinnati, Ohio; Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Quinn WalkerCollege of Nursing, University of Cincinnati, Cincinnati, Ohio.
Shammah O OmololuCollege of Nursing, University of Cincinnati, Cincinnati, Ohio.
Michael S LyonsCenter for Addiction Research, University of Cincinnati, Cincinnati, Ohio; Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Funding

Decision-Making Factors for Therapeutic Opioid Use after Emergency CareK08DA049948 · NIDA · UNIVERSITY OF CINCINNATI · PI PUNCHES, BRITTANY E · 2021 to 2025
$955k
NIDA NIH HHS K08 DA049948NIDA NIH HHS L30 DA047006
6 · The paper itself

Abstract

backgroundLegislation, practice recommendations, and the likely link between therapeutic opioid exposure and iatrogenic opioid use disorder (OUD) have led to reduced opioid prescribing. The effects of this change on unrelieved pain and the overdose crisis are not well-characterized.

aimWe explored emergency department (ED) patients' beliefs and experiences involving pain and emergency care to inform the development of future psychosocial interventions that balance the need for acute pain management with risks from opioid exposure.

methodsQualitative, semi-structured interviews were conducted after discharge from an urban, academic Level 1 trauma center ED from September 2020 to May 2021 with 18 adult patients presenting with acute pain. After transcription of audio recording, common themes were identified using framework analysis. Thematic hierarchy was validated with Pearson correlation coefficients for cluster analysis of word similarity.

resultsOf the 18 participants, most were Black (n = 11, 61%) and male (n = 12, 66.7%). Analysis identified one overarching theme: locus of control with an emergency pain encounter. Four themes were identified surrounding internal and external influences on pain management: (1) accessing healthcare for acute pain; (2) managing the pain after discharge; (3) seeking opioids: self-medicating and misuse; and (4) opioid crisis makes people in pain suffer.

conclusionsPatients discharged from the ED reported unrelieved pain, factors that influence their pain management, and an ability to seek opioids from non-medical sources. There is a significant disconnect between patients and providers in terms of priorities in pain management and the importance of individualized care.

Indexed as

Acute PainOpioid-Related DisordersAdultAnalgesics, OpioidEmergency Service, HospitalHumansMalePractice Patterns, Physicians'Analgesics, Opioid

Identifiers

PMID35508451
PMCPMC9308683

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.