Evidence map›Paper›PMID 39040944›Full record

ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2024

Improving the time to pain relief in the emergency department through triage nurse-initiated analgesia - a quasi-experimental study from Ethiopia.

Merahi Kefyalew, Negussie Deyassa, Uqubay Gidey, Maligna Temesgen, Maraki Mehari

Abstract read
In one paragraph

Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Global Emergency Medicine: A Scoping Review of the Literature From 2024.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    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

5 authors.

Merahi KefyalewDepartment of Emergency and Critical Care Medicine, Addis Ababa University College of Health Science, Ethiopia.
Negussie DeyassaEpidemiology, Department of Public Health, Addis Ababa University College of Health Science, Ethiopia.
Uqubay GideyDepartment of Emergency and Critical Care Medicine, Addis Ababa University College of Health Science, Ethiopia.
Maligna TemesgenDepartment of Internal Medicine, Kidus Paulos Specialized Hospital, Ethiopia.
Maraki MehariDepartment of Orthopedic Surgery, Kidus Paulos Specialized Hospital, Ethiopia.

Funding

Health Professionals Education Partnership Initiative EthiopiaR25TW011214 · FIC · ADDIS ABABA UNIVERSITY · PI DERBEW, MILIARD · 2018 to 2022
$3.3M
FIC NIH HHS R25 TW011214
6 · The paper itself

Abstract

Introduction: Pain management is crucial for improving patients' quality of care. Persistent pain has been linked to higher depression, anxiety, and work-related difficulties. This study aimed to enhance the time to pain relief in the emergency department through triage nurse-initiated analgesia. It evaluated the impact of nurse-led analgesia on patient satisfaction compared to standard pain management at Tikur Anbessa Specialized Hospital and Kidus Paulos Specialized Hospital. Additionally, it compared the time to analgesia between the two hospitals and assessed the effect of nurse-led analgesia on reducing the length of stay for patients with pain. Methods: Using a quasi-experimental design, the study included an intervention group and a control group. Data was collected using an open data kit, and after ensuring data completeness, it was exported to SPSS and Excel for analysis. To assess the effectiveness of the intervention, the time to analgesia was compared between the intervention and control groups using an independent samples Result and discussion: The study enrolled 179 participants, with a median age of 34 years (range: 9-80) and 67% female. The most common events leading to pain were medical conditions (21%), followed by trauma/quarrel/war, fall accidents, and underlying diseases (15%, 13%, and 13%, respectively). There was a significant correlation between the degree of pain on arrival and time to analgesia. Additionally, a significant correlation ( Conclusion and recommendation: Implementing a nurse-led analgesia protocol in the emergency department is crucial for reducing time to analgesia and improving patient satisfaction. It is recommended to scale up this approach to other healthcare facilities by incorporating it into the nursing practice guidelines of the country.

Indexed as

Emergency departmentPain reliefPatient satisfactionTime to analgesiaTriage nurse-initiated analgesia

Identifiers

PMID39040944
PMCPMC11260836

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Registered trials

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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.