b’Respond using one or more of the following approaches:Ask a probing question, substantiated with additional background information, and evidence.Share an insight from having read your colleaguesxc2x92 po’

b”nRespond using one or more of the following approaches:Ask a probing question, substantiated with additional background information, and evidence.Share an insight from having read your colleaguesxe2x80x99 postings, synthesizing the information to provide new perspectives.Validate an idea with your own experience and additional sources.Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.Expand on your colleaguesxe2x80x99 postings by providing additional strategies for addressing barriers to EBP based on readings and evidence.xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0 Main Postxc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0 Introduction/PICOT QuestionPain is the most common complaint of people who present to the emergency department (ED). xc2xa0It is estimated that 75% of all patients use the ED for pain related complaints (Bergman, 2012). xc2xa0Patient satisfaction survey results emphasize the importance of adequate pain management (Bergman, 2012). With this in mind, nurses have a responsibility to evaluate, assess, and be advocates for a patientxe2x80x99s pain control. xc2xa0Studies have shown when an ED department has pain management protocols and delegates these to the nurses there is a reduction in patientxe2x80x99s pain (Hadorn, Comte, Foucault, Morin, & Hugli, 2016). xc2xa0Discovering patient expectations for pain management allows healthcare workers and patients to understand each other. xc2xa0Once understanding has taken place, we can evaluate essential questions related to the patientxe2x80x99s pain management. xc2xa0As healthcare workers are we expected to base pain management protocols solely on self-reported pain by the patient? xc2xa0If so then an important question to answer is: When patients present with pain in the ED, how does a nursesxe2x80x99 perception of the pain influence the level of pain management the patient receives?xc2xa0Evidence-Based Practicexc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Currently, in the ED I work in pain guidelines and protocols are in place for the nurse to initiate as needed. xc2xa0Hadorn et al. (2016) state, xe2x80x9cguidelines or protocols are generally used to facilitate the transfer of compelling evidence into clinical practicexe2x80x9d (p. 81). xc2xa0This evidence-based pain management protocol is available for the nurse to initiate based on the patientxe2x80x99s self-reported pain, nursing assessment, and observational data. xc2xa0At times, nurses evaluate pain based on vital signs, facial expressions such as grimacing, restlessness, self-report, and chief complaint (Hazelett, Powell, & Androulakakis, 2002). xc2xa0In our organization, the policies and procedures for pain management support the adoption of evidence-based practices. xc2xa0By using the set protocol for pain, nurses are better able to treat pain promptly. xc2xa0Nurses have a crucial role in delivering evidence-based healthcare in order to have the best outcomes and treatments for their patients (Majid et al., 2011).Barriersxc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Studies noted a barrier to effective pain management is the nursesxe2x80x99 perception of the individual. xc2xa0Some patients frequent the ED over exaggerating or making up complaints to seek pain medications (Hazelett et al., 2002). xc2xa0This repetitive drug seeking over time creates a barrier to compassionate care. xc2xa0The ED is a vulnerable place for drug abuse, especially by patients attempting to get narcotics or other pain medications (Bergman, 2012).xc2xa0Emergency department nurses and staff have a culture within their units that influence everyday practices. xc2xa0There is often a vast age range in the nursing staff which highlights differences in work ethic, attitudes, and professionalism. xc2xa0The culture of our ED hinders the initiation of evidence-based practices due to stressed out, overworked, and underappreciated nurses. xc2xa0With this in mind, it is vital that as an organization we provide opportunities for nurses to have adequate rest and find ways to show appreciation for all their hard work.xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0Proper access and initiation of the pain management protocol increases the likelihood of adequate pain control for patients. xc2xa0By discovering the expectations of patients and barriers to providing appropriate care we can eliminate miscommunication regarding pain control.xc2xa0ReferencesBergman, C. (2012). Emergency nurses’ perceived barriers to demonstrating caring when managing adult patients’ pain. Journal of Emergency Nursing, 38(3), 218-225. http://dx.doi.org/10.1016/j.jen.2010.09.017xc2xa0Hadorn, F., Comte, P., Foucault, E., Morin, D., & Hugli, O. (2016). Task-shifting using a pain management protocol in an emergency care service: Nursesxe2x80x99 perception through the eye of the rogerxe2x80x99s diffusion of innovation theory. Pain Management Nursing, 17(1), 80-87. http://dx.doi.org/10.1016/j.pmn.2015.08.002Hazelett, S., Powell, C., & Androulakakis, V. (2002). Patientsxe2x80x99 behavior at the time of injury: Effect on nursesxe2x80x99 perception of pain level and subsequent treatment. Pain Management Nursing, 3(1), 28-35. http://dx.doi.org/10.1053/jpmn.2002.29012Majid, S., Foo, S., Luyt, B., Zhang, X., Thong, Y., Chang, Y., & Mokhtar, I. (2011). Adopting evidence-based practice in clinical decision making: Nursesxe2x80x99 perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99(3), 229-236. http://dx.doi.org/10.3163/1536-5050.99.3.010 “