Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2002-11-12
pubmed:abstractText
Pain assessment and management are complex issues that embrace physiological, emotional, cognitive, and social dimensions. This observational study sought to investigate nurse-patient interactions associated with pain assessment and management in hospitalized postsurgical patients in clinical practice settings. Twelve field observations were carried out on Registered Nurses' activities relating to pain with their assigned patients. All nurses were involved in direct patient care in one surgical unit of a metropolitan teaching hospital in Melbourne, Australia. Six observation times were identified as key periods for activities relating to pain, which included change of shift and high activity periods. Each observation period lasted 2 hours and was examined on two occasions. Four major themes were identified as barriers to effective pain management: nurses' responses to interruptions of activities relating to pain, nurses' attentiveness to patient cues of pain, nurses' varying interpretations of pain, and nurses' attempts to address competing demands of nurses, doctors and patients. These findings provide some understanding of the complexities impacting on nurses' assessment and management of postoperative pain. Further research using this observational methodology is indicated to examine these influences in more depth. This knowledge may form the basis for developing and evaluating strategic intervention programmes that analyse nurses' management of postoperative pain and, in particular, their administration of opioid analgesics.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
N
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0962-1067
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
724-33
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:12427177-Adult, pubmed-meshheading:12427177-Attitude of Health Personnel, pubmed-meshheading:12427177-Clinical Competence, pubmed-meshheading:12427177-Cues, pubmed-meshheading:12427177-Health Knowledge, Attitudes, Practice, pubmed-meshheading:12427177-Hospitals, Teaching, pubmed-meshheading:12427177-Hospitals, Urban, pubmed-meshheading:12427177-Humans, pubmed-meshheading:12427177-Nurse-Patient Relations, pubmed-meshheading:12427177-Nursing Assessment, pubmed-meshheading:12427177-Nursing Evaluation Research, pubmed-meshheading:12427177-Nursing Staff, Hospital, pubmed-meshheading:12427177-Pain, Postoperative, pubmed-meshheading:12427177-Pain Measurement, pubmed-meshheading:12427177-Perioperative Nursing, pubmed-meshheading:12427177-Postoperative Care, pubmed-meshheading:12427177-Primary Nursing, pubmed-meshheading:12427177-Victoria, pubmed-meshheading:12427177-Workload
pubmed:year
2002
pubmed:articleTitle
Observation of pain assessment and management--the complexities of clinical practice.
pubmed:affiliation
School of Postgraduate Nursing, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Carlton, Victoria, Australia. e.manias@unimelb.edu.au
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't