Barriers to chronic pain management in community-dwelling low-income older adults: Home-visiting nurses’ perspectives

Park, Hyung-Ran; Park, Eun‐Young; Park, Jee-Won

doi:10.1016/j.colegn.2015.05.002

Cited by 9 publications

(9 citation statements)

References 33 publications

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“…This is supported by the finding that over 80% (580/694) of the respondents agreed that “clear statements about shared nurses’ rights and duties” is necessary to the consideration of being a shared nurse. Previous findings also showed that the absence of related policies and practical guidelines was one of the major organizational barriers for Korean nurses to implement home visiting services [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Internet-Based Sharing Nurse Program and Nurses’ Perceptions in China: Cross-Sectional Survey

Huang

Mei

et al. 2020

J Med Internet Res

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Background China is currently piloting a “Sharing Nurse” program that aims to increase the accessibility of nursing services to at-home patients by enabling patients to order nursing services using mobile apps or online platforms. Objective This study aims to assess nurses’ perceptions of the Sharing Nurse program, including their acceptance, concerns, needs, and willingness to take part in the program. Methods A total of 694 nurses participated in the questionnaire survey. The survey collected their sociodemographic and work-related information and their perceptions of the Sharing Nurse program using a self-developed questionnaire. Results The 694 respondents agreed that the Sharing Nurse program could provide patients with better access to nursing care (n=483, 69.6%). Their main concerns about the program were unclear liability division when medical disputes occur (n=637, 90.3%) and potential personal safety issues (n=604, 87%). They reported that insurance (n=611, 88%), permits from their affiliated hospital (n=562, 81.0%), clear instructions concerning rights and duties (n=580, 83.6%), real time positioning while delivering the service (n=567, 81.7%), and one-key alarm equipment (n=590, 85.0%) were necessary for better implementation of the program. More than half of the respondents (n=416, 60%) had an optimistic attitude toward the development of the Sharing Nurse program in China. However, only 19.4% (n=135) of the respondents expressed their willingness to be a “shared nurse.” Further analyses found that nurses with a master’s degree or above (χ23=28.835, P<.001) or from tertiary hospitals (χ23=18.669, P<.001) were more likely to be aware of the Sharing Nurse program and that male nurses were more willing to be shared nurses (Z=–2.275, P=.02). Conclusions The Chinese Sharing Nurse program is still in its infancy and many refinements are needed before it can be implemented nationwide. Generally, Chinese nurses are positive about the Sharing Nurse program and are willing to participate if the program is thoroughly regulated and supervised.

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Section: Discussionmentioning

confidence: 99%

Internet-Based Sharing Nurse Program and Nurses’ Perceptions in China: Cross-Sectional Survey

Huang

Mei

et al. 2020

J Med Internet Res

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“…Other studies found that other nursing duties meant that nurses had insufficient time to assess (Youngcharoen, Vincent, & Park, 2017 ) or manage (Mędrzycka‐Dąbrowska, Dąbrowski, Gutysz‐Wojnicka, Basiński, & Kwiecień‐Jaguś, 2017 ) pain among older patients undergoing surgical procedures. Staff shortages and time constraints have also been found to be statistically significant barriers to providing pain management for older adults with chronic pain in the community (Park, Park, & Park, 2016 ). Nurses’ perceptions of their workload are therefore reflected in the standard of their management of pain.…”

Section: Introductionmentioning

confidence: 99%

A cross‐sectional study of factors associated with nurses’ postoperative pain management practices for older patients

Youngcharoen

Aree‐Ue

2022

Nursing Open

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Postoperative pain is a statistically significant problem for older patients undergoing surgery. Acute pain management for this vulnerable population is complex (Jones et al., 2016), and previous studies have found that older patients usually receive inadequate postoperative pain management (Buowari, 2021;Horgas, 2017). Untreated pain can result in several negative consequences, including stress, depression, social isolation, insomnia, acute confused states, malnutrition, and poor functional outcomes and quality of life, which could in turn lead to increased length of hospital stay and cost of care (Buowari, 2021;Horgas, 2017). Improving the postoperative pain management provided by nurses should therefore improve patients' outcomes (Schroeder et al., 2016). | BACKG ROU N DNurses' pain management practice is a vital issue that is linked to positive pain management outcomes. When nurses accurately assess pain and effectively deliver pain management interventions, it can facilitate patients' willingness to perform early rehabilitation after surgical intervention and increase patient satisfaction (Schroeder et al., 2016). However, one study reported that

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“…Effective pain management is one of the largest population health challenges among older adults in the United States ( Gloth, 2001 ; Nawai et al, 2017 ; Park et al, 2015 , 2016 ; Reid et al, 2008 ; Robinson-Lane & Vallerand, 2018 ; Schofield, 2017 ; St Marie & Arnstein, 2016 ). Older adults living in rural areas are disproportionately affected due to the following factors: concerns about the over-use of pain medication ( Nawai et al, 2017 ), less access to care ( Park et al, 2016 ), patients’ preferences for nonpharmacological interventions ( Robinson-Lane & Vallerand, 2018 ), and patients’ reluctance to talk about pain ( Cagle & Bunting, 2017 ). Among the older adult population living in the rural United States, undertreated cancer pain is very common ( Reyes-Gibby et al, 2006 ).…”

Section: Background and Objectivesmentioning

confidence: 99%

Ca-HELP: Adaptation of a Communication Tool to Help Geriatric Cancer Patients in Rural Settings Talk to Their Doctors About Pain

Harrison,

Stokes,

Hahne

et al. 2023

Innovation in Aging

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Background and Objectives Among the older adult population living in the rural U.S., under treated cancer pain is very common. The need for interventions targeting pain management communication between older adults with cancer in rural communities and their doctors outpaces the current evidence base. Adaptation of existing pain interventions may improve the speed at which clinicians can respond to pain in this vulnerable population. Research Design and Methods The Cancer Health Empowerment for Living without Pain (Ca-HELP) is an evidence-based communication tool that coaches patients to communicate about pain by asking questions, making requests, and signaling distress to their physicians in order to achieve improved pain control. Guided by the Method for Program Adaptation through Community Engagement (M-PACE) model, which utilizes detailed stakeholder feedback to guide adaptation of an intervention for an appropriate target audience, we proactively adapted the Ca-HELP and its delivery for use among geriatric cancer patients living in rural settings using qualitative feedback from patients, informal caregivers, and providers as a planned step in a multi-phase pilot study. Results All stakeholders agreed that the Ca-HELP was a promising candidate intervention to improve pain among older adults with cancer. They suggested modifications to the delivery, context, and content of the intervention. A multi-disciplinary team of nurse leaders and researchers evaluated stakeholder feedback and recommendations before determining which adaptations were made. Adaptations were cataloged and reported using the FRAME model. Discussion and Implications Our multi-stakeholder team proactively modified the Ca-HELP intervention tool using end-user feedback with a goal to optimize fit for use by older adults with cancer in rural settings without compromising the active ingredients. Documenting and reporting modifications to interventions is critical to their implementation, and will lay the groundwork for further testing of the efficacy of the adapted Ca-HELP intervention.

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Barriers to chronic pain management in community-dwelling low-income older adults: Home-visiting nurses’ perspectives

Cited by 9 publications

References 33 publications

Internet-Based Sharing Nurse Program and Nurses’ Perceptions in China: Cross-Sectional Survey

Internet-Based Sharing Nurse Program and Nurses’ Perceptions in China: Cross-Sectional Survey

A cross‐sectional study of factors associated with nurses’ postoperative pain management practices for older patients

Ca-HELP: Adaptation of a Communication Tool to Help Geriatric Cancer Patients in Rural Settings Talk to Their Doctors About Pain

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