Exploring how Bedside Nurses Care for Patients with Chronic Pain: A Grounded Theory Study

Siedlecki, Sandra L.; Modic, Mary Beth; Bernhofer, Esther I.; Sorrell, Jeanne M.; Strumble, Patricia; Kato, Irene

doi:10.1016/j.pmn.2012.12.007

Cited by 13 publications

(25 citation statements)

References 17 publications

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“…This study reinforces previous findings that describe the challenges to effective pain management ( Siedlecki et al, 2014 ). Often, the hierarchical system that exists in hospitals gives patients the impression that nurses just call the doctor for stronger pain medication and have no other tools at their disposal except to "go up the ladder."…”

Section: Resultssupporting

confidence: 88%

“…A lack of understanding the patient's experience of pain may contribute to the nurse's misinterpreting true pain needs for attention-getting, drug-seeking, and addiction. Some studies indicate that physicians and nurses often do not ask patients to express their pain qualitatively or do not accept patients' report of pain ( Siedlecki et al, 2014 ;Tasso & Behar-Horenstein, 2004 ).…”

mentioning

confidence: 99%

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The Pain Experience of Patients Hospitalized With Inflammatory Bowel Disease

Bernhofer

Masina

Sorrell

et al. 2017

Gastroenterology Nursing

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Pain is personal, subjective, and best treated when the patient's experience is fully understood. Hospitalization contributes to the physical and psychological complications of acute and chronic pain experienced by patients with inflammatory bowel disease (IBD). The purpose of this qualitative phenomenological study was to develop an understanding of the unique experience of pain in hospitalized patients with an admitting diagnosis of IBD and related care or surgery. Following institutional review board approval, purposeful sampling was used to recruit 16 patients (11 female, 5 male, mean age 41.8 years) from two 36-bed colorectal units of a large academic medical center in the Midwest. Individual, audio-recorded interviews were conducted by a researcher at each participant's bedside. Recordings and transcripts were systematically reviewed by the research team using Van Manen's approach to qualitative analysis. Subsequently, 5 major themes were identified among the data: feeling discredited and misunderstood, desire to dispel the stigma, frustration with constant pain, need for caregiver knowledge and understanding, and nurse as connector between patient and physician. Hospitalized patients with IBD have common issues with pain care. Nurses caring for them can provide better pain management when they understand these issues/themes. Further research into the themes discovered here is recommended.

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Section: Resultssupporting

confidence: 88%

mentioning

confidence: 99%

The Pain Experience of Patients Hospitalized With Inflammatory Bowel Disease

Bernhofer

Masina

Sorrell

et al. 2017

Gastroenterology Nursing

Self Cite

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“…These nurses were originally recruited through their nurse managers who were asked to recommend nurses who had previously discussed their experiences in caring for patients with acute and chronic pain (purposive sampling). The nurses were individually interviewed (Siedlecki et al, 2014). Original interview data from the same purposive sample of nurses were reviewed and no new data were obtained.…”

Section: Setting and Samplementioning

confidence: 99%

“…it's not as pressing a matter as if you're here for cardiac issues. (Siedlecki et al, 2014) Another nurse indicated a lack of knowledge regarding pain treatment and biases against patients with chronic pain issues:…”

Section: Barriers To Managing a Patient's Painmentioning

confidence: 99%

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Nurses Managing Patients’ Pain May Experience Moral Distress

Bernhofer

Sorrell

2014

Clin Nurs Res

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Bedside nurses care for patients with pain every day but the task is often challenging. A previous qualitative study that investigated nurses' experiences as they treated patients with pain suggested that nurses may suffer from moral distress if they are unsuccessful in providing adequate pain relief. As 20 of the original 48 nurses interviewed described frustration and distress when constrained from doing the right thing to provide pain relief for their patients, the purpose of this secondary qualitative analysis was to answer new research questions on nurse moral distress related to managing pain. Findings indicated that difficulties in nurse/physician communication and lack of pain education were contributors to nurses' frustrations and provided barriers to optimal pain management. Many participants indicated a need for interprofessional pain management education. Further investigation is needed to clarify the impact of moral distress on nurses managing hospitalized patients' pain.

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Knowledge and Beliefs about Chronic Non Cancer Pain Management for Family Medicine Group Nurses

Bergeron

Bourgault

Gallagher

2015

Pain Management Nursing

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To provide effective care for chronic pain sufferers, nurses must have a knowledge of chronic pain management. In Quebec, nurses working in Family Medicine Groups (FMGs) could play a major role in helping patients with chronic noncancer pain (CNCP); however, the extent of their knowledge about CNCP management is unknown. The primary goal of this study was to explore the knowledge and beliefs of FMG nurses about CNCP management. The secondary goal was to explore the obstacles seen by these nurses as preventing them from performing CNCP management. We used a mixed-methods design with quantitative preponderance. Fifty-three FMG nurses answered a self-administered mail-in questionnaire. A rigorous data collection method was used. FMG nurses have suboptimal knowledge about CNCP management. They identify their lack of training and lack of knowledge as major obstacles to conducting pain management interventions. There is a need for pain management training specifically designed around the realities of FMG nursing.

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Exploring how Bedside Nurses Care for Patients with Chronic Pain: A Grounded Theory Study

Cited by 13 publications

References 17 publications

The Pain Experience of Patients Hospitalized With Inflammatory Bowel Disease

The Pain Experience of Patients Hospitalized With Inflammatory Bowel Disease

Nurses Managing Patients’ Pain May Experience Moral Distress

Knowledge and Beliefs about Chronic Non Cancer Pain Management for Family Medicine Group Nurses

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