Health Care Workers and ICU Pain Perceptions

Tarigopula, Ravali; Tyagi, Naveen; Jackson, Jill; Gupte, Chaitali; Raju, P. Krishnam; LaRosa, Jennifer

doi:10.1111/pme.12423

Cited by 14 publications

(10 citation statements)

References 21 publications

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“…A recent study conducted by Bartley et al revealed statistically significant influences of practitioners' gender, race, age, and duration of professional experience on pain management decisions [ 33 ]. Tarigopula et al [ 34 ] also examined the characteristics of health care professionals in an intensive care unit (ICU) setting and their impact on pain decision making. They concluded that race, age, level of education, and medical subspecialty were significant parameters impacting the health care professionals' perceptions of pain management and decision making [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…Tarigopula et al [ 34 ] also examined the characteristics of health care professionals in an intensive care unit (ICU) setting and their impact on pain decision making. They concluded that race, age, level of education, and medical subspecialty were significant parameters impacting the health care professionals' perceptions of pain management and decision making [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

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Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Nasser

Nassif

Saad

2016

Pain Research and Management

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Despite promising initiatives to advance the practice of pain management in Middle Eastern countries, their pain care lags behind developed countries. The objectives of this study are to evaluate physicians' assessment of their own competency in pain management, to assess physicians' practice related to pain management, and to identify physician-related barriers to effective pain control. A cross-sectional survey was conducted in 3 teaching medical centers in Lebanon targeting the above-mentioned outcomes and assessing the impact of physicians' years in practice on the studied end-points. A total of 69 physicians were surveyed. Fifty-seven percent reported “very good to excellent” pain management skills; only 25% of them described the need for continuing professional development. When treating patients with pain, 52% of physicians refer to updated international guidelines, whereas 43% rely on their own judgment. Physicians were more likely to consult with another physician (65%) rather than a pharmacist (12%) when treating patients with pain. Fear of adverse effects of analgesics was the most commonly reported barrier (45%) to pain control among physicians from different career stages. Based on these survey findings, national pain management and practice policies are needed to optimize this area of deficiency in patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Nasser

Nassif

Saad

2016

Pain Research and Management

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“…; Tarigopula et al. ). These perceptions directly contradict the findings from a systematic review of the extant literature on pain perceptions by Rahim‐Williams et al.…”

Section: Literature Reviewmentioning

confidence: 97%

“…Tarigopula et al. () stated that healthcare professionals lack knowledge of the types of appropriate dosages of analgesic to give patients and possess inappropriate attitudes regarding drug abuse that may influence the undertreatment of patients experiencing pain. Tarigopula and associates maintained that critical care patients are poorly recognized and inconsistently treated during admission into intensive care units.…”

Section: Literature Reviewmentioning

confidence: 99%

Are Black Robots Like Black People? Examining How Negative Stigmas about Race Are Applied to Colored Robots

Louine

May

Carruth

et al. 2018

Sociological Inquiry

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Recent scholarly research has begun to examine human perceptions toward robots. Researchers have also demonstrated that humans make decisions about individuals based on skin color. However, scant research examines the perceptions that individuals have toward robots of certain colors or whether these perceptions, both negative and positive, are predicted by demographic and contextual factors of either humans or robots. Using data from 504 adults responding to robots in separate scenarios across two surveys, we explore whether robot color has an impact on the human's perception of that robot. Respondents were presented with pictures of black, yellow, and neutral-colored robots and were asked to indicate their perceptions of the robots along a number of dimensions or were asked to indicate how they would react to the robot were they to encounter the robots in their daily activities. Findings suggest that (1) black robots were viewed as significantly stronger than yellow robots; (2) yellow robots were viewed as significantly more affable than black and neutral robots; and (3) respondents were more likely to move away from black robots (and less likely to stop when encountering black robots) than robots of other colors. Possible explanations and implications for these findings are also discussed.

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“…Acute pain in the post-operative period should ideally be assessed simultaneously at rest (important for comfort) and during movement (important for functioning and post-operative complications), but this is often not done for want of time (2, 3). Pain is a subjective feeling, and the self-assessment of pain by the patient and evaluation by the observer can be influenced by a variety of factors, including but not limited to socio-economic status, beliefs, and psychological status (4, 5). Pain scoring tools that can eliminate the subjective component from the assessment of pain need to be explored because the excessive use of opioids as well as under treatment of pain can have adverse effects on enhanced post-surgical recovery.…”

Section: Introductionmentioning

confidence: 99%

Validation of a New “Objective Pain Score” Vs. “Numeric Rating Scale” For the Evaluation of Acute Pain: A Comparative Study

et al. 2016

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Background:Pain scores are used for acute pain management. The assessment of pain by the patient as well as the caregiver can be influenced by a variety of factors. The numeric rating scale (NRS) is widely used due to its easy application. The NRS requires abstract thinking by a patient to assign a score to correctly reflect analgesic needs, and its interpretation is subject to bias.Objectives:The study was done to validate a 4-point objective pain score (OPS) for the evaluation of acute postoperative pain and its comparison with the NRS.Patient and Methods:A total of 1021 paired readings of the OPS and NRS of 93 patients who underwent laparotomy and used patient-controlled analgesia were evaluated. Acute pain service (APS) personnel recorded the OPS and NRS. Rescue analgesia was divided into two incremental levels (level 1-paracetamol 1 g for NRS 2 - 5 and OPS 3, Level 2-Fentanyl 25 mcg for NRS ≥ 6 and OPS 1 and 2). In cases of disagreement between the two scores, an independent consultant decided the rescue analgesia.Results:The NRS and OPS agreed across the range of pain. There were 25 disagreements in 8 patients. On 24 occasions, rescue analgesia was increased from level 1 to 2, and one occasion it was decreased from level 2 to 1. On all 25 occasions, the decision to supplement analgesia went in favor of the OPS over the NRS. Besides these 25 disagreements, there were 17 occasions in which observer bias was possible for level 2 rescue analgesia.Conclusions:The OPS is a good stand-alone pain score and is better than the NRS for defining mild and moderate pain. It may even be used to supplement NRS when it is indicative of mild or moderate pain.

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Health Care Workers and ICU Pain Perceptions

Abstract: Health care providers' race, age, level of education, and medical subspecialty were significant factors affecting their perceptions of pain management and intended treatment.

Cited by 14 publications

References 21 publications

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Physicians’ Attitudes to Clinical Pain Management and Education: Survey from a Middle Eastern Country

Are Black Robots Like Black People? Examining How Negative Stigmas about Race Are Applied to Colored Robots

Validation of a New “Objective Pain Score” Vs. “Numeric Rating Scale” For the Evaluation of Acute Pain: A Comparative Study

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