Perceived barriers to pain management

Duignan, Martin; Dunn, Virginia

doi:10.7748/en2009.02.16.9.31.c6848

Cited by 31 publications

(42 citation statements)

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“…A lot of researches have highlighted how some nurse' sin adequate knowledge about pain management and the best ways to treat pain can lead to grow poor pain management attitudes in general [9,10]. Previous studies have reported poor pharmacological knowledge among nurses, especially in matters related to opioids in regards of their use and/or abuse [11][12][13].…”

Section: Journal Of Intensive and Critical Care Issn 2471-8505mentioning

confidence: 99%

Knowledge and Attitude about Pain and Pain Management among Critical Care Nurses in a Tertiary Hospital

Issa¹,

H²,

Khraisat³

2017

Intensive & Crit Care

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Section: Journal Of Intensive and Critical Care Issn 2471-8505mentioning

confidence: 99%

Knowledge and Attitude about Pain and Pain Management among Critical Care Nurses in a Tertiary Hospital

Issa¹,

H²,

Khraisat³

2017

Intensive & Crit Care

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“…The final model indicated that chest pain alone predicted treatment for pain no other variables including environmental stress were significant (Tanabe, 1996). Duignan and Dunn (2009) conducted a similar survey of emergency nurses and perceived barriers to pain management in the Republic of Ireland, most barriers were described as organizational issues. Respondents rated the frequency of barriers 56% perceived inability to offer analgesia until a diagnosis was made, 52% identified a lack of time to assess and control pain adequately, 51% perceived the responsibility of caring for other acutely ill patients in addition to patients with pain, 45% identified the inability to monitor side effects when patients left the ED for diagnostic procedures, 35 % identified doctors' reluctance to prescribe analgesia, and 23% perceived overcrowding in the department as barriers to pain management.…”

Section: Environmental Issues and Policies In The Edmentioning

confidence: 99%

“…Of those studies located, three quantitative studies measured ED nurses' perceived barriers to general pain management (Duignan & Dunn, 2009;Tanabe, 1996;Tanabe & Buschmann, 1999), four studies examined the effect of ED crowding on quality of pain care, analgesia in patients with back pain, the management of pain in older adults with hip fracture, and patients who presented at triage with severe pain (Hwang et al, 2006;Hwang et al, 2008;Pines & Hollander, 2008;Pines et al, 2010). One qualitative study was located that identified the theme things that hinder decision-making for pediatric pain (Russo, 2010).…”

Section: Environmental Issues and Policies In The Edmentioning

confidence: 99%

“…Researchers have studied the social context of the ED environment and the potential effect on the management of pain with a recent emphasis on effect of ED overcrowding (Bernstein et al, 2009;Duignan & Dunn, 2009;Hwang, Richardson, Sonuyi, & Morrison, 2006;Hwang et al, 2008;Pines, Shofer, Isserman, Abbuhl, & Mills, 2010;Russo, 2010;Tanabe, 1996;Tanabe & Buschmann, 1999). Of those studies located, three quantitative studies measured ED nurses' perceived barriers to general pain management (Duignan & Dunn, 2009;Tanabe, 1996;Tanabe & Buschmann, 1999), four studies examined the effect of ED crowding on quality of pain care, analgesia in patients with back pain, the management of pain in older adults with hip fracture, and patients who presented at triage with severe pain (Hwang et al, 2006;Hwang et al, 2008;Pines & Hollander, 2008;Pines et al, 2010).…”

Section: Environmental Issues and Policies In The Edmentioning

confidence: 99%

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An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

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Rationale for the Study: Despite the exponential growth in pharmacological and nonpharmacological methods for the treatment of pediatric procedural pain there remains a gap between available interventions and actual practice in the emergency department clinical setting. Researchers have recommended the examination of unit culture since culture is proposed to be a major factor that affects the implementation of pain management practices. Method:Ethnography was employed to gain access to the beliefs and practices of healthcare participants in a Northeastern non-pediatric emergency department. Data were collected for 5 months with over 100 hours of observation. Six key informants were interviewed and 44 pediatric procedural interactions with 27 healthcare providers during the treatment of children two to eight years of age undergoing procedures were observed.Other information gathered included documents from the institution, and pain related information from the patient's medical record. All interviews were recorded and transcribed verbatim. Data were managed using the Ethnograph 6.0 and analyzed using the procedure developed by Leininger and McFarland (2006). Results:Seven major themes with categories were discovered that included assessment, ii procedural pain, treatment of pain, communication related to comfort, fragmentation of care in the emergency department, healthcare provider attitudes, and environmental issues and policies. Conclusion:The results of this study suggest that practice environment of the emergency department and organizational culture exerted a significant degree of influence over healthcare providers' pediatric pain management practices. Nurses' did not use pain measurement tools as they were intended to be used and instead improvised measurement by observing the child's behavior. The management of children during painful procedures consisted of an array of behaviors and practices. The use of physical restraint during painful procedures was a common practice. Participants continue to hold many assumptions and misconceptions about pediatric pain assessment and management. The findings of this study provide insight to the everyday practice of emergency department healthcare providers for pediatric pain in a non-pediatric setting.iii Acknowledgments and Dedication

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“…Effectively treating postoperative pain contributes to the maintenance of the physiological functions, avoids harmful side effects resulting from the pain, allows a shorter hospital stay and lower costs, and provides greater comfort and satisfaction to the patient (7)(8) . It is noteworthy that pain is also considered as one of the main stressors that affect the quality of life of patients, therefore, inappropriate treatment remains a critical problem in hospitalized patients.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of doctors and nurses on pain in patients undergoing craniotomy

Ribeiro

Pereira

Sallum³

et al. 2012

Rev. Latino-Am. Enfermagem

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The study objectives were to characterize the profile of the doctors and nurses caring for patients in the craniotomy postoperative period, checking pain assessment methods and to identify the existence of analgesia protocols. Cross-sectional and analytical study. The casuistry is constituted of 30 doctors and 30 nurses. The results revealed that 83.3 % of the nurses were female, 63.3% knew pain scales, and 16.6% said that analgesia protocols exist. Regarding doctors 60% were male, 70% knew the pain scales, 3.3% had specialization in pain treatment, 13.3% they stated that there are analgesia protocols. The ignorance on the part of doctors and nurses about the assessment scales and pain assessment methods reveals the need for the creation of institutional policies on controlling pain, the use of instruments for the measurement of the pain phenomenon and analgesia protocols in the institution.Descriptors: Pain; Pain Measurement; Nursing; Craniotomy. Conocimiento de médicos y enfermeros sobre dolor en pacientes sometidos a la craniotomiaObjetivos: caracterizar el perfil de los médicos y enfermeros que cuidan a pacientes en postoperatorio de craniotomia, verificar métodos de evaluación del dolor e identificar la existencia de protocolos de analgesia. Método: estudio transversal y analítico. La casuística se constituye por 30 médicos y 30 enfermeros. Resultados: 83,3% de los enfermeros eran del sexo femenino, 63,3% conocían escalas de dolor, y 16,6% afirmaron existir protocolos de analgesia. En cuanto a los médicos 60% eran del sexo masculino, 70% conocían las escalas de dolor, 3,3% poseía especialización en tratamiento del dolor, 13,3% afirmaron existir protocolos de analgesia. Conclusión: el desconocimiento de los médicos y enfermeros a respeto de las escalas de evaluación y métodos de evaluación del dolor revela la necesidad de la creación de políticas institucionales sobre el control del dolor, uso de instrumentos de mensuración del fenómeno doloroso y protocolos de analgesia en la institución.

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Perceived barriers to pain management

Cited by 31 publications

References 0 publications

Knowledge and Attitude about Pain and Pain Management among Critical Care Nurses in a Tertiary Hospital

Knowledge and Attitude about Pain and Pain Management among Critical Care Nurses in a Tertiary Hospital

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Knowledge of doctors and nurses on pain in patients undergoing craniotomy

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