The holistic nursing care of patients with minor injuries attending the A&amp;E department

Olive, Philippa

doi:10.1016/s0965-2302(02)00130-3

Cited by 23 publications

(33 citation statements)

References 8 publications

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“…This conjecture is supported by the results of various studies (Byrne & Heyman, 1997;Carter, et al, 2008;Chambliss, 1996;Fisher & Peterson, 1993;Olive, 2003;Philpin, 1999;Woodgate & Kristjanson, 1996a, 1996b which reported that nurses tend to focus on skills and tasks while minimizing the nursepatient interaction. Results from qualitative studies that explored experiences and values of nurses reported that unit emphasis on technological interventions inhibited nurses' ability to provide the holistic, individual care advocated in current nursing theory (Olive, 2003;Philpin, 1999). The totality of patient care was broken down into specific tasks performed by a number of different nurses and support workers (Olive, 2003;Philpin, 1999).…”

Section: Technical Aspects Of Carementioning

confidence: 77%

“…The increased demand of technology continues to diminish the independent role of nursing removing the priority of providing comfort, support, and education to patients and families and placing priority on checking orders, starting intravenous lines, mixing medications, and monitoring equipment (Brown, 1992). This conjecture is supported by the results of various studies (Byrne & Heyman, 1997;Carter, et al, 2008;Chambliss, 1996;Fisher & Peterson, 1993;Olive, 2003;Philpin, 1999;Woodgate & Kristjanson, 1996a, 1996b which reported that nurses tend to focus on skills and tasks while minimizing the nursepatient interaction. Results from qualitative studies that explored experiences and values of nurses reported that unit emphasis on technological interventions inhibited nurses' ability to provide the holistic, individual care advocated in current nursing theory (Olive, 2003;Philpin, 1999).…”

Section: Technical Aspects Of Carementioning

confidence: 97%

“…Results from qualitative studies that explored experiences and values of nurses reported that unit emphasis on technological interventions inhibited nurses' ability to provide the holistic, individual care advocated in current nursing theory (Olive, 2003;Philpin, 1999). The totality of patient care was broken down into specific tasks performed by a number of different nurses and support workers (Olive, 2003;Philpin, 1999).…”

Section: Technical Aspects Of Carementioning

confidence: 99%

“…Patient volume, workload, and competing priorities have been reported to be contributing factors (Byrne & Heyman, 1997;Ellis et al, 2007;Olive, 2003;Probst et al, 2005;Puls-McColl et al, 2001;Smith & Feied, 1999) to the under management of pain. Byrne and Heyman (1997) reported that nurses felt it was more important to move patients through the emergency department.…”

Section: Contextual Influencesmentioning

confidence: 99%

“…Because of the limited empirical research on obstacles to effective pain management in the emergency department (Byrne & Heyman, 1997;Olive, 2003;Tanabe & Buschmann, 2000), rationales given for the phenomenon in emergency medicine emerge from the intuition and experience of emergency providers (Smith & Feied,1999) or are extrapolated from the limited studies conducted in the emergency department setting that exist (Johnson, 2005).…”

Section: Conclusion/ Major Gapsmentioning

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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