Barriers to nursing pain management in the emergency department: A qualitative study

Shoqirat, Noordeen; Mahasneh, Deema; Singh, Charleen; AL-Sagarat, Ahmad Yahya; Habashneh, Sakhaa S

doi:10.1111/ijn.12760

Cited by 8 publications

(17 citation statements)

References 26 publications

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“…For instance, some students had a negative clinical experience when a patient's relatives or visitors looked at nurses as housemaids. Earlier research found that some patient relatives and their poor communication with nursing staff affect the work pattern negatively at the ward level (Shoqirat, Mahasneh, Singh, Al Hadid, et al, 2019;Shoqirat, Mahasneh, Singh, Al-Sagarat, et al, 2019). Although nursing worldwide and in Jordan has gained increasing social respect, it seems that students' image has a profound impact on students' first clinical placement and thus, professionalism.…”

Section: Discussionmentioning

confidence: 99%

From Learning on Mannequins to Practicing on Patients: Nursing Students' First-Time Experience of Clinical Placement in Jordan

et al. 2021

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Introduction Although clinical nursing placement is an indispensable component of student nurses' education, data on students' first clinical experiences is scarce in developing countries. Objectives The study aim is to uncover nursing students' first-time clinical placement experience and identify related influencing factors in Jordan. Methods: Focus group discussions (n=4) were used. Results The results showed that the transition from learning with mannequins to practicing on real patients in the clinical placement involved both effective learnings through hands-on practice to dealing with clinical challenges. Students perception of nursing ranged from positive comments such as “humanistic” and “nursing almost medicine” to negative images such as “nursing is all about bedside care” and “nursing has poor social status.” Conclusion Students' experience in their first clinical placement is multifaceted, and incorporation of student's perspective in the first clinical placement is a crucial component of educational planning.

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Section: Discussionmentioning

confidence: 99%

From Learning on Mannequins to Practicing on Patients: Nursing Students' First-Time Experience of Clinical Placement in Jordan

et al. 2021

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“…The value of the trusting nurse-patient relationship involving the patient and relative in the care is evident (Aziato & Adejumo, 2015;Rejeh et al, 2008;Shoqirat, 2015;Shoqirat et al, 2019), as also described a key dimension in the FoC framework (Feo et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…The evidence from the literature confirmed that the trusting relationship was essential for pain management, highlighted as a crucial component in the model for PCPM. This relationship was described as based on mutual understanding within the care team, that is providers, patient and relatives, regarding the cause, experience and management of pain (Aziato & Adejumo, 2015;Brown & McCormack, 2006;Dihle et al, 2006;Idvall et al, 2008;Lauzon Clabo, 2008;Rejeh et al, 2008;Shoqirat, 2014Shoqirat, , 2015Shoqirat et al, 2019Shoqirat et al, , 2020Smith et al, 2006). This was achieved when the nurses truly listened to the patient and trusted the experience (Dihle et al, 2006;Idvall et al, 2008;Rejeh et al, 2008;Shoqirat, 2014).…”

Section: Establish and Maintain A Trusting Relationship Including The...mentioning

confidence: 99%

“…Our activities for pain management cannot be separated from others, because we work in a team, and our work quality for pain management depends on others' work' (Rejeh et al, 2008). Explicit roles and responsibilities, including nurse empowerment, enabled teamwork (Brown & McCormack, 2006;Lauzon Clabo, 2008;Manias et al, 2005;Rejeh et al, 2008;Shoqirat, 2015;Shoqirat et al, 2019).…”

Section: Provide Organizational Support Enabling the Nurse To Meet Th...mentioning

confidence: 99%

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Testing a model for person‐centred pain management: A systematic review and synthesis guided by the Fundamentals of Care framework

Avallin

Athlin

Kitson

et al. 2023

Journal of Clinical Nursing

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AimsTo test a model for person‐centred pain management using qualitative evidence in the literature and refine it based on the results.DesignA qualitative systematic review with thematic synthesis using the Fundamentals of Care framework.Methods and Data SourcesA literature search in February 2021 in six scientific databases: CINAHL, PsycInfo, Pubmed, Scopus, Social Science Premium Collection and Web of Science, reported using ENTREQ and PRISMA. Quality assessment was performed for the individual studies. Thematic analysis and the GRADE‐CERQual approach were used in the synthesis including the assessment of confidence in the evidence.ResultsThe model was tested against the evidence in 15 studies appraised with moderate or high quality and found represented in the literature but needed to be expanded. A refined model with a moderate/high confidence level of evidence presents elements to be used in a holistic care process; The nurse is guided to establish a trusting relationship with the patient and enable communication to identify and meet pain management needs using pharmacological and non‐pharmacological management. Nurse leaders are guided to support this process by providing the right contextual conditions.ConclusionsThe strengths of the confidence level in the refined model, and that it is represented from the nurse and patient perspectives in nursing research across countries and cultures, support our recommendation for empirical evaluation.Implications for the Profession and/or Patient CareThe model links the knowledge of pain management elements from individual studies together into actions to be performed in clinical practice. It also outlines the organizational support needed to make this happen. Nurses and nursing leaders are suggested to test the model to implement person‐centred pain management in clinical practice.Patient or Public ContributionNo patient or public contribution.ImpactWhat Problem Did the Study Address? There is a need to transfer available evidence of person‐centred pain management into practice to relieve the patient from pain. What Were the Main Findings? Person‐centred pain management is of high priority for patients and nurses around the world and can be performed in a holistic care process including patient–nurse trust and communication, supported by contextual conditions to deliver timely pharmacological and non‐pharmacological pain management addressing the patient's physical, psychosocial and relational care needs. Where and on Whom will the Research Have an Impact? The model is to be tested and evaluated in clinical practice to guide the providers to relieve the patient from pain.Reporting MethodRelevant EQUATOR guidelines were used to report the study: The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Statement.

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“…Nurses also emphasized the role of environmental factors on pain management. 52 In the study of in the United States, Czarnecki et al referred to inadequate physician prescriptions and low priority of pain management as barriers to pain management in nurses. 53 Pretorius also stated in a study that pain management barriers included unwillingness to prescribe pain relievers, lack of time, heavy workload, and nurses' lack of knowledge of narcotic use, 54 which is consistent with the present study.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and barriers pain management by nurses in Iran: A systematic review

Khalighi

Soufinia

Solaimanizadeh

et al. 2020

APIC

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Introduction: Pain is a phenomenon that may be experience d every human being. Pain is one of the symptoms of the disease that has negative effects on patients and causes challenges in medical personnel. The aim of the present systematic review was to determine the knowledge, attitude, and pain management status in Iranian nurses. Methodology: This is a systematic review carried out according to systematic review articles checklist (PRISMA). The search was conducted by two researchers separately. In case of inconsistency, the search was examined by a third researchers. In this study, articles that met the inclusion criteria and published between 2000 to June 2019, were included. The search process was carried out in Iranian and international databases. Data were reported in usinga descriptive method using Excel 2007 software. Result: According to result 180 articles were extracted in the initial search, of which 50 were excluded from the study, and finally 19 articles entered the data extraction phase. The extracted articles were classified into 4 dimensions of knowledge, attitude, and practice in pain management, nurses'understanding of pain management, nurses' problems in pain relief, and the extent of pain management implementation and assessment, which are described as follows. Conclusion: Nurses' knowledge, attitude, and managementregarding painmanagementis not in an excellent condition and many studies in Iran should include educational interventions for nurses to help improve their knowledge, attitude, and pain management. Citation: Khalighi E, Soufinia A, Solaimanizadeh L, Borji M, Tarjoman A, Soltany B, Hydaryian H. Knowledge, attitudes and barriers pain management by nurses in Iran: A systematic review. Anaesth pain & intensive care 2019;23(4):__ Received: 8 September 2019; Reviewed: 24, 30 September 2019; 6, 7 November 2019; Revised: 5 November 2019; Accepted: 12 November 2019

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Barriers to nursing pain management in the emergency department: A qualitative study

Cited by 8 publications

References 26 publications

From Learning on Mannequins to Practicing on Patients: Nursing Students' First-Time Experience of Clinical Placement in Jordan

From Learning on Mannequins to Practicing on Patients: Nursing Students' First-Time Experience of Clinical Placement in Jordan

Testing a model for person‐centred pain management: A systematic review and synthesis guided by the Fundamentals of Care framework

Knowledge, attitudes and barriers pain management by nurses in Iran: A systematic review

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