Determinants of critical care nurses’ pain management behaviour

Glynn, G.; Ahern, Maureen

doi:10.1016/s1036-7314(00)70642-4

Cited by 19 publications

(21 citation statements)

References 43 publications

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“…Research conducted on pain management in critical care accepts that pain management remains a top priority amongst nurses, since pain persistently remains a major problem among patients in the critical care unit (Glynn & Ahern 2000, Watt‐Watson et al. 2001).…”

Section: Discussionmentioning

confidence: 99%

Challenges faced by nurses in managing pain in a critical care setting

Subramanian

Allcock

James

et al. 2011

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Challenges faced by nurses in managing pain in a critical care setting

Subramanian

Allcock

James

et al. 2011

Journal of Clinical Nursing

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“…Examples include smoking cessation [25], condom use [26], healthcare worker glove use [27], and nurses’ pain management behaviour [28]. The TPB has also been suggested as a framework for assessing and teaching professionalism [29, 30].…”

Section: Diagnosing Ownership Problemsmentioning

confidence: 99%

Ownership of patient care: a behavioural definition and stepwise approach to diagnosing problems in trainees

et al. 2013

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In medical education, behavioural definitions allow for more effective evaluation and supervision. Ownership of patient care is a complex area of trainee development that crosses multiple areas of evaluation and may lack clear behavioural definitions. In an effort to define ownership for educational purposes, the authors surveyed psychiatry teaching faculty and trainees about behaviours that would indicate that a physician is demonstrating ownership of patient care. Emerging themes were identified through analysis of narrative responses in this qualitative descriptive study. Forty-one faculty (54 %) and 29 trainees (52 %) responded. Both faculty and trainees identified seven core elements of ownership: advocacy, autonomy, commitment, communication, follow-through, knowledge and teamwork. These seven elements provide a consensus-derived behavioural definition that can be used to determine competency or identify deficits. The proposed two-step process enables supervisors to identify problematic ownership behaviours and determine whether there is a deficit of knowledge, skill or attitude. Further, the theory of planned behaviour is applied to better understand the relationship between attitudes, intentions and subsequent behaviour. By structuring the diagnosis of problems with ownership of patient care, supervisors are able to provide actionable feedback and intervention in a naturalistic setting. Three examples are presented to illustrate this stepwise process.

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“…With regard to pain management, nurses working in ICUs are nowadays faced with many challenges, For instance when caring for critically ill patients, nurses may find it challenging to simultaneously provide effective pain relief and cope with life threatening situations (Subramanian, et al, 2011). In addition, given that there is a shortage of skilled staff in pain medication, it is unwieldy for them to give an efficient dose that meets a patient's analgesic demands (Glynn & Ahern, 2000).…”

Section: Introductionmentioning

confidence: 99%