Introduction: Pain is a manifestation difficult to describe objectively. Understanding and managing pain by the clinical staff is not just based on scientific concepts, but on representations affected by subjectivity.Objectives: To describe the social representations of pain in the discourse and behavior of the healthcare staff in a medical hospital in Bogotá. Materials and methods: A qualitative, descriptive, crosssectional trial was conducted using 2 data collection techniques:(i) semi-structured interviews (n = 45), including the natural semantics networks technique; (ii) a non-participant observation with a field diary.Results: In the natural semantic network, many descriptors mentioned by the participants (n = 88) were identified. The terms referring to the emotional experience were mentioned more often, followed by terms referring to medical care. The field observation identifies a broad diversity in the way pain is understood, marked by a trend to underestimate the subjective aspects of pain.
Conclusions:The data, which may be representative of similar institutions in the Colombian and Latin American context, illustrate that there has been a growing interest in approaching pain as a priority in the comprehensive management of the patient. However, strategies are yet to be promoted that result in a more assertive communication, and an identification and legitimation of emotions and subjective suffering of the patient in pain.
ResumenIntroducción: El dolor es una manifestación difícil de objetivar. Su comprensión y manejo por parte del personal clínico no solo se basa en conceptos científicos, sino en representaciones afectadas por la subjetividad.