Nurses’ clinical decision-making regarding the management of pain

Observing pain management practice on a medical unit following changes arising from an action research study

“…The assessment was associated with physiological observations for the majority of staff observed as described by Manias et al (2002). Vital signs can be affected by acute pain and are taken into account by a nurse to justify the use of analgesia (Brockopp et al 2004). When a patient experiences chronic pain, however, there may not be changes in vital signs (Hawthorn & Redmond 1998), and approximately one-third of patients on a medical unit may have chronic pain (Morriss & Howie 2009).…”

“…Factors that prevent the use of pain management knowledge in practice include the working environment that influences attitudes and practice and are related to the culture and context of a specific clinical environment. Brockopp et al (2004) and Botti et al (2004) suggest that nurses have to prioritise pain, and they analyse a number of pieces of information including the patient's diagnosis, pain experience and response to analgesia, vital signs, etc. when administering analgesia.…”

A Recommendation in Pain Management After Breast Surgery: Hand Massage

“…29,31 Çünkü ağrının doğru şekilde değerlendirilmesi iyi bir ağrı kontrolü ve ağrı kontrolünde etkili olabilecek yöntemlerin belirlenmesi açısından son derece önemlidir. 35 Ayrıca, cerrahi sonrası uygun ağrı kontrolü pulmoner fonksiyonun geliştirilmesi, cerrahiye stres yanıtın azaltıl-ması, iyileşmenin hızlanması, hastanede yatış süresinin kısaltılması, tedavi maliyetinin azaltılması ve hepsinin üzerinde yaşam kalitesinin artırılma-sında önem taşımaktadır. 2,29,31 Özellikle meme cerrahisi sonrası şiddetli, kontrol edilmeyen akut ağrının kronik/nöropatik ağrı ve önemli morbidite nedeni olduğu, yaşam kalitesini olumsuz etkilediği göz önüne alındığında ağrı yönetimi hemşirelik bakımının temelini oluşturmaktadır.…”

Development and testing of four instruments to assess prior conditions that influence nurses' adoption of evidence‐based pain management practices

“…Several pain instruments were reviewed to identify and evaluate factors that influence nurses' decisions to adopt EBPMP. These instruments included the Staff Nurse Survey of Barriers to Effective Pain Management (Wallace et al 1995), Barriers Questionnaire (Ward et al 1993), Pain Management: Nurses' Knowledge and Attitude Survey (Ferrell et al 1991), Pain Knowledge Questionnaire (Brockopp et al 2003(Brockopp et al , 2004 and Clinical Decision-Making Questionnaire for Pain Management (Brockopp et al 2003(Brockopp et al , 2004. Many of these instruments have been used internationally, including in countries such as Hong Kong, Italy, Taiwan, Turkey and the United States of America (USA) (Erkes et al 2001, Bernardi et al 2007, Tsai et al 2007, Yildirim et al 2008.…”