Nurses’ Reflections on Pain Management in a Nursing Home Setting

Clark, Lauren; Fink, Regina; Pennington, Karen; Jones, Katherine R.

doi:10.1016/j.pmn.2006.02.004

Cited by 23 publications

(18 citation statements)

References 11 publications

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“…Other researchers have found results that are consistent with the qualitative findings of this study with respect to the role of unregulated health care providers in LTC (Bowers, Esmond, & Jacobson 2003;Clark, Fink, Pennington, & Jones, 2006;Mentes, Teer, & Cadogan, 2004). Bowers et al found that SCAs left their jobs in LTC because of the way they were treated by their supervisors, not necessarily because of the hard work or poor pay.…”

Section: Discussionsupporting

confidence: 88%

Creating Bridges Between Researchers and Long-Term Care Homes to Promote Quality of Life for Residents

et al. 2010

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Improving the quality of life for long-term care (LTC) residents is of vital importance. Researchers need to involve LTC staff in planning and implementing interventions to maximize the likelihood of success. The purposes of this study were to (a) identify barriers and facilitators of LTC homes' readiness to implement evidence-based interventions, and (b) develop strategies to facilitate their implementation. A mixed methods design was used, primarily driven by the qualitative method and supplemented by two smaller, embedded quantitative components. Data were collected from health care providers and administrators using 13 focus groups, 26 interviews, and two surveys. Findings revealed that participants appreciated being involved at early stages of the project, but receptiveness to implementing innovations was influenced by study characteristics and demands within their respective practice environment. Engaging staff at the planning stage facilitated effective communication and helped strategize implementation within the constraints of the system.

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Section: Discussionsupporting

confidence: 88%

Creating Bridges Between Researchers and Long-Term Care Homes to Promote Quality of Life for Residents

et al. 2010

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“…Prior research points to reflection as an important aspect in pain assessment [34]. Similar to other Swedish studies [9], the RNs in our study expressed a high degree of time pressure and lack of time for reflection.…”

Section: Discussionsupporting

confidence: 80%

Registered Nurses´ View of Performing Pain Assessment among Persons with Dementia as Consultant Advisors

Karlsson

Sidenvall²,

Bergh³

et al. 2012

Open Nurs J

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Background:Pain assessment in persons with dementia is well known as a challenging issue to professional caregivers, because of these patients´ difficulties in verbalising pain problems. Within municipal dementia care in Sweden, pain assessment has become problematic for registered nurses, as they have entered a new role in their nursing profession, from being clinical practitioners to becoming consultant advisers to other health care staff.Aim:To present municipal registered nurses´ view of pain assessment in persons with dementia in relation to their nursing profession as consultant advisers.Methods:Purposive sampling was undertaken with 11 nurses invited to participate. Data were collected by focus groups. Qualitative content analysis was used to analyse the data.Findings:Four categories were identified to describe registered nurses´ view of pain assessment: estrangement from practical nursing care, time consuming and unsafe pain documentation, unfulfilled needs of reflection possibilities, and collaboration and coordination.Conclusions:The performance of pain assessment through a consultant advising function is experienced as frustrating and as an uncomfortable nursing situation. The nurses feel resistance to providing nursing in this way. They view nursing as a clinical task demanding daily presence among patients to enable them to make accurate and safe assessments. However, due to the consultative model, setting aside enough time for the presence seems difficult to accomplish. It is necessary to promote the quality of systematic routines in pain assessment and reflection, as well as developing professional knowledge of how pain can be expressed by dementia patients, especially those with communication difficulties.

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“…In nursing home residents, prevalence rates between 40% and 80% were found (Ferrell, 2004; Hewitt and Foley, 1996; Horgas and Dunn, 2001; Landi et al, 2001; Weiner and Rudy, 2002; Jones et al, 2005; Clark et al, 2006; Sawyer et al, 2007). Similar prevalence rates have been reported in community‐dwelling elderly (25–84%) (Brody and Kleban, 1983; Crook et al, 1984; Ferrell, 1991; Ferrell and Ferrell, 1991; Mobily et al, 1994; Brochet et al, 1998; Landi et al, 2001; Thomas et al, 2004; Clark et al, 2006; Miro et al, 2007) and elderly living in European residential homes (30–73%) (Brattberg et al, 1996; Cowan et al, 2003; Lövheim et al, 2006). For Dutch nursing homes, a pain prevalence of 68% was found in two independent studies (Smalbrugge et al, 2007; Boerlage et al, 2007).…”

Section: Introductionmentioning

confidence: 99%