Nursing Approach, Pain, and Relief

McBride, Mary Angela

doi:10.1097/00006199-196716040-00010

Cited by 14 publications

(5 citation statements)

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“…Sofaer (1984) says that some patients need nurses to tell them that their pain behaviour is acceptable and normal and that other people do react in a similar way. External events can affect severity of pain (Bond 1979) and nursing studies have shown that pain relief is influenced by the nursing activity used in response to patient's pain (Copp 1984, McBride 1967. Jacox (1977) found that patients respond more enthusaistically to health professionals who are confident in themselves and in their work.…”

Section: Nurses Effect O N Patients Painmentioning

confidence: 99%

Pain, anxiety and powerlessness

Walding

1991

Journal of Advanced Nursing

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This paper explores the subject of postoperative pain, touching on the theories of the physiological mechanisms by which pain is perceived and exploring in some detail the literature on those factors which affect the pain experience. The need for a detailed assessment of the pain which an individual experiences is suggested by this study of the literature. This concept is explored in some detail. The author explores the relationship between pain and anxiety, commenting on that which affects patients undergoing surgery. The relationship between anxiety and perceived helplessness or powerlessness is also discussed. The paper concludes by drawing together the information from the literature reviewed and the author suggests a hypothesis that pain, anxiety and perceived powerlessness have an effect on each other. There is a suggestion that decreasing perception of powerlessness may decrease the intensity of the pain experience for the individual. It is suggested that this is an area for future research into postoperative pain management.

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Section: Nurses Effect O N Patients Painmentioning

confidence: 99%

Pain, anxiety and powerlessness

Walding

1991

Journal of Advanced Nursing

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“…Diers' (1966) nurse orientation system was used in experimental approaches with patients presenting with complaints of pain. Using this format to analyse interactions of nurses with patients in pain, both McBride (1967) and Diers et al (1972) indicated that an orientation to the patient as a thinking, feeling and doing person was more effective in relieving pain than one oriented strictly to the patient's physical needs.…”

Section: Review Of Related Literaturementioning

confidence: 99%

“…According to Combs (1978) the 'immediacy of reaction required by the helper' distinguishes the helping professions from more mechanical vocations. Effective interpersonal interactions have been related to a decrease in patients' pain (McBride 1967) and distress (Elms & Leonard 1966).…”

mentioning

confidence: 99%

An analysis of senior nursing students’ immediate responses to distressed patients

Haggerty

1987

Journal of Advanced Nursing

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The purpose of this study was to determine whether the effectiveness of senior nursing students' immediate responses to patients is influenced by type of distress presented by patients or by type of student degree programme. Forty-four ADN and 31 BSN seniors from four schools agreed to participate. Subjects viewed two videotaped simulations of 'patients' complaining of pain and two of 'patients' manifesting emotional distress. Content validity of simulations was established through nurse experts. After each tape, subjects answered four research questions based on Orlando's nursing process concept. The fourth question asked what subjects would say initially to 'the patient'. The data revealed eight response categories which were scored according to their congruence with Orlando's concepts. Independent categorization of responses yielded a 0.92 inter-related reliability; t-tests indicated that type of distress was related to response effectiveness (P less than 0.01) but type of degree was not (P greater than 0.01). The presumed emphasis on communication and psychosocial foundations in BSN curricula may not translate into more effective exploratory skills in these students. These skills are a key component of the complex assessment skills which enable nurses to 'diagnose human responses' to health problems. Orlando's model is recommended for teaching BSN students to conceptualize the interactional process and its goals.

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“…Investigators have reported that nursing interventions other than the administration of medications can be effective in dealing with pain. (Dodson and Bennet, 1964;Moss and Meyer, 1966;McBride, 1967) In these studies, patients who had nurses who viewed their complaint of pain only as a request for pain medication and talked with them in a stereotyped manner had much less pain relief than those patients having nurses who attempted to communicate meaningfully and evaluate their pain response before attempting a nursing intervention.…”

Section: Nursing Interventionsmentioning

confidence: 99%