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Patients’ experiences and actions when describing pain after surgery – A critical incident technique analysis

Eriksson, Kerstin, (författare)
Högskolan i Jönköping, Hälsohögskolan, Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden
Wikström, Lotta, (författare)
Högskolan i Jönköping, HHJ, Avd. för omvårdnad, Högskolan i Jönköping, HHJ. ADULT, Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden
Fridlund, Bengt, (författare)
Högskolan i Jönköping, HHJ, Avd. för omvårdnad, Högskolan i Jönköping, HHJ. ADULT
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Årestedt, Kristofer, (författare)
School of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden
Broström, Anders, (författare)
Högskolan i Jönköping, HHJ, Avd. för omvårdnad, Högskolan i Jönköping, HHJ. ADULT, Department of Clinical Neurophysiology, University Hospital, Linköping, Sweden
Brostrom, Anders, (författare)
Jönköping University;Linköping University Hospital
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Högskolan i Jönköping Hälsohögskolan. (creator_code:org_t)
Högskolan i Jönköping Hälsohögskolan. HHJ, Avd. för omvårdnad. (creator_code:org_t)
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Högskolan i Jönköping Hälsohögskolan. HHJ. ADULT. (creator_code:org_t)
Linnéuniversitetet Fakulteten för Hälso- och livsvetenskap (FHL). Institutionen för hälso- och vårdvetenskap (HV). (creator_code:org_t)
Linköpings universitet Institutionen för medicin och hälsa. Avdelningen för omvårdnad. (creator_code:org_t)
Linköpings universitet Hälsouniversitetet. (creator_code:org_t)
Linköpings universitet Institutionen för medicin och hälsa. Omvårdnad. (creator_code:org_t)
Region Östergötland Sinnescentrum. Neurofysiologiska kliniken US. (creator_code:org_t)
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2016
Engelska.
Ingår i: International Journal of Nursing Studies. - 0020-7489. ; 56, s. 27-36
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • BACKGROUND:Pain is a common postoperative symptom, and length of hospital stay after surgery is short which highlights the importance of pain assessments. Experiences of assessing pain are mainly described from the perspective of nurses. In postoperative care, enrolled nurses and physicians also assess pain. It is therefore important to take note of their experiences to improve postoperative pain assessments.OBJECTIVES:The aim of this study was, through considering critical incidents, to describe care experiences and actions taken by healthcare professionals when assessing postoperative pain.METHODS:An explorative design employing critical incidents technique analysis was used. A total of 24 strategically selected enrolled nurses, nurses and physicians employed at orthopaedic or general surgery wards in four Swedish hospitals were interviewed. The intention was to reach variation in age, sex, profession and professional experience.FINDINGS:In pain assessments, patient-related facilitators were patients' verbal and emotional expressions including pain ratings, while lack of consistency with observed behaviours was a barrier. Clinical competence, continuity in care and time were healthcare-related facilitators. The actions healthcare professionals took were gathering facts about patients' pain manifestations and adapting to patients' communication abilities. Patient observations, either passive or active were used to confirm or detect pain. Collaboration between healthcare professionals, including consultations with pain experts, social workers and relatives, strengthened understanding of pain.CONCLUSIONS:Communication skills and working conditions have an impact on performance of pain assessment. Patient comfort without compromising safety is reached by including healthcare professionals' dissimilar responsibilities when collecting patients' and relatives' perspectives on current pain.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

collaboration; critical incident technique; healthcare professionals; postoperative pain assessment
Health and Caring Sciences
Hälsovetenskap
Critical incident technique
Pain assessment
Patients' experiences
Postoperative pain
Critical incident technique; Pain assessment; Patients experiences; Postoperative pain

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