Towards person-centered pain management in surgical care : Addressing the overlapping pain management systems in nursing education to enhance practice

• Since nurses’ work is knowledge-based an ineffective pain management may be the nurse’s perceptions of the patient in pain, which are a barrier of communication between nurses and patients’ pain within individual contexts. The purpose was to explore nurses’ post-operative pain management practices. A qualitative triangulation design was used, applying numerous qualitative methods: observations in a postoperative pain management setting (100 hours); in-depth interviews (12 nurses), three focus group discussions (18 nurses), and narratives relating to 69 critical incidents gathered during recurrent visits over a period of ten weeks (9 nurses). Content analysis, as outlined in grounded theory, was applied.The findings revealed the complex communication system that were nurses affirmed patient’s pain by using double- and triple-control methods to document and record it. As a consequence, they were managing pain by administrative prescription when the patients had requested rather than being proactive in providing pain relief. Mainly of ineffective succeed of communication tasks and information about the patients’ pain in post-operative pain that was available analgesics as causes delayed for pain relief.From the findings the complex communication system was discuss within the responding to and addressing patients’ postoperative pain system model, it was most helpful in creating a meaningful way of communicating education can prepare students for effective communication in a complex understanding about pain management, it must seek opportunities to challenge and change the way nurses think address how pain management within different interacting structures in practice and are create new and important ways of communicating with patients.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Nyckelord

Qualitative triangulation

nurse-patient communication

pain management practice

post-operative pain

Publikations- och innehållstyp

ref (ämneskategori)

kon (ämneskategori)