Nurses' perceived barriers to optimal pain management in older adults on acute medical units

被引：47

作者：

Coker, Esther ^{[1
,2
]}

Papaioannou, Alexandra ^{[3
,4
]}

Kaasalainen, Sharon ^{[2
]}

Dolovich, Lisa ^{[5
,6
]}

Turpie, Irene ^{[3
,7
]}

Taniguchi, Alan ^{[4
,5
,8
]}

机构：

[1] St Peters Hosp, Hamilton, ON L8M 1W9, Canada

[2] McMaster Univ, Sch Nursing, Hamilton, ON L8N 3Z5, Canada

[3] McMaster Univ, Dept Med, Div Geriatr Med, Hamilton, ON L8N 3Z5, Canada

[4] Hamilton Hlth Sci, Hamilton, ON L8N 3Z5, Canada

[5] McMaster Univ, Dept Family Med, Hamilton, ON L8N 3Z5, Canada

[6] St Josephs Healthcare, Ctr Evaluat Med, Hamilton, ON L8N 1G6, Canada

[7] St Josephs Ctr Ambulatory Hlth Serv, Hamilton, ON L8G 5E4, Canada

[8] McMaster Univ, Div Palliat Care, Hamilton, ON L8N 3Z5, Canada

来源：

APPLIED NURSING RESEARCH | 2010年 / 23卷 / 03期

关键词：

STATEMENT;

D O I：

10.1016/j.apnr.2008.07.003

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Nurses' perceptions of barriers preventing optimal pain management in older adults on acute medical units and the extent to which they perceived they had adopted four evidence-based practices related to pain assessment and management were often incongruent with actual practice. Eliciting reports of pain, offering pro re nata pain relief regularly, utilizing pain assessment tools in patients with cognitive impairment, redesigning documentation tools and processes, making nonpharmacological alternatives accessible, and helping patients and families manage side effects would target the 12 barriers having the biggest impact. (C) 2010 Elsevier Inc. All rights reserved.

引用

页码：139 / 146

页数：8

共 21 条

[1]

[Anonymous], ASS MAN PAIN

[2]

BRASSARD M, 1994, MEMORY JOGGER, V2

[3]

BRETT JLL, 1987, NURS RES, V36, P344

[4]

Coker Esther, 2008, Perspectives, V32, P5

[5]

Dillman D.A., 1978, MAIL TELEPHONE SURVE

[6] The management of persistent pain in older persons [J].

Ferrell, B ;

Casarett, D ;

Epplin, J ;

Fine, P ;

Gloth, FM ;

Herr, K ;

Katz, P ;

Keefe, F ;

Koo, PJS ;

O'Grady, M ;

Szwabo, P ;

Vallerand, AH ;

Weiner, D .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 :S205-S224

[7] Barriers and facilitators in pain management in long-term care institutions: A qualitative study [J].

Fox, P ;

Solomon, P ;

Raina, P ;

Jadad, A .

CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT, 2004, 23 (03) :269-280

[8]

Grimshaw J, 2006, J GEN INTERN MED, V21, pS14, DOI 10.1111/j.1525-1497.2006.00357.x

[9] An interdisciplinary expert consensus statement on assessment of pain in older persons [J].

Hadjistavropoulos, Thomas ;

Herr, Keela ;

Turk, Dennis C. ;

Fine, Perry G. ;

Dworkin, Robert H. ;

Helme, Robert ;

Jackson, Kenneth ;

Parmelee, Patricia A. ;

Rudy, Thomas E. ;

Beattie, B. Lynn. ;

Chibnall, John T. ;

Craig, Kenneth D. ;

Ferrell, Betty ;

Ferrell, Bruce ;

Fillingim, Roger B. ;

Gagliese, Lucia ;

Gallagher, Romayne ;

Gibson, Stephen J. ;

Harrison, Elizabeth L. ;

Katz, Benny ;

Keefe, Francis J. ;

Lieber, Susan J. ;

Lussier, David ;

Schmader, Kenneth E. ;

Tait, Raymond C. ;

Weiner, Debra K. ;

Williams, Jaime .

CLINICAL JOURNAL OF PAIN, 2007, 23 (01) :S1-S43

[10] Evidence-based assessment of acute pain in older adults [J].

Herr, K ;

Titler, MG ;

Schilling, AL ;

Marsh, JL ;

Xie, XJ ;

Ardery, G ;

Clarke, WR ;

Everett, LQ .

CLINICAL JOURNAL OF PAIN, 2004, 20 (05) :331-340

← 1 2 3 →