Nurses’ Pain Management Challenges

  • Justin Oluwasegun Rojaye Department of Health Sciences, University of South Africa, South Africa
Keywords: long-term care home, nurses, pain, challenges, pain management

Abstract

Pain is the most common medical issue that older people face in a long-term care facility. Nurses have a critical role in helping residents manage their pain. This research looked at nurses' pain management challenges in long-term care facilities. The site for this research was a chosen long-term care facility in Ontario, Canada, a 160-bed nursing home for the elderly that provides various nursing and medical care services. Semi-structured focus group interviews lasting about an hour were done. This study's population consisted of 45 nurses. The researcher chose a sample of 25 nurses using a purposive sampling strategy. The data was reviewed using qualitative data analysis to detect recurring concerns. This research revealed the necessity of identifying and overcoming obstacles to effective pain management and reinforcing good practices in long-term care homes; better pain management practices are necessary to manage pain in a long-term care home. This study demonstrated the importance of recognizing and overcoming barriers to the effective management of pain and reinforcing good practices in long-term care homes. Therefore, improved pain management practices are required to manage pain in a long-term care home effectively. The overall benefits of pain management practices in long-term care homes expand nurses' clinical knowledge in the care of residents living in nursing homes

References

Almost, J., Gifford, W., Doran, D., Ogilvie, L., Miller, C., Rose, D., & Squires, M. (2013). Correctional nursing: a study protocol to develop an educational to optimize nursing practice in a unique context. Implementation Science, 8(1), 1-14. doi: 10.1186/1748-5908-8-71

American Geriatrics Society. (2014). AGS clinical practice guideline: Pharmacological management of persistent pain in older persons. American Geriatrics Society, 5(2), 1-12. doi: 10.1111/j.1532-5415.2009.02376.x

Anon. (2014). Pain assessment and management strategies for elderly patients. Home Healthcare Nurse, 32(5), 281-287. DOI: 10.1097/NHH.0000000000000065

Attal, N. (2013). Screening Tools for Neuropathic Pain: Are They Adaptable in Different Languages and Cultures? Pain Medicine, 11(7), 985-986. https://doi.org/10.1111/j.1526-4637.2010.00893.x

Babbie, E., & Mouton, J. (2012). The practice of social research (14 ed.). Oxford University Press.

Baybutt, M., & Chemlal, K. (2016). Health-promoting prisons: Theory to practice (1 ed.). (23, Ed.) Global Health Promotion.

Berben, S., Meijs, T., Van Grunsven, P., Schoonhoven, L., & Van Achterberg, T. (2013). Facilitators and barriers in pain management for trauma residents in the chain of emergency care. Injury, 43(9), 1397-1402. https://doi.org/10.1016/j.injury.2011.01.029

Berragan, L. (2013). Conceptualising learning through simulation: An expansive approach for professional and personal learning. Nurse Education in Practice, 13(4), 250-255. https://doi.org/10.1016/j.nepr.2013.01.004

Birchenall, P., & Adams, N. (2014). The nursing companion. Palgrave Macmillan.

Booker, S., & Haedtke, C. (2016). Assessing pain in verbal older adults. Nursing, 46(2), 65-68. DOI: 10.1097/01.NURSE.0000473408.89671.52

Brink, H., Van der Walt, C., & Van Rensburg, G. (2014). Fundamentals of research methodology for healthcare professionals.

Busby, C., & Robson, W. (2013). Managing the cost of healthcare for an aging population. Nova Scotia's Healthcare Glacier, 1-15. Available from; https://www.cdhowe.org/sites/default/files/attachments/research_papers/mixed/e-brief_146_SK.pdf

Chatchumni, M., Namvongprom, A., Eriksson, H., & Mazaheri, M. (2016). Thai Nurses' experiences of post-operative pain assessment and its' influence on pain management decisions. BMC Nursing, 5(1), 1-14. DOI: 10.1186/s12912-016-0136-8

Corbett, A., Nunes, K., Smeaton, E., Testad, I., Thomas, A., Closs, S., . . . V, L. (2016). The landscape of pain management in people with dementia living in care homes: A mixed methods study. International Journal of Geriatric Psychiatry, 31(12), 1354-1370. DOI: 10.1002/gps.4445

Cottrell, R. (2014). Health promotion and education research methods using the five-chapter thesis/dissertation model (6 ed.). Jones & Bartlett.

Flaherty, E. (2012). Pain assessment for older adults. In Try This: Best Practices in Nursing Care to Older Adults (2 ed.). The Hartford Institute for Geriatric Nursing.

Fleckenstein, J. (2013). International association for study of pain. Deutsche Seitschrift Fur Akupunktur, 56(1), 52-53. DOI: 10.1097/j.pain.0000000000001939

Grove, K., Gray, R., & Burns, N. (2015). Understanding nursing research: building an evidence-based practice (6 ed.). Elsevier.

Hogan, M. (2014). Nursing foundations. Pearson.

Johnson, A., Mahaffey, R., Egan, R., Twagirumugabe, T., & Parlow, J. (2015). Perspectives, Perceptions and Experiences in Postoperatives Pain Management in Developing Countries: A Focus Group Study Conducted in Rwanda. Pain Research and Management, 20(5), 255-260. DOI: 10.1155/2015/297384

Kaasalainen, S., Brazil, K., Akhtar-Danesh, N., Coker, E., Ploeg, J., & Donald, F. (2013). The Evaluation of an Interdisciplinary Pain Protocol in Long Term Care. Journal of The American Medical Directors Association, 13(7), 664-668. https://doi.org/10.1016/j.jamda.2012.05.013

Kocasli, S., Oner Karaveli, E., & Bal, E. (2023). The Effect of Postoperative Pain on Sleep Quality in Patients with Brain Tumor Surgery. Nursing and Health Sciences Journal (NHSJ), 3(3), 227-237. https://doi.org/10.53713/nhsj.v3i3.262

Laranjeira, C., & Quintao, C. (2014). EPA-0774 - Improving the quality of care through pain assessment and management. European Psychiary, 29(1). Availabe from https://pubmed.ncbi.nlm.nih.gov/21328759/

Lee Meyers, S. (2016). Improving Knowledge and Attitudes Regarding Pain Management among Registered Nurses. Pain Management Nursing, 17(2), 104-110. DOI:https://doi.org/10.1016/j.pmn.2016.02.042

LoBiondo-Wood, G., & Haber, J. (2016). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice. Journal of Nursing Regulation, 5(1), 60-72.

McPhee, S., Papadakis, M., & Rabow, M. (2014). Current medical diagnosis & treatment.

Mehta, A., Cohen, S., Ezer, H., Carnevale, F., & Ducharme, F. (2013). Striving to Respond to Palliative Care Residents' Pain at Home: A Puzzle for Family Caregivers. Oncology Nursing Forum, 38(1), 1-12. DOI: 10.1188/11.ONF.E37-E45

Miu, & Chan. (2014). Under-detection of pain in elderly nursing home residents with moderate to severe dementia. Journal of Clinical Gerontology and Geriatrics, 5(1), 23-27. https://doi.org/10.1016/j.jcgg.2013.09.001

Oosterman, J., Hendriks, H., Scott, S., Lord, K., White, N., & Sampson, E. (2014). When pain memories are lost: A pilot study of semantic knowledge of pain in dementia. Pain Medicine, 15, 751-757. https://doi.org/10.1111/pme.12336

Pasero, C., & McCaffery, M. (2014). Pain Assessment and Pharmacologic Management. Elsevier/Mosby.

Polit, D., Beck, C., & Polit, D. (2016). Resource Manual for Nursing research, generating and assessing evidence for nursing practice (10 ed.). Wolters Kluwer.

Registered Nurses Association of Ontario (RNAO). (2013). Assessment and management of pain (3 ed.). Registered Nurses Association of Ontario.

Reid, M., O'Neil, K., Dancy, J., Berry, C., & Stowell, S. (2014). Pain Management in Long-Term Care Communities: A Quality Improvement Initiative. The Official Journal of the American Medical Directors Association, 23(2), 29-35. https://pubmed.ncbi.nlm.nih.gov/25949232/

Saldana, J. (2014). Fundamentals of qualitative research. Oxford University Press.

Saslansky, R., Rothaug, J., Chapman, C., Backstrom, R., Brill, S., Fletcher, D., . . . Meissner, W. (2014). Pain Out: The making of an international acute pain registry. European Journal of Pain, 19(4), 490-502. DOI: 10.1002/ejp.571

Shahrokhi, A., Ebrahimpour, F., & Ghodousi, A. (2013). Factors effective on medication errors: A nursing view. Journal of Research in Pharmacy Practice, 2(1), 18-23. https://doi.org/10.4103/2279-042x.114084

Silverman, D. (2015). Interpreting qualitative data: A guide to the principles of qualitative research.

Sri Wahyuningsih, Hayati, N., & Adi Safitri, H. (2021). Non-Pharmacological Therapy in Case Study Obstacles to Physical Mobility Post Sectio Caesaria. Nursing and Health Sciences Journal (NHSJ), 1(3), 119-222. https://doi.org/10.53713/nhs.v1i3.77

Statistics Canada. (2013). Canadians in context-Aging population. Statistics Canada.

Stewart, M., & Cox-Davenport, R. (2015). Comparative Analysis of Registered Nurses' and Nursing Students' Attitudes and Use of Nonpharmacologic Methods of Pain Management. Pain Management Nursing, 16(4), 499-502. DOI: 10.1016/j.pmn.2014.09.010

Terre Blanche, M., Durrheim, K., & Painter, D. (2014). Research in Practice. University of Cape Town Press.

Tracy, S. (2013). Qualitative research methods. Wiley-Blackwell.

Urden, L., Stacy, K., & Lough, M. (2013). Critical care nursing. Elsevier.

Veal, F., Williams, M., Bereznicki, L., Cummings, E., Thompson, A., Peterson, G., & Winzenberg, T. (2018). Barriers to Optimal Pain Management in Aged Care Facilities: An Australian Qualitative Study. Pain Management Nursing, 19(2), 177-185. DOI: 10.1016/j.pmn.2017.10.002

Woolf, S., Grol, R., Hutchinson, A., Eccles, M., & Grimshaw, J. (2014). Clinical guideline: potential benefits, limitation and harms of clinical guidelines. BMJ (Clinical research edition), 318(7182), 527-530. doi: 10.1136/bmj.318.7182.527

Zaslansky, R., Rothaug, J., Chapman, C., Backstrom, R., & Fletcher, D. (2014). PAIN OUT: The making of an international acute pain registry. European Journal of Pain, 19(4), 490-502. DOI: 10.1002/ejp.571

Zwakhalen, S., Hamers, J., Peijnenburg, R., & Berger, M. (2017). Nursing Staff Knowledge and Beliefs about Pain in Elderly Nursing Home Residents with Dementia. Pain Research and Management, 12(3), 177-184. https://doi.org/10.1155/2007/518484

Published
2024-05-30
How to Cite
1.
Rojaye JO. Nurses’ Pain Management Challenges. NHSJ [Internet]. 2024May30 [cited 2024Jun.25];4(2):194-02. Available from: https://nhs-journal.com/index.php/nhs/article/view/305
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Articles