Im E O, Chee W
School of Nursing, University of Wisconsin-Milwaukee, USA.
West J Nurs Res. 2001 Nov;23(7):726-52. doi: 10.1177/01939450122045519.
A number of studies on cancer pain have been conducted but the researchers rarely considered gender and ethnic differences in cancer pain. In this article, nursing research on cancer pain is critiqued from a feminist perspective, and directions for future nursing research are proposed. A total of 82 nursing articles published in the United States were retrieved through MEDLINE and MELVYL data retrieval systems, and analyzed and critiqued in terms of four basic elements of research from a feminist perspective (bias as resources, dependability, credibility and adequacy, and intersubjectivity). In this article, the critique is presented with four themes that may provide reasons why nursing research on cancer pain rarely incorporated gender and ethnic differences: absence of participants' own views and experiences, androcentrism and ethnocentrism, lack of consideration on contextual factors, and distant relationships between researchers and research participants. To overcome the limitations, six critical elements including gender and ethnic sensitivity, avoidance of distorted views, respectfor participants' own views and interests, trust and openness, empowerment, and multiple methods are suggested to be incorporated in future nursing research on cancer pain.
已经开展了多项关于癌症疼痛的研究,但研究人员很少考虑癌症疼痛中的性别和种族差异。在本文中,从女性主义视角对癌症疼痛的护理研究进行了批判,并提出了未来护理研究的方向。通过医学文献数据库(MEDLINE)和MELVYL数据检索系统检索了在美国发表的82篇护理文章,并从女性主义视角根据研究的四个基本要素(将偏见视为资源、可靠性、可信度和充分性以及主体间性)进行了分析和批判。本文的批判呈现了四个主题,这些主题可能解释了为什么癌症疼痛护理研究很少纳入性别和种族差异:缺乏参与者自身的观点和经历、男性中心主义和民族中心主义、对背景因素缺乏考虑以及研究人员与研究参与者之间关系疏远。为克服这些局限性,建议在未来癌症疼痛护理研究中纳入六个关键要素,包括性别和种族敏感性、避免扭曲观点、尊重参与者自身的观点和利益、信任与开放、赋权以及多种方法。