Clark Lauren, Jones Katherine, Pennington Karen
University of Colorado Health Sciences Center School of Nursing, Denver 80262, USA.
West J Nurs Res. 2004 Nov;26(7):733-50. doi: 10.1177/0193945904267734.
The purpose of this research was to describe the kinds of pain assessments nursing home staff use with nursing home residents and the characteristics and behaviors of residents that staff consider as they assess pain. Twenty-one focus groups were held in 12 nursing homes. Nurses and other nursing home staff attended the focus groups. Coding techniques consistent with ethnographic methodology were used for data analysis. Four themes identified an underlying uncertainty in assessing residents' pain, the staff relationship-centered approach to pain assessment, the resident cues that alert staff to pain, and residents' characteristics important to the nursing assessment. Composition of focus groups made a difference in participation of certified nursing assistants in focus group discussion. Urban and rural differences were noted across the focus groups. Research is needed to further refine pain assessment techniques specifically for nursing home settings.
本研究的目的是描述养老院工作人员对养老院居民进行疼痛评估的种类，以及工作人员在评估疼痛时所考虑的居民特征和行为。在12家养老院举行了21次焦点小组讨论。护士和其他养老院工作人员参加了焦点小组讨论。采用与民族志方法一致的编码技术进行数据分析。四个主题确定了评估居民疼痛时潜在的不确定性、以工作人员关系为中心的疼痛评估方法、提醒工作人员注意疼痛的居民线索以及对护理评估重要的居民特征。焦点小组的组成对注册护理助理参与焦点小组讨论有影响。各焦点小组之间存在城乡差异。需要开展研究以进一步完善专门针对养老院环境的疼痛评估技术。
