Twycross Alison
Faculty of Health and Social Care Sciences, Kingston University, Grosvenor Wing, St George's Hospital, London, UK.
J Clin Nurs. 2008 Dec;17(23):3205-16. doi: 10.1111/j.1365-2702.2008.02631.x.
To ascertain whether there is a relationship between the perceived importance of pain management tasks and the quality of an individual nurse's practice.
The evidence to guide nurses' pain management practices is readily available. However, children's nurses' pain management practices often fall short of the ideal. The (lack of) priority attributed to pain management has been suggested as one reason for this. However, this supposition has not previously been explored.
Participant observation.
Data were collected about children's nurses' (n = 13) post-operative pain management practices on one children's surgical ward in the English Midlands. Nurses (n = 12) also completed a questionnaire to provide a measure of the importance attributed to pain management tasks.
The questionnaire responses of individual participants (n = 12) were compared to the observational data. The perceived importance of a pain management task did not affect the likelihood of it being undertaken.
Several explanations for these results have been put forward. It is apparent that the hypothesis, put forward in other studies that increasing the priority attributed to pain management will improve pain management practices may be overly simplistic.
The evidence to guide nurses' pain management practices is readily available. However, children's nurses' pain management practices seem to fall short of the ideal. Possible reasons for this need to be explored so that practice can be improved.
确定疼痛管理任务的感知重要性与个体护士的实践质量之间是否存在关联。
指导护士疼痛管理实践的证据很容易获取。然而，儿童护士的疼痛管理实践往往未达理想状态。有人认为对疼痛管理（缺乏）重视是造成这种情况的一个原因。然而，此前尚未对这一假设进行探讨。
参与观察法。
收集了关于英格兰中部地区一个儿童外科病房13名儿童护士术后疼痛管理实践的数据。12名护士还完成了一份问卷，以衡量对疼痛管理任务的重视程度。
将12名个体参与者的问卷回答与观察数据进行了比较。疼痛管理任务的感知重要性并未影响其被执行的可能性。
针对这些结果提出了几种解释。显然，其他研究中提出的增加对疼痛管理的重视程度将改善疼痛管理实践这一假设可能过于简单。
指导护士疼痛管理实践的证据很容易获取。然而，儿童护士的疼痛管理实践似乎未达理想状态。需要探究其可能原因，以便改进实践。
