Mackintosh-Franklin Carolyn
University of Liverpool, Liverpool, United Kingdom.
Pain Manag Nurs. 2014 Sep;15(3):580-7. doi: 10.1016/j.pmn.2013.03.001. Epub 2013 May 30.
This paper explores if nurses' personal responses to postoperative pain contribute to its continuing poor management. A descriptive qualitative design used a purposive sample of 16 registered nurses (RNs), from inpatient surgical areas in the United Kingdom, to participate in one semistructured interview. These were recorded and transcribed verbatim. Analysis used Morse and Field's four stages. A complex picture of collective and individual responses emerged; uncritical adoption of the medical model, with pain as normal and focus on technical aspects of management conforming to a "reference typology." However, individual RNs were also influenced by other personal factors, and findings indicate that scrutinizing individual competency is essential to improve individual and collective practice.
本文探讨护士对术后疼痛的个人反应是否导致了术后疼痛持续管理不善的问题。一项描述性定性研究采用目的抽样法,选取了16名来自英国住院手术区域的注册护士参与一次半结构化访谈。访谈内容进行了录音并逐字转录。分析采用了莫尔斯和菲尔德的四个阶段。研究呈现出集体和个体反应的复杂图景;不加批判地采用医学模式,将疼痛视为正常现象,并专注于符合“参考类型学”的管理技术方面。然而,个体注册护士也受到其他个人因素的影响,研究结果表明,审视个体能力对于改善个体和集体实践至关重要。