Peterson Anna, Berggården Marie, Schaller Anne Söderlund, Larsson Britt
Pain and Rehabilitation Center University Hospital, Linköping, Sweden.
Rehabilitation Medicine Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
Pain Manag Nurs. 2019 Apr;20(2):133-139. doi: 10.1016/j.pmn.2018.09.003. Epub 2018 Dec 6.
In hospitals, efficient pain care given by nurses is warrented because pain prevalence in the previous 24 hours has been reported to be high. This study aims to clarify nurse's experiences with pain management as a specific responsibility added to their regular clinical duties. In addition, this study aims to elucidate these nurses' attitudes about sharing their pain knowledge with their colleagues.
DESIGN, PARTICIPANTS AND METHODS: This study includes semi-structured interviews of 17 registered staff nurses at the University Hospital, Linköping Sweden. The interviews were analyzed using a qualitative content analysis.
A main thematic category emerged: Selected nurses experience shortcomings and obstacles in clinical pain management and are willing to improve their knowledge and share it with their colleagues. This main category was based on the following four sub-categories: a valued but unclear assignment; the presence of facilitators and obstacles; in need of support and collaboration; and a deficit of own knowledge and future teaching of colleagues.
Overall, the nurses maintained a constructive attitude about their responsibilities to teach colleagues about pain management in spite the difficulties they experienced fulfilling all their responsibilities. Nurses who have the added responsibility to teach their colleagues pain management need specialized education in pain management and pedagogic skills for teaching clinical pain management. Moreover, these nurses need to be given the time, support, and collaborative opportunities to develop their knowledge. A nursing model that provides nurses trained in pain management education should be developed and evaluated.
在医院中，鉴于此前报告的24小时内疼痛发生率较高，护士提供高效的疼痛护理很有必要。本研究旨在阐明护士在将疼痛管理作为其常规临床职责之外的一项特定职责时的经历。此外，本研究旨在阐明这些护士对于与同事分享疼痛知识的态度。
设计、参与者与方法：本研究包括对瑞典林雪平大学医院17名注册护士进行的半结构化访谈。采用定性内容分析法对访谈进行分析。
出现了一个主要主题类别：部分护士在临床疼痛管理中体验到不足和障碍，并且愿意提升自身知识并与同事分享。这个主要类别基于以下四个子类别：一项重要但不明确的任务；促进因素和障碍的存在；需要支持与协作；自身知识欠缺以及对同事未来教学的需求。
总体而言，尽管护士在履行所有职责时遇到困难，但他们对教导同事疼痛管理的责任仍保持建设性态度。承担教导同事疼痛管理额外责任的护士需要接受疼痛管理方面的专业教育以及临床疼痛管理教学的教学技能培训。此外，需要给予这些护士时间、支持和协作机会以拓展他们的知识。应当开发并评估一种为接受过疼痛管理教育培训的护士提供支持的护理模式。
