Gjesdal Kine, Dysvik Elin, Furnes Bodil
University of Stavanger, Faculty of Health Sciences, Norway.
Int J Nurs Sci. 2019 Mar 8;6(2):169-175. doi: 10.1016/j.ijnss.2019.03.005. eCollection 2019 Apr 10.
Recent research has focused on the effectiveness of different treatment regimens in pain clinics, where a call for more multifaceted treatment has been highlighted. Less attention has been paid to improvements within pain clinics, and how registered nurses-who usually play a key role-perceive and experience the accessibility, treatment options and follow-up offers at public pain clinics.
The overall aim was to explore and describe how nurses experience health care provided to patients with chronic non-cancer pain at pain clinics.
We used 10 individual interviews with nurses working at 10 different public pain clinics in Norway. The interviews were analyzed using qualitative content analysis.
One theme was developed from the content analysis: "Nurses' striving to provide whole-person care in pain clinics." The nurses experienced allocation of limited resources as challenging, especially when the dilemma between accepting new patients from the waiting list and offering follow-up to existing patients became apparent. Multifaceted treatment was perceived as vital, although resources, priorities, and theoretical understanding of pain within the team were challenging.
The needs for multifaceted and integrated treatments in chronic pain management were obvious, although this approach appeared to be too demanding of resources and time. Stronger cooperation between pain clinics in specialist care and health care providers in primary care to ensure better patient flow and treatment is required. Emphasis is placed on coherent theoretical approaches to pain management within the team in the pain clinics to ensure whole person care.
近期研究聚焦于疼痛诊所中不同治疗方案的有效性，其中对更具多维度治疗的需求已得到凸显。人们较少关注疼痛诊所内部的改善情况，以及注册护士（通常发挥关键作用）如何看待和体验公立疼痛诊所的可及性、治疗选择及后续服务。
总体目标是探究并描述护士如何体验在疼痛诊所为慢性非癌性疼痛患者提供的医疗服务。
我们对挪威10家不同公立疼痛诊所的护士进行了10次个人访谈。采用定性内容分析法对访谈进行分析。
通过内容分析得出一个主题：“护士努力在疼痛诊所提供全人护理”。护士们感到有限资源的分配颇具挑战性，尤其是当从候诊名单接收新患者与为现有患者提供后续服务之间的两难局面变得明显时。多维度治疗被视为至关重要，尽管团队内部的资源、优先级以及对疼痛的理论理解都颇具挑战性。
慢性疼痛管理中多维度和综合治疗的需求显而易见，尽管这种方法似乎对资源和时间要求过高。专科护理中的疼痛诊所与初级护理中的医疗服务提供者之间需要加强合作，以确保更好的患者流程和治疗。重点在于疼痛诊所团队内部采用连贯的疼痛管理理论方法，以确保全人护理。
