Department of Nursing, Western Connecticut State University, Danbury, Connecticut.
Pain Manag Nurs. 2020 Apr;21(2):179-186. doi: 10.1016/j.pmn.2019.07.010. Epub 2019 Sep 3.
Pain management education is threaded through prelicensure nursing education. However, the perspectives of faculty teaching pain assessment and management within the context of the opioid crisis are not addressed in the literature. Pain assessment and management is a complex process requiring critical thinking and clinical reasoning. The current opioid crisis has brought new challenges to health care professionals who provide pain management, and this is a concern for nurses.
The purpose of the study was to discover the perspectives of nursing faculty on teaching pain management content in prelicensure nursing programs.
Following a systematic review to determine gaps in knowledge, a qualitative study was conducted using nursing faculty as participants.
The sample consisted of 17 faculty members from 15 nursing programs on the East Coast.
The qualitative descriptive approach allowed for a rich, detailed exploration of faculty perspectives. Qualitative content analysis of the participant narratives indicated the need to approach pain management education from a perspective of relieving suffering and preventing harm to patients rather than focusing on the opioid crisis.
Participants perceived the opioid crisis as distinct from the legitimate use of pain medication. The findings indicate that nursing curricula includes only the basics of pain management.
Participants' teaching practice was based on experiential learning rather than formal education and often was heavily influenced by a seminal event in their own nursing practice. The findings support the need to improve the education of undergraduate nursing students about pain management in the context of the current opioid crisis.
疼痛管理教育贯穿于护理专业的预注册教育。然而，在阿片类药物危机的背景下，教授疼痛评估和管理的教师的观点在文献中并未得到探讨。疼痛评估和管理是一个需要批判性思维和临床推理的复杂过程。当前的阿片类药物危机给提供疼痛管理的医疗保健专业人员带来了新的挑战，这是护士们关注的问题。
本研究旨在发现护理教师在预注册护理课程中教授疼痛管理内容的观点。
在进行系统综述以确定知识差距之后，采用了一种定性研究方法，以护理教师作为参与者。
该样本由东海岸 15 个护理项目的 17 名教师组成。
定性描述方法允许对教师观点进行丰富而详细的探索。对参与者叙述的定性内容分析表明，需要从减轻患者痛苦和预防伤害的角度而不是从阿片类药物危机的角度来处理疼痛管理教育。
参与者将阿片类药物危机视为与合法使用疼痛药物不同。研究结果表明，护理课程仅包含疼痛管理的基础知识。
参与者的教学实践基于经验学习而不是正规教育，并且通常受到他们自己护理实践中的一个重要事件的强烈影响。这些发现支持需要在当前阿片类药物危机的背景下，改善本科护理学生关于疼痛管理的教育。
