Department of Nursing Umeå University Umeå Sweden.
Arctic Research Centre Umeå University Umeå Sweden.
Nurs Open. 2020 Jul 23;7(6):1798-1806. doi: 10.1002/nop2.566. eCollection 2020 Nov.
To describe staff's reflections on aspects influencing pain assessment at end-of-life (EoL) care in nursing homes before and after the implementation of the Abbey Pain Scale (APS).
People with cognitive impairment in the EoL care often suffer from underdiagnosed and undertreated pain due to the lack of knowledge and guidelines for systematic pain assessment.
Semi-structured focus group interviews were conducted and analysed using qualitative content analysis.
The staff described their experiences before the implementation of APS as while the experiences after the implementation of APS were described as .
Implementation of APS was experienced as improving systematic pain assessment. Efforts to establish clear routines and improve confidence in the care team would be prioritized to optimize pain assessment and pain relief in EoL care.
描述在实施 Abbey 疼痛量表（APS）前后，养老院临终关怀中工作人员对影响疼痛评估的各个方面的反思。
由于缺乏系统疼痛评估的知识和指南，临终关怀中认知障碍的人经常遭受未被诊断和治疗不足的疼痛。
采用半结构式焦点小组访谈，并使用定性内容分析进行分析。
工作人员在实施 APS 之前的描述是 ，而在实施 APS 之后的描述是 。
实施 APS 被体验为改善了系统疼痛评估。将优先努力建立明确的常规，并提高护理团队的信心，以优化临终关怀中的疼痛评估和缓解。
