Nielsen L B, Svantesson-Martinsson E I, Engberg I L
Intensive Crit Care Nurs. 1994 Jun;10(2):107-14. doi: 10.1016/0964-3397(94)90006-x.
Caring for patients in postoperative pain is an important part of clinical practice for nurses. Patients often fail to receive adequate pain relief which causes unnecessary pain experience. The aim of this study was to describe how nurses experience their clinical practice management with postoperative patients who experience pain. Eight nurses, practising in the postoperative care unit and surgical wards were interviewed. Data were gathered in unstructured interviews and analysed by means of a qualitative method. Six categories emerged: organising condition, perspective, attitude, knowledge, experience and assessment/priority. All the conditions are interrelated and influenced the nurses' handling of pain management in nursing practice. It appeared that these conditions reflected the nurses' possibilities of relieving patients' postoperative pain. An important element was the reflection of hospital management policy which makes the nurses, in spite of their desire to relieve the patients' pain, choose to have the attitude that the patient should be prepared to accept a little pain.
护理术后疼痛患者是护士临床实践的重要组成部分。患者常常未能获得充分的疼痛缓解，这会导致不必要的疼痛体验。本研究的目的是描述护士如何体验他们对术后疼痛患者的临床实践管理。对在术后护理单元和外科病房工作的8名护士进行了访谈。通过非结构化访谈收集数据，并采用定性方法进行分析。出现了六个类别：组织条件、观点、态度、知识、经验和评估/优先级。所有这些条件相互关联，并影响护士在护理实践中对疼痛管理的处理。似乎这些条件反映了护士缓解患者术后疼痛的可能性。一个重要因素是医院管理政策的影响，这使得护士尽管渴望缓解患者的疼痛，但仍选择持有患者应准备好接受一点疼痛的态度。
