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The ethics of postoperative pain management: Mapping nurses' views.
- Source :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.); Apr2017, Vol. 23 Issue 2, pn/a-N.PAG, 10p
- Publication Year :
- 2017
-
Abstract
- Aim: We explored the positions of nurses working in hospitals regarding the acceptability of refusing to give a repeat dose of painkiller to a postoperative patient who requested it. These positions were compared with that of lay people, physicians, and other health professionals. Design and Methods: Factorial design was used to assess the impact of 6 situational factors: the patient's age, the current level of pain as assessed by the nurse, the number of requests, the level of risk associated with the administration of a repeat dose, the outcome of surgery, and the giving of alternative mild analgesics. We implemented a combination of scenario technique and of cluster analysis. Data were collected from April 2013 to December 2015. Participants: 138 registered nurses, 32 nurse's aides, 33 physicians, 23 psychologists, and 169 lay people participated in the study. Results: We found 4 qualitatively different meaningful positions. A plurality of participants (57% of nurses) considered that refusing was not acceptable, irrespective of circumstances. A substantial minority of participants (but 52% of physicians) considered that refusing was acceptable only if the level of pain was low and the risk was high. Other participants (mostly lay people) considered that refusing was always acceptable each time a risk of side effects, either serious or simply mild, was present. [ABSTRACT FROM AUTHOR]
- Subjects :
- PAIN management
AGE distribution
ANALGESICS
ANALYSIS of variance
CHI-squared test
CLUSTER analysis (Statistics)
COMPARATIVE studies
CONSUMER attitudes
FACTORIAL experiment designs
RESEARCH methodology
CASE studies
NURSES
NURSES' attitudes
NURSES' aides
POSTOPERATIVE pain
PSYCHOLOGISTS
STATISTICAL sampling
TIME
PHYSICIANS' attitudes
DESCRIPTIVE statistics
HOSPITAL nursing staff
ETHICS
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 23
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 122273251
- Full Text :
- https://doi.org/10.1111/ijn.12514