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Disjunction, tension and dissonance within nursing pain care provision for the older hospitalized person: A focused ethnographic insight.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Aug2021, Vol. 77 Issue 8, p3458-3471, 14p
- Publication Year :
- 2021
-
Abstract
- Aims: This study presents an ethnographic insight into the older hospitalized persons' experiences on how nurses provide pain care provision. The older persons' perceptions of culturally mediated barriers and facilitators are presented. Design: Focused ethnography. Methods: Multi-site across eight acute care units within two tertiary referral hospitals on the east coast of Australia collected over a one-year period from 2014 to 2015. Semi-structured interviews (n = 12) of older persons (11 hr). Twenty-three (23) semi-structured interviews with nine (9) registered nurses (12 hr 38 min). Participant observation (1,041 hr) during day, night and evening shifts. Results: The older person experienced disjunction within pain assessment by the reliance of nurses on objective measurement gained during functional task completion. Tension emerged during pain management when the older person was not included and/or options provided were not deemed effective. For some older persons this meant they undertook a decision to exclude their nurse from involvement in pain management. A thread woven throughout was a lack of communication, continuity of care and input from the older person. Conclusion: This study has implications for the provision of nursing care of the older hospitalized person. Dissonance within pain care provision for the older person occurs during episodes of missed pain care. Understanding and insight is gained into aspects of missed communication opportunities between nurses and the experiences of missed pain care of the older person. [ABSTRACT FROM AUTHOR]
- Subjects :
- RESEARCH
PAIN
HEALTH services accessibility
PAIN measurement
NURSES' attitudes
RESEARCH methodology
INTERVIEWING
MEDICAL cooperation
PATIENTS' attitudes
NURSE-patient relationships
QUALITATIVE research
ETHNOLOGY research
CONTINUUM of care
HOSPITAL care of older people
COMMUNICATION
NURSES
DESCRIPTIVE statistics
EMPIRICAL research
PARTICIPANT observation
JUDGMENT sampling
THEMATIC analysis
PAIN management
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 77
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 151849898
- Full Text :
- https://doi.org/10.1111/jan.14878