Article: Pain assessment and management in surgical nursing: a literature review
· What is the primary question or issue the researcher(s) are investigating?
The researchers looked at the issue of postoperative pain assessment and management. With gathered information they have observed that more and more patients are leaving health facilities without their pain needs being met and has now become a common occurrence. They analyzed the barriers affecting healthcare professionals and how these barriers could lead to errors thus causing patients to experience postoperative pain.
· What is the population of interest, that is, from whom are the researchers collecting data? Or another way of saying it, where did the data come from?
This article
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Barriers such as time or even the lack of staff adds weight to nurses and may cause inefficient standards of practice. Their rigorous duties throughout the day can affect the quality of care they give to each patient.
· Is nursing an art or a science or both as presented in the article? What is the evidence to support your answer?
In this article nursing was presented as an art. When dealing with pain assessment one must observe their patient, listening to the need, feelings, while analyzing their expressions and interactions. This article focused on their beliefs and attitudes when dealing with pain management and assessment. It didn’t go into the scientific aspects of each patient and what they were going through or how each nurse dealt with them using scientific tools of medicines. It looked at the influence of outside factors and how simple obstacles could affect sufficient practice such as a patients anxieties of fears.
· What evidence does the article provide that could inform or enhance your practice as a
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Questions may be derived from the questions generated by individual students or raised by the group during discussion of the
Lindley, P., Pestano, C. R., & Gargiulo, K. (2009). Comparison of postoperative pain management using two patient-controlled analgesia methods: Nursing perspective. Journal of Advanced Nursing, 65(7), 1370-1380. doi: 10.1111/j.1365-2648.2009.04991.x
In every American hospital, someone is admitted for an elective surgical procedure that has CP as comorbidity. We will examine patient-centered care by defining chronic pain and identifying the shared culture of this patient subpopulation. First we will explore the institutionally imposed stigma of chronic pain that has created barriers to care through a converse relationship between health care provider and CP patient. Next we will describe features of patient center care with evidence-based interventions, that can transform the surgical experience and promote post-operative healing.
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.
According to Orem, nursing science is a practical science, in that knowledge is developed for the direct purpose of nursing practice itself (Barbara, 2011). The goal of nursing science is to look for an understanding of the actual realities that are concerning to nurses and the nursing practice (Orem, 2001). We can do this through both research and producing scholarly articles. “Nursing science is the science of which knowledge is developed for the sake of the work to be done” (Barbara, 2011, p. 44). Without the nursing science as the backbone of nursing, the nursing practice would seize to exist, or at least have difficulty staying alive. Nursing science offers nurses the knowledge, skills and competency to develop order and direction in their nursing care (Malinowski, 2002). Models of case studies, rules and standards of practice along with the various
The nurse to patient ratio is unrealistic in many hospitals. In most cases it is almost impossible to give each patient the true amount of detailed care they really need. This is seen in most cases where there is one nurse assigned to 16 patients and each patient requires a different level of attention. Nurses are pressed for time, forcing them to cut corners, resulting in an increase in nosocomial infections and patient deaths. “The past decade has been a unsettled time for many US hospitals and practicing nu...
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
The philosophy and science of nursing. Little Brown, Boston. Watson, J. (1985) The 'Standard' of the 'Standard'. Nursing: Human Science and Humanities.
These articles have many similarities when discussing the issue of staffing shortages. For patients, their loved ones and the general population, they don’t understand the ramifications and strain that staffing shortages have on nurses. People expect and deserve complete, competent and safe care when they are patients. These articles bring to light all the struggles that nurses have to deal with. Nurses are fearful that they will make mistakes, will harm patients, and will harm themselves. (Bae, 2012; Erlen, 2001; Martin, 2015) Overtime can be overwhelming and exhausting, which can lead to errors being made. (Bae, 2012; Erlen, 2001) These articles perceive that it may be beneficial for nurses, patients, and healthcare facilities to decrease the nurse-to-patient ratio, however, this option is not always
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
This essay will aim to look at the main principles of cancer pain management on an acute medical ward in a hospital setting. My rational for choosing to look at this is to expend my knowledge of the chosen area. Within this pieces of work I will look to include physiological, psychological and sociological aspects of pain management.
Poor staffing stresses every nurse and makes them despite what they once loved to do. Nurses are overworked and because of that they may not provide adequate patient care.
Nursing is an art: and if it is to be made an art, It requires an exclusive devotion as hard a preparation, as any painter’s or sculptor’s work; for what is the having to do with dead canvas or dead marble, compared with having to do with the living body, the temple of God’s spirit? It is one of the Fine Arts: I had almost said, the finest of Fine Arts. (Masters, 2005 (p.186)
Several consequences of high nursing workload have been proven to hinder the quality of patient care. Carayon and Gurses’s research (2008) indicates that heavy workload can contribute to errors, shortcuts, guideline violations, and poor communication with physicians and other providers, thus compromising the quality and safety of patient care. In addition, the research not only implies that patients may not receive proper care, but also they can experience less satisfaction with
Based on the definition of nursing and the training of nurses, it is convincing enough to make the conclusion that nursing is both a science and an art. Since it is a medical profession, which requires heavy input from the study of biology, chemistry and physics, it qualifies to be termed a science.