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Related Experiment Videos

Nurses' response to pain communication from patients: a post-test experimental study.

Deborah Dillon McDonald1, Matthew Laporta, Mikki Meadows-Oliver

  • 1University of Connecticut School of Nursing, 231 Glenbrook Road, Storrs, CT 06269, USA. Deborah.mcdonald@uconn.edu

International Journal of Nursing Studies
|January 25, 2006
PubMed
Summary

Nurses used a similar, low number of pain management strategies regardless of how patients described their pain. This suggests limited nursing response to moderate pain, impacting patient outcomes.

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Area of Science:

  • Nursing
  • Pain Management
  • Healthcare Communication

Background:

  • Inadequate patient-provider communication regarding pain can exacerbate patient suffering.
  • Effective pain communication is crucial for optimal patient care and pain relief.

Purpose of the Study:

  • To investigate how registered nurses (RNs) respond to patient pain communication using different methods: personal descriptions, pain intensity scales, or a combination.
  • To evaluate the impact of patient pain communication methods on nurses' planned pain management strategies.

Main Methods:

  • A post-test only experimental design was employed with 122 RNs randomly assigned to one of three conditions.
  • Nurses read a vignette describing a trauma patient with moderately severe pain and documented their planned pain management response.

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  • Responses were content-analyzed by two blind raters based on six a priori criteria from established pain management guidelines.

    • Main Results:

    • Nurses planned a mean of 2.1 pain management strategies (out of a possible six) across all three communication conditions.
    • No significant difference was observed in the number of planned strategies based on whether patients used personal descriptions, numerical scales, or both.

    Conclusions:

    • Nurses' planned pain management strategies were not influenced by the method of patient pain communication (personal words, scale, or both).
    • The limited number of strategies planned by nurses indicates a potential gap in addressing moderately severe pain effectively.
    • Findings suggest a need for enhanced nursing education and protocols to improve pain management responses.