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District nurses' involvement in pain care: a theoretical model
Anne-Marie Blomberg1, Ingrid Hylander, Lena Törnkvist
1Center for Family and Community Medicine Stockholm, Karolinska Institutet, Huddinge, Sweden. anne.blomberg@sll.se
Journal of Clinical Nursing
|August 23, 2008
Summary
District nurses
Area of Science:
- Nursing
- Pain Management
- Qualitative Research
Background:
- Chronic pain significantly impacts patient wellbeing, causing physical and psychosocial limitations.
- District nurses frequently encounter patients with chronic pain and associated challenges.
- Nurses often report feeling powerless and inadequately prepared to manage chronic pain.
Purpose of the Study:
- To explore district nurses' experiences in caring for chronic pain sufferers.
- To develop a theoretical model explaining variations in these experiences.
Main Methods:
- Qualitative, theory-generating study.
- Data collected through focus group interviews with 20 district nurses.
- Grounded theory methodology applied for data analysis.
Main Results:
- A theoretical model of district nurses' involvement in pain care was developed.
- The model identifies three key conditions influencing nurses' engagement in pain care.
- It explains the relationship between active/passive detection and response to patient pain.
Conclusions:
- The model elucidates reasons for nurses' feelings of powerlessness in chronic pain care.
- Identifies insufficient conditions leading to passive approaches in pain management.
- Recommends interventions like enhanced communication, interprofessional collaboration, organizational support, and training to improve nurse involvement in pain care.
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