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Treating without Seeing: Pain Management Practice in a Thai Context.

Manaporn Chatchumni¹, Ampaporn Namvongprom¹, Henrik Eriksson²

¹School of Nursing, Rangsit University, Pathum Thani, Thailand.

Pain Research & Management

|January 4, 2017

Summary

Thai nurses

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Area of Science:

Nursing
Cultural Studies
Healthcare Management

Background:

Pain management is a critical nursing responsibility, especially in postoperative care.
Understanding cultural influences on nursing practices is essential for effective pain management.
Thai nursing culture presents unique approaches to pain management.

Purpose of the Study:

To explore the professional and cultural factors influencing pain management by nurses in a Thai surgical ward.
To describe the specific practices and cultural underpinnings of pain management in this setting.

Main Methods:

Employed Spradley's ethnographic methodology.
Conducted 98.5 hours of field observations.
Performed interviews within a surgical ward in Thailand.

Main Results:

Identified three key themes in Thai nurses' pain management practices: complex communication systems, the influence of Thai cultural identity ('Thai-ness'), and a tendency towards passive pain management.
Thai nurses utilize intricate communication strategies to address and respond to patient pain.
Cultural values significantly shape the approach to pain management, sometimes leading to a passive stance.

Conclusions:

A shift towards patient-centered care, rather than functional care, is recommended for improved postoperative pain management.
Further research into nursing culture is necessary to align practices with national and international goals for enhancing patient comfort and postoperative outcomes.