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'Powering through': A qualitative descriptive study of nurses working while in pain
Jessica G Rainbow1, Katherine M Dudding2, Claire Bethel1
1College of Nursing, University of Arizona, Tucson, Arizona, USA.
Journal of Clinical Nursing
|September 21, 2022
Summary
Nurses working in pain experience negative impacts on performance and career due to a culture that normalizes suffering. Addressing workplace factors and stigma is crucial for improving nurse well-being and patient care.
Area of Science:
- Nursing Research
- Occupational Health
- Qualitative Health Research
Background:
- Nurses frequently experience pain and injuries, yet the impact of working while in pain remains under-researched.
- Existing literature lacks a comprehensive description of nurses' lived experiences with pain during their work.
Purpose of the Study:
- To explore the experiences of nurses working while experiencing pain.
- To understand the potential effects of pain on nurses' work performance and career trajectories.
Main Methods:
- Qualitative descriptive analysis of semi-structured interviews with 20 direct care nurses.
- Content analysis of interview transcripts following COREQ guidelines.
Main Results:
- Identified themes include pain characteristics (PQRST), pain avoidance, hiding pain's impact, use of workplace tools, home recovery, career consequences, 'Supernurse' culture, stigma, and ideal work environments.
- Nurses perceived pain as integral to their profession, impacting teamwork and cognitive function, potentially affecting patient outcomes.
Conclusions:
- Pain significantly affects nurses' performance and career plans, with clinical practice often exacerbating pain.
- Workplace interventions are underutilized due to resource and training limitations.
- The prevailing nursing culture that accepts pain as inherent to the job requires critical re-evaluation.
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