scholarly journals Nursing-Related Barriers to Children’s Pain Management at Selected Hospitals in Ghana: A Descriptive Qualitative Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Abigail Kusi Amponsah ◽  
Evans Frimpong Kyei ◽  
John Bright Agyemang ◽  
Hanson Boakye ◽  
Joana Kyei-Dompim ◽  
...  
Keyword(s):  
Pain Management ◽  
Qualitative Study ◽  
Developed Countries ◽  
Assessment Tools ◽  
Pediatric Care ◽  
Material Resources ◽  
Management Interventions ◽  
Communication Difficulties ◽  
Children's Pain ◽  
Descriptive Qualitative

Staff shortages, deficient knowledge, inappropriate attitudes, demanding workloads, analgesic shortages, and low prioritization of pain management have been identified in earlier studies as the nursing-related barriers to optimal children’s pain management. These studies have mainly been undertaken in developed countries, which have different healthcare dynamics than those in developing countries. The current study, therefore, sought to identify and understand the nursing-related barriers to children’s pain management in the Ghanaian context. A descriptive qualitative study was conducted among 28 purposively sampled nurses working in the pediatric units of five hospitals in the Ashanti region of Ghana. Over the course of three months, participants were interviewed on the barriers which prevented them from optimally managing children’s pain in practice. Recorded interviews were transcribed verbatim and deductively analysed based on a conceptual interest in pain assessment and management-related barriers. NVivo 12 plus software guided data management and analyses. The mean age of participating nurses was 30 years, with majority being females (n = 24). Participants had worked in the nursing profession for an average of five years and in the pediatric care settings for an average of two years. The nursing-related barriers identified in the present study included communication difficulties in assessing and evaluating pain management interventions with children who have nonfunctional speech, insufficient training, misconceptions on the experience of pain in children, lack of assessment tools, and insufficient number of nurses to manage the workload and nurses’ inability to prescribe analgesics. The present study revealed some barriers which prevented Ghanaian nurses from optimally managing children’s pain. Nurses should be educated, empowered, and supported with the requisite material resources to effectively manage children’s pain and improve outcomes for families, healthcare systems, and the nation. Future studies should explore the facilitators and barriers from other stakeholders involved in pediatric pain management.

scholarly journals Exploring the educational needs of nurses on children’s pain management: A descriptive qualitative study

Nursing Open ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. 841-849 ◽  
Author(s):  
Abigail Kusi Amponsah ◽  
Joana Kyei‐Dompim ◽  
Victoria Bam ◽  
Evans F. Kyei ◽  
Evans Oduro ◽  
...  
Keyword(s):  
Pain Management ◽  
Qualitative Study ◽  
Educational Needs ◽  
Children's Pain ◽  
Descriptive Qualitative

scholarly journals SOCIOCULTURAL DETERMINANTS IN PAIN PERCEPTION AND MANAGEMENT AMONG OLDER CHINESE AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S713-S714
Author(s):  
Simona Kwon ◽  
Jazmine Wong ◽  
Janet Pan ◽  
Andrew Rosenberg ◽  
Germaine Cuff ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pain Management ◽  
Asian American ◽  
Chinese American ◽  
Chinese Americans ◽  
Mixed Methods Study ◽  
Assessment Tools ◽  
Management Interventions ◽  
Older Chinese ◽  
Older Chinese Americans

Abstract Background: Chinese Americans make up the largest Asian American subgroup in the US. Data from a large health system indicate that older Chinese Americans experience lower satisfaction in pain management after surgery compared to all other racial/ethnic groups. Objective: To understand pain experience among older Chinese American patients to improve pain satisfaction strategies Methods: A mixed methods study was conducted, including: 1. A scoping review of the peer-reviewed published literature; 2) face-to-face survey; and 3) qualitative interviews. 14 Chinese American postsurgical patients >65 years of age were recruited for the survey and interview with a trained bilingual Community Health Worker. Questions from the Survey on Disparities in Quality of Healthcare and Kleinman’s Explanatory Model of Illness guided the data collection tools. Results: The 31 studies identified in the review were largely observational; none assessed pain control or management interventions for older Chinese Americans. Most participants reported experiencing a language barrier that hindered healthcare staff communication during hospital stay. Even with an interpreter, limited English proficient patients reported lower understanding of health information compared to those who did not need interpretation. Ideas of “pushing through” pain, perceiving physicians as “busy people,” and mismatch in pain assessment tools contributed to pain attendance delay. Facilitators to care included family support, culturally and linguistically-tailored tools, and availability of cultural remedies. Conclusions: This mixed-methods study identified key themes including socio-cultural barriers and facilitators to effective pain care and management. Findings will inform tools and resources to better capture and address pain management in Chinese Americans.

scholarly journals ‘It’s about willpower in the end. You’ve got to keep going’: a qualitative study exploring the experience of pain in inflammatory bowel disease

2019 ◽  
Vol 13 (4) ◽  
pp. 201-213 ◽  
Author(s):  
Louise Sweeney ◽  
Rona Moss-Morris ◽  
Wladyslawa Czuber-Dochan ◽  
Laure Belotti ◽  
Zoe Kabeli ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Pain Management ◽  
Qualitative Study ◽  
Bowel Disease ◽  
Management Strategies ◽  
Emotional Impact ◽  
Management Interventions ◽  
Inflammatory Bowel ◽  
Behavioural Therapies ◽  
Physical Impact

Background: Pain is a widely experienced symptom of inflammatory bowel disease (IBD), which has significant psychological and functional impacts on patients. Understanding the aetiology and management of chronic pain is a poorly understood area of IBD research. This qualitative study aimed to explore the experiences of individuals with IBD and pain, the pain management strategies they use and any needs for future pain management interventions. Methods: In all, 14 individuals with IBD were purposively recruited and interviewed (face-to-face or telephone) using a topic guide. Interviews were transcribed and analysed using inductive thematic analysis. Results: Themes identified were ‘vicious cycles’, ‘findings solutions’ and ‘attitudes’. The experience and impact of pain were rarely viewed in isolation, but rather within the context of a cycle of IBD symptoms. Other ‘vicious cycles’ identified included anxiety, avoidance and inactivity, and poor understanding and communication. Pain management included short- and long-term strategies. Searching for a solution for pain had an emotional impact on individuals. There were contrasting attitudes from participants, including defeat, tolerance and acceptance. Conclusion: This study provides an understanding of the experience of pain in IBD. The interaction of pain with accompanying IBD symptoms has an emotional and physical impact on individuals, and creates a barrier to adequate assessment, understanding and treatment of pain. Patients rely on their own experiences, and a trial and error approach to apply helpful strategies. Adjuvant behavioural therapies may be beneficial for patients experiencing pain and psychological distress, and to facilitate self-management.

scholarly journals Barriers of Neonatal Pain Management in the Intensive Care Unit: A Qualitative Study

2021 ◽  
Author(s):  
Hanieh Neshat ◽  
Hadi hassankhani ◽  
Mahnaz Jabraeili ◽  
Reza Negarandeh ◽  
Mohammad Bagher Hosseini ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pain Management ◽  
Qualitative Study ◽  
Organizational Factors ◽  
Management Program ◽  
Assessment Tools ◽  
Care Providers ◽  
Neonatal Pain ◽  
Pain Management Program

Abstract Background: Recognizing and managing neonates' pain in the intensive care unit is challenging. Evidence shows that guidelines available in this area are not utilized effectively in practice. Purpose: To explore barriers to neonatal pain management in a neonatal intensive care unit.Methods: This was a qualitative study. Thirty-one nurses and physicians participated in the study. Data was collected through individual and focus group interviews. Data analysis was performed using conventional content analysis.Results: The barriers consisted of lack of holistic views towards neonates (exclusive concentration on treating the diseases, the neonate's inability to demand and protest verbally), subjective and arbitrary working (unorganized teamwork, lack of unified approach in pain-relieving, limited supervision for pain management), work overload (workload, physical and psychological strain on the caregivers), insufficient professional knowledge (Insufficient expertise in using pain assessment tools, Low importance of controlling environmental stimuli, Insufficient knowledge about pain management medication, and Considering patient's pain as expected).Conclusion: According to the professionals, the barriers to effective management of pain in neonates admitted to the intensive care unit in a developing country, are comprised of the individual, interpersonal, and organizational factors.Practice Implications: Investigation the barriers of optimal pain management in NICU can help to take the proper steps to improve the quality of service provided. Education of care providers, designing and implementation of a unified neonatal-based pain management program, and proper organizational supervision could improve neonatal pain management. Also, physical and emotional support of care workers is essential for more quality performance.

Dynamics on the field: A focused ethnographic study of pediatric pain management at four Ghanaian hospitals

2020 ◽  
Author(s):  
Abigail Kusi Amponsah ◽  
Evans Oduro ◽  
Victoria Bam ◽  
Joana Kyei-Dompim ◽  
Collins Kwadwo Ahoto ◽  
...  
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Management Practices ◽  
Participant Observation ◽  
Symbolic Capital ◽  
Ethnographic Study ◽  
Pediatric Care ◽  
Pediatric Pain ◽  
Improvement Programs ◽  
Children's Pain

Abstract BackgroundAs part of efforts to develop and implement a short course educational program on pediatric pain management, the current study sought to understand the culture and contextual factors that influence children’s pain management in order to improve the practice in pediatric care settings.MethodsGuided by Bourdieu’s theory of practice, a focused ethnographic study was conducted from October, 2018 to February, 2019. The study was contextualized at four Ghanaian hospitals among purposefully sampled nurses, physicians, hospitalized children and their families. During the 20-week study period, three ethnographers spent 144 hours conducting participant-observation sessions. Formal and informal interviews were held with participants in addition to review of hospital records. Results Analysis of the field data resulted in four themes. “Children’s pain expression and response of caregivers” described the disposition (habitus) of both children and caregivers to act in particular ways due to children’s incomplete health status (bodily capital) which caused them pain and also resulted in discomforting procedures. “Pharmacological pain management practices and attitudes” elucidated the use of analgesics as the mainstay disposition (habitus) in children’s pain management due to high level of respect (symbolic capital) given to such interventions on the pediatric units (field). “Managing pain without drugs” illustrated healthcare providers and family caregivers’ disposition (habitus) of using diverse nonpharmacological methods in managing children’s pain. “Communication and interaction between pain actors” depicted how children’s access to care givers (social capital) can serve as a powerful tool in influencing pediatric pain assessment and management disposition (habitus) on the pediatric units (field). ConclusionsThe habitus of pediatric pain actors toward pain assessment and management practices are influenced by various forms of capital (social, cultural, symbolic, bodily and economic) operating at different levels on the pediatric care field. Quality improvement programs that seek to enhance pediatric pain management should use the insights obtained in this study to guide the development, implementation and evaluation stages.

scholarly journals GOOGLE FORMS AS AN EFL ASSESSMENT TOOL: POSITIVE FEATURES AND LIMITATIONS

2020 ◽  
Vol 9 (2) ◽  
pp. 231
Author(s):  
Angela Bayu Pertama Sari ◽  
Dwi Iswahyuni ◽  
Sri Rejeki ◽  
Sutanto Sutanto
Keyword(s):  
Qualitative Study ◽  
Research Method ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Significant Implication ◽  
English Major ◽  
Time And Energy ◽  
Descriptive Qualitative

This study presents an assessment tool in which it aims to investigate the positive features and limitations of Google forms as an EFL assessment tool. The research method used in this study is a descriptive qualitative study in which the instruments employed are class activity log and observation checklist. Moreover, the participants are 240 non-English major students. The results of the study showed that there are 5 positive features and 2 limitations of Google Forms as an EFL assessment tools.  It can be concluded that the positive features of Google forms as an EFL assessment tool are in terms of efficiency in time and energy, conformity to the students’ characteristics, less cost, detail result, and helpful features. In other words, the significant implication is that the use of Google Forms as an assessment tool can alleviate the lecturer’s workload. Furthermore, the limitations deal with scoring and tools issues.

scholarly journals Patients’ Needs and Requirements for eHealth Pain Management Interventions: Qualitative Study

10.2196/13205 ◽  
2019 ◽  
Vol 21 (4) ◽  
pp. e13205 ◽  
Author(s):  
Ingrid Konstanse Ledel Solem ◽  
Cecilie Varsi ◽  
Hilde Eide ◽  
Olöf Birna Kristjansdottir ◽  
Jelena Mirkovic ◽  
...  
Keyword(s):  
Pain Management ◽  
Qualitative Study ◽  
Management Interventions

scholarly journals Expectations towards participation in easily accessible pain management interventions: a qualitative study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Torunn Hatlen Nøst ◽  
Aslak Steinsbekk ◽  
Liv Riseth ◽  
Ola Bratås ◽  
Kjersti Grønning
Keyword(s):  
Pain Management ◽  
Qualitative Study ◽  
Management Interventions

scholarly journals Dynamics on the field: a focused study on the culture and context of pediatric pain management at four Ghanaian hospitals

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abigail Kusi Amponsah ◽  
Evans Oduro ◽  
Victoria Bam ◽  
Joana Kyei-Dompim ◽  
Collins Kwadwo Ahoto ◽  
...  
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Management Practices ◽  
Participant Observation ◽  
Symbolic Capital ◽  
Ethnographic Study ◽  
Pediatric Care ◽  
Pediatric Pain ◽  
Improvement Programs ◽  
Children's Pain

Abstract Background As part of efforts to develop and implement a short course educational program on pediatric pain management, the current study sought to understand the culture and contextual factors that influence children’s pain management in order to improve the practice in pediatric care settings. Methods Guided by Bourdieu’s theory of practice, a focused ethnographic study was conducted from October, 2018 to February, 2019. The study was contextualized at four Ghanaian hospitals among purposefully sampled nurses, physicians, hospitalized children and their families. During the 20-week study period, three ethnographers spent 144 h conducting participant-observation sessions. Formal and informal interviews were held with participants in addition to review of hospital records. Results Analysis of the field data resulted in four themes. “Children’s pain expression and response of caregivers” described the disposition (habitus) of both children and caregivers to act in particular ways due to children’s incomplete health status (bodily capital) which caused them pain and also resulted in discomforting procedures. “Pharmacological pain management practices and attitudes” elucidated the use of analgesics as the mainstay disposition (habitus) in children’s pain management due to high level of respect (symbolic capital) given to such interventions on the pediatric units (field). “Managing pain without drugs” illustrated healthcare providers and family caregivers’ disposition (habitus) of using diverse nonpharmacological methods in managing children’s pain. “Communication and interaction between pain actors” depicted how children’s access to care givers (social capital) can serve as a powerful tool in influencing pediatric pain assessment and management disposition (habitus) on the pediatric units (field). Conclusions The habitus of pediatric pain actors toward pain assessment and management practices are influenced by various forms of capital (social, cultural, symbolic, bodily and economic) operating at different levels on the pediatric care field. Quality improvement programs that seek to enhance pediatric pain management should use the insights obtained in this study to guide the development, implementation and evaluation stages.

scholarly journals The challenge of pain identification, assessment, and management in people with dementia: a qualitative study

BJGP Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. bjgpopen20X101040
Author(s):  
Laurna Bullock ◽  
Carolyn A Chew-Graham ◽  
John Bedson ◽  
Bernadette Bartlam ◽  
Paul Campbell
Keyword(s):  
Pain Management ◽  
Qualitative Study ◽  
Family Caregivers ◽  
Old Age ◽  
Community Services ◽  
Community Dwelling ◽  
Assessment Tools ◽  
Structured Interviews ◽  
People With Dementia ◽  
Management Plans

BackgroundPainful conditions are common in older adults, including people with dementia. The symptoms associated with dementia (for example, diminished language capacity, memory impairment, and behavioural changes), however, may lead to the suboptimal identification, assessment, and management of pain. Research has yet to qualitatively explore pain management for community-dwelling people with dementia.AimTo explore pain identification, assessment, and management for community-dwelling people with dementia.Design & settingA qualitative study was undertaken, set in England.MethodSemi-structured interviews took place with people with dementia, family caregivers, GPs, and old-age psychiatrists. Data were analysed thematically.ResultsInterviews were conducted with eight people with dementia, nine family caregivers, nine GPs, and five old-age psychiatrists. Three themes were identified that related to pain identification and assessment: gathering information to identify pain; the importance of knowing the person; and the use of pain assessment tools. A further three themes were identified that related to pain management: non-drug strategies; concerns related to analgesic medications; and responsibility of the caregiver to manage pain.ConclusionIdentifying and assessing the pain experienced by people with dementia was challenging. Most people with dementia, family caregivers, and healthcare professionals supported non-drug strategies to manage pain. The minimal concerns associated with non-drug strategies contrasted the multifactorial concerns associated with analgesic treatment for people with dementia. Given the complexity of pain identification, assessment, and management, primary care should work together with family caregivers and community services, with case finding for pain being considered in all assessment and management plans.

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