scholarly journals Nurses' Perceptions of the Barriers to Using Nonpharmacological Methods to Relieve Patients' Pain in the Adult Care Setting

2019 ◽  
Author(s):  
Alyssa Ethier
Keyword(s):  
Pain Management ◽  
Management Practices ◽  
Hospital Setting ◽  
System Support ◽  
Adult Care ◽  
Nursing Experience ◽  
Pain Intervention ◽  
Management Techniques ◽  
Nurses Perceptions ◽  
Nonpharmacological Pain Management

Managing patients’ pain is a challenge that many caregivers face as they balance adequate pain management with minimal drug side effects. Nonpharmacological pain management techniques exist that literature has shown to be effective. Although caregivers may be aware that nonpharmacological pain relief options exist, pharmacological pain management still remains the primary, and often the sole form of pain intervention. The purpose of this project was to identify nurses’ perceptions of barriers to using nonpharmacological methods to manage their patients’ pain in the inpatient hospital setting. A modified survey was created using the Nurses’ Perceived Obstacles to Pain Assessment and Management Practices questionnaire by Coker et al (2010). The modified survey included 19 questions that were relevant to nonpharmacological pain management of an adult patient in the hospital setting. The participants’ years of nursing experience was also collected with this tool. A total of 19 nurses that work in the Intensive Care Unit of Newport Hospital, a 129-bed community hospital in Newport, RI were surveyed. The results of the survey showed that over half of all respondents perceived they had inadequate time to educate their patients on the use of nonpharmacological pain management and that their institution did not have clear policies or guidelines of best practices regarding nonpharmacological pain management. Over 45% of all respondents found a lack of system support and education and patient attitude to be barriers. This project identified that both nurses and patients would benefit from further guidance by the institution with the use of guidelines and policies to enhance their knowledge, confidence, efficiency, and skills to manage their patients’ pain with nonpharmacological options.

scholarly journals Are nurses utilizing the non-pharmacological pain management techniques in surgical wards?

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258668
Author(s):  
Magda Mohamed Mohamed Bayoumi ◽  
Leena Mohammad Abdulla Khonji ◽  
Wessam Fathy Mohamed Gabr
Keyword(s):  
Pain Management ◽  
Health Beliefs ◽  
Emotional Support ◽  
Positive Reinforcement ◽  
Study Data ◽  
Post Discharge ◽  
Cross Sectional ◽  
Management Techniques ◽  
Nonpharmacological Pain Management ◽  
Behavioral Methods

The non-pharmacological pain management therapies have a valuable effect in managing moderate to mild pain intensity, especially if demonstrated in the pre-operative phase. The study aimed to explore the nurses’ practice toward using non-pharmacological pain management techniques in surgical wards. In a cross-sectional research design, a convenient sample of 47 nurses in the surgical wards in Egyptian hospital (Third Level) participated in the study. Data gathered using modified Non-pharmacological Methods Questionnaire. Results of the study indicated that nurse’s perception regarding applying the cognitive-behavioral methods as a distraction and Positive reinforcement techniques were more common (68.1%,53.2%), whereas most of them used emotional support (93.6%) and preferred to demonstrate physical methods. Meanwhile, nurses addressed the barriers to apply nonpharmacological pain management as lack of time, patient unwillingness, and patients’ health beliefs. Nevertheless, nurses reported the non-pharmacological pain management is less expensive and has fewer side effects than medication and can demonstrated post-discharge. Nurses play a key role in applying effective and different non-pharmacological therapies in surgical wards. Thus, nurses should be encouraged to demonstrate the non-pharmacological pain management therapies with patients undergoing surgical procedures.

Pain Assessment in the Recovery Room

2008 ◽  
Vol 18 (11) ◽  
pp. 480-489 ◽  
Author(s):  
Donna N Brown
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Recovery Room ◽  
Management Practices ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Assessment Tools ◽  
Acute Hospital Setting

The assessment and management of pain in the acute hospital setting is an important issue for practitioners (Layman Young et al 2005). Despite advances in pain management (Fotiadis et al 2004, Powell et al 2004, Wu & Richman 2004) and the use of multimodal analgesic techniques in the theatre/recovery environment (Jin & Chung 2001), for a variety of reasons (Turk & Okifuji 1999, Pasero 2003), patients’ reports of pain following surgery suggest that it remains problematic (Rawal 2002, Brown 2004, Coll et al 2004). In the recovery room disorientation, anxiety, fear and nausea may add to and alter patients’ perception of pain, making it crucial that recovery room practitioners understand pain and pain assessment. This article outlines and critiques pain assessment tools that may be used to enhance pain management practices in the recovery room.

Impression management and legitimacy strategies: The BP case

2013 ◽  
pp. 35-64 ◽  
Author(s):  
Giovanna Michelon
Keyword(s):  
Impression Management ◽  
Management Practices ◽  
Legitimacy Theory ◽  
British Petroleum ◽  
Wide Range ◽  
Management Techniques ◽  
Disclosure Tone ◽  
The Empirical Analysis ◽  
A Company ◽  
Texas City

The aim of this paper is to study if and how impression management varies during different phases of the legitimation process, in particular during the legitimacy building and legitimacy repairing phases (Suchman, 1995). We aim at understanding whether and how the disclosure tone adopted by a company in the two different moments is diverse and thus functional to the intrinsic objective of the each phase. The empirical analysis focuses on the case of British Petroleum Plc. We investigated the impression management practices undertaken by the company both during the preparation of the rebranding operation, i.e. a situation in which the company is trying to build legitimacy; and during the happenings of two legitimacy crises, like the explosion of the refinery in Texas City and the oil spill in the Gulf of Mexico. The evidence appears in line with the theoretical prediction of legitimacy theory. Results show that while the company tends to privilege image enhancement techniques during the legitimacy-building phase, it uses more obfuscation techniques when managing a legitimacy-repairing process. Moreover, the analysis suggests that the company makes more extensive use of impression management techniques in the disclosures addressed to shareholders, investors and other market operators than in the disclosures addressed to the wide range of other stakeholders.

scholarly journals Caregiver-Reported Pain Management Practices for Individuals With Cerebral Palsy

2021 ◽  
pp. 100105
Author(s):  
Abagail M. Raiter ◽  
Chantel C. Burkitt ◽  
Alyssa Merbler ◽  
Lisa Lykken ◽  
Frank J. Symons
Keyword(s):  
Cerebral Palsy ◽  
Pain Management ◽  
Management Practices

scholarly journals A 6-Year Review of Carbapenemase-Producing Organisms in Alberta, Canada

2020 ◽  
Vol 41 (S1) ◽  
pp. s104-s105
Author(s):  
Ye Shen ◽  
Jennifer Ellison ◽  
Uma Chandran ◽  
Sumana Fathima ◽  
Jamil Kanji ◽  
...  
Keyword(s):  
Acute Care ◽  
Management Practices ◽  
Hospital Setting ◽  
Data Sources ◽  
Infection Prevention And Control ◽  
Term Care ◽  
Carbapenemase Gene ◽  
Care Facilities ◽  
Hospital Acquired ◽  
Alberta Health

Background: This review describes the epidemiology of carbapenemase-producing organisms (CPO) in both the community and hospitalized populations in the province of Alberta. Methods: Newly identified CPO-positive individuals from April 1, 2013, to March 31, 2018, were retrospectively reviewed from 3 data sources, which shared a common provincial CPO case definition: (1) positive CPO results from the Provincial Laboratory for Public Health, which provides all referral and confirmatory CPO testing, (2) CPO cases reported to Alberta Health, and (3) CPO surveillance from Alberta Health Services Infection Prevention and Control (IPC). The 3 data sources were collated, and initial CPO cases were classified according to their likely location of acquisition: hospital-acquired, hospital-identified, on admission, and community-identified. Risk factors and adverse outcomes were obtained from linkage to administrative data. Results: In total, 171 unique individuals were newly identified with a first-time CPO case. Also, 15% (25 of 171) were hospital-acquired (HA), 21% (36 of 171) were hospital-identified (HI), 33% (57 of 171) were on admission, and 31% (53 of 171) were community identified. Overall, 9% (5 of 171) resided in long-term care facilities. Of all patients in acute-care facilities, 30% (35 of 118) had infections and 70% were colonized. Overall, 38% (65 of 171) had an acute-care admission in the 1 year prior to CPO identification; 59% (63 of 106) of those who did not have a previous admission had received healthcare outside Alberta. A large proportion of on-admission cases (81%, 46 of 57) and community-identified (66%, 33 of 53) cases did not have any acute-care admissions in Alberta in the previous year. Overall, 10% (14 of 171) had ICU admissions in Alberta within 30 days of CPO identification, and 5% (8 of 171) died within 30 days. The most common carbapenemase gene identified was NDM-1 (53%, 90 of 171). Conclusions: These findings highlight the robust nature of Alberta’s provincial CPO surveillance network. We reviewed 3 different databases (laboratory, health ministry, IPC) to obtain comprehensive data to better understand the epidemiology of CPO in both the community and hospital settings. More than half of the individuals with CPO were initially identified in the community or on admission. Most had received healthcare outside Alberta, and no acute-care admissions occurred in Alberta in the previous year. It is important to be aware of the growing reservoir of CPO outside the hospital setting because it could impact future screening and management practices.Funding: NoneDisclosures: None

scholarly journals Integrated Management of Downy Mildew on Slicing Cucumber With Fungicides and Host Resistance But Not Trellising

Plant Disease ◽  
2019 ◽  
Vol 103 (10) ◽  
pp. 2592-2598
Author(s):  
Anthony P. Keinath
Keyword(s):  
Downy Mildew ◽  
Host Resistance ◽  
Management Practices ◽  
Integrated Management ◽  
Cultivar Resistance ◽  
Fall Season ◽  
Fungicide Treatment ◽  
Progress Curve ◽  
Management Techniques ◽  
The Mean

The objective of this study was to evaluate fungicide applications, host resistance, and trellising, alone and in combination, as management practices for downy mildew on slicing cucumber. A split-split plot experimental design was used with three and four replications in spring and fall 2017, respectively. The whole-plot treatment was fungicide, four applications of chlorothalonil (Bravo Weather Stik 6SC) alternated with three applications of cyazofamid (Ranman 400SC), or water. Split plots were nontrellised or trellised with four strings supported by stakes. Split-split plots were cultivar Bristol, which is intermediately resistant to downy mildew, or cultivar Speedway, which is susceptible to downy mildew with similar parentage as Bristol. In both seasons, area under the disease progress curve (AUDPC) values were lower with fungicides than water for both cultivars. In the spring, AUDPC for Bristol was lower than for Speedway regardless of fungicide treatment. In the fall, Bristol had a lower AUDPC than Speedway with fungicides, but the AUDPC did not differ between the two cultivars with water. The mean AUDPC for trellised plants (376.2) was lower than for nontrellised plants (434.0; P = 0.007). Fungicide applications increased marketable and total fruit weights in both seasons (P ≤ 0.0002). Marketable weight with fungicides was almost double (93% greater) the marketable weight with water. Marketable weight was 55% greater for Bristol than for Speedway in spring, but yields did not differ between cultivars in fall (season-by-cultivar interaction, P ≤ 0.0003). Because trellising had no effect on marketable yields (P = 0.11), trellising is not recommended for managing downy mildew on slicing cucumber. Of the three management techniques examined, fungicides had the largest effects on disease and yields, followed by cultivar resistance.

Pattern of Pain Management Practices of Filipino Surgeons

Oncology ◽  
2008 ◽  
Vol 74 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Jose Rhoel C. de Leon ◽  
Erwin Espinosa
Keyword(s):  
Pain Management ◽  
Management Practices
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