Abstract/Details

Pain management documentation: The effects of the perception of the practice environment and clinical expertise


2007 2007

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Abstract (summary)

Pain is known to be pervasive, severe, and under treated in hospital settings (Abbott et al., 1992; Carroll et al., 1999; Whelan, Jin, & Meltzer, 2004). Since pain management is both an organizational and individual process, the purpose of this study was to examine the contribution of individual nurses' perceptions of their practice environments and their clinical expertise to their pain management documentation in the surgical population. A convenience sample of 85 nurses from two teaching hospitals in the Boston area volunteered to participate in the study. The nurses completed the Practice Environment Scale of the Revised Nursing Work Index (Lake, 2002a) and the Staff Registered Nurse Survey (Lake, 2002b) to measure the independent variables. A new instrument developed by the investigator, the Pain Management Documentation Rating Scale, based on experts' ratings of nurses' charted activities, was used to rate pain management documentation. Data were analyzed first descriptively, then using multiple regression. Results showed that the perception of the practice environment did not contribute to pain management documentation whereas clinical expertise explained 4.4% of the variance. Clinical expertise and pain management documentation were inversely related. Study methods, nurse sample demographics and the overall state of pain management documentation impacted the results. Implications for nursing administration and staff educators are that consistent implementation of guidelines on which experts agree are necessary for improvement in pain management documentation.

Indexing (details)


Subject
Nursing;
Pain management;
Perceptions;
Clinical trials
Classification
0569: Nursing
Identifier / keyword
Health and environmental sciences, Clinical expertise, Pain, Practice environment, Q methodology
Title
Pain management documentation: The effects of the perception of the practice environment and clinical expertise
Author
Samuels, Joanne Goodman
Number of pages
236
Publication year
2007
Degree date
2007
School code
0118
Source
DAI-B 68/11, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780549330165
Advisor
Gilbert, Dorothy A.
Committee member
Reilly, Cheryl A.; Woodard, Melissa S.
University/institution
University of Massachusetts Amherst
Department
Nursing
University location
United States -- Massachusetts
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3289207
ProQuest document ID
304839397
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/304839397
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