Orthopedic Nurses' Experiences in Postoperative Pain Management
Makaleler > Tam Makale · 2018
Yazarlar: Özlem BİLİK, Ayşegül SAVCI, Hale TURHAN DAMAR
Turkiye Klinikleri Journal of Nursing Sciences, Uluslararası, 2018, cilt 10, ss 214-221
DOI: 10.5336/nurses.2018-61353
Özet
Objective: This study was aim to examine orthopedic nurses' experiences in postoperative pain management. Material and Methods: The study was carried out adopting the qualitative descriptive research method. The study was conducted with nurses working in orthopedics and traumatology clinic (n=16) in June 2014. The sampling criterion for nurses is to be working in orthopedics and traumatology clinic for at least six months. Therefore, two focus groups were interviewed. The interviews were recorded and the average duration of voice recordings was 60 minutes. Content analysis was used as a data analysis instrument. This study was approved by the ethics board and the university hospital. Results: Nurses participating in the study are aged between 22 and 38 years (28.30±4.20), 93.75% of them are female and 93.75% are university graduates. As a result of the content analysis conducted on the interviews, two main themes have been identified: ''Decision Makers in Pain Management'' and ''Barriers in Pain Management''. Decision makers in pain management main theme includes the sub-themes of nurses' observations and experiences (tacit knowledge), use of various resources and patients' preference. The barriers in the management of pain are the beliefs and prejudices of nurses, lack of cooperation between team members, nurses' lack of knowledge and patients' experiences. Conclusion: Nurses stated that they were influenced by their experiences in pain management and from various resources such as internet. In addition, there is a lack of knowledge regarding pharmacological and non-pharmacological treatment methods among the factors that prevent pain management. Training plans for nurses on pain management, narcotic analgesics and non-pharmacological nursing interventions may be recommended. It is also recommended to develop team work on pain management and to establish institutional policies.