The impact of nurses' empathic responses on patients' pain management in acute care.

Abstract:

BACKGROUND:Although nurses have the major responsibility for pain management, little is known about nurses' responses to patients in the process of managing acute pain. OBJECTIVE:To examine the relationship between nurses' empathic responses and their patients' pain intensity and analgesic administration after surgery. METHODS:Two hundred twenty-five patients from four cardiovascular units in three university-affiliated hospitals were interviewed on the third day after their initial, uncomplicated coronary artery bypass graft (CABG) surgery about their pain and current pain management. Concurrently, their nurses' (n = 94) empathy and pain knowledge and beliefs were assessed. Patient data were aggregated and linked with the assigned nurse to form 80 nurse-patient pairs. RESULTS:Nurses were moderately empathic, and their responses did not significantly influence their patients' pain intensity or analgesia administered. Patients reported moderate to severe pain but received only 47% of their prescribed analgesia. Patients' perceptions of their nurse's attention to their pain were not positive, and empathy explained only 3% of variance in patients' pain intensity. Deficits in knowledge and misbeliefs about pain management were evident for nurses independent of empathy, and knowledge explained 7% of variance in analgesia administered. Hospital sites varied significantly in analgesic practices and pain inservice education for nurses. CONCLUSIONS:Empathy was not associated with patients' pain intensity or analgesic administration.

journal_name

Nurs Res

journal_title

Nursing research

authors

Watt-Watson J,Garfinkel P,Gallop R,Stevens B,Streiner D

doi

10.1097/00006199-200007000-00002

keywords:

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

191-200

issue

4

eissn

0029-6562

issn

1538-9847

journal_volume

49

pub_type

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