Abstract：
AIM:This paper is a report of a literature review conducted to identify barriers to successful pain assessment in older adults with dementia and possible strategies to overcome such barriers. BACKGROUND:Pain is frequently undetected, misinterpreted, or inaccurately assessed in older adults with cognitive impairment. These people are often unable to articulate or convey how they feel and are often perceived as incapable of experiencing or recalling pain. DATA SOURCES:Searches were conducted of CINAHL, Medline and other databases for the period 1993-2007 using the search terms pain, dementia, assess*, barrier* and obstacle*. METHODS:Studies were critically appraised by two independent reviewers. Data were extracted using instruments specifically developed for the review. Studies were categorized according to levels of evidence defined by the Australian National Health and Medical Research Council and Joanna Briggs Institute. RESULTS:Perceived barriers to successful pain assessment in people with dementia included lack of recognition of pain, lack of sufficient education and/or training, misdiagnosis or late diagnosis, and non-use of assessment tools. Barriers related to people with dementia included insufficient evidence, the possibility of a 'no pain' subset of people with dementia, type of pain, and stoical attitudes. Strategies proposed as means of overcoming these barriers included knowing the person, knowing by diversity/intuitive perception, education and training, and use of adequate tools. CONCLUSION:More extensive education and training about the relationship between pain and dementia are urgently needed, as is the development and implementation of an effective pain assessment tool specifically designed to detect and measure pain in older adults with all stages of dementia.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
McAuliffe L,Nay R,O'Donnell M,Fetherstonhaugh Ddoi
10.1111/j.1365-2648.2008.04861.xsubject
Has Abstractpub_date
2009-01-01 00:00:00pages
2-10issue
1eissn
0309-2402issn
1365-2648pii
JAN4861journal_volume
65pub_type
杂志文章,评审abstract：AIM:This paper is a report of a concept analysis to identify a meaning of care dependency that can be shared by both care givers and care recipients. BACKGROUND:Care dependency can be perceived from the care recipient's and the care giver's perspective. To allow for comparisons, both sides should share the same unders...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2007.04456.x
更新日期：2007-12-01 00:00:00
abstract：:This study examined how patient autonomy is associated with the organizational environment in nursing homes, particularly the organizational climate, organization of work and selected staff characteristics, such as age and experience of health care. Staff from 13 nursing homes in the county of Stockholm, Sweden, were ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.1995.tb03117.x
更新日期：1995-12-01 00:00:00
abstract：:Because of trends in the health care environment, hospitals are restructuring to innovative patient care delivery systems. The Case Management Model, with its emphasis on quality patient care and cost containment, is gaining widespread recognition throughout Canada and the United States. In this paper, the Case Manage...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1992.tb01834.x
更新日期：1992-10-01 00:00:00
abstract：AIM:This paper is a report of a study to evaluate the impact on office hours capacity, patient satisfaction, quality of life and costs of including a nurse practitioner in a multidisciplinary consultation team for patients with hand problems caused by rheumatoid arthritis. BACKGROUND:Over 90% of patients with rheumato...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2008.04916.x
更新日期：2009-03-01 00:00:00
abstract：AIM:To test the validity of The Newcastle Satisfaction with Nursing Scales as measures of patient satisfaction with nursing care in an inpatient postpartum unit. BACKGROUND:The Newcastle Satisfaction with Nursing Scales (Experience of Nursing Care Scale and Satisfaction with Nursing Care Scale) were developed to measu...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2005.03634.x
更新日期：2005-12-01 00:00:00
abstract：AIM:This study aims to evaluate the effects of a community-based program entitled 'Brain Vitality Enhancement (BRAVE)' on the cognitive function, physical and mental well-being of persons with mild cognitive impairment. STUDY DESIGN:This is a parallel wait list randomized controlled trial. METHODS:The BRAVE program c...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14175
更新日期：2019-12-01 00:00:00
abstract：AIM:This paper reports a study conducted to explore how nurses working at advanced practice level in chronic and acute care outpatient contexts responded to decision-making concerns in clinical practice. BACKGROUND:Current theoretical explanations of clinical judgement offer insight into how healthcare professionals p...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2010.05412.x
更新日期：2010-12-01 00:00:00
abstract：:The purpose of this paper is to describe and evaluate the ability of instruments to produce information about the presence and intensity of fear before, during and after coronary arteriography. Information about patient fear was measured from cognitive, physiological and behavioural dimensions. The sample of the study...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00764.x
更新日期：1998-07-01 00:00:00
abstract：:The study identified those hospital experiences perceived as stressful during hospitalization by patients, which will help clinical nurses to modify the nursing care provided. A Hospital Stress Rating Scale questionnaire of 40 items tested for reliability and validity was used to elicit responses from 100 patients fro...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb03437.x
更新日期：1991-04-01 00:00:00
abstract：:Finnish mental health care went through a major change in the 1980s. Its institutions were being run down and there was a shift to a caring system that stresses non-institutional practices. The schooling and work of the mental health nurse had to adapt to the new situation. The purpose of my study was to describe and ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1994.tb01203.x
更新日期：1994-06-01 00:00:00
abstract：AIM:The aim of this study was to explore the perceptions of surgical patients about traditional and novel methods to learn about postoperative pain management. BACKGROUND:Patient education is an important part of postoperative care. Contemporary technology offers new ways for patients to learn about self-care, althoug...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13021
更新日期：2016-11-01 00:00:00
abstract：AIM:To develop, refine and put forward a programme theory that describes configurations between context, hidden mechanisms and outcomes of nursing discharge teaching. DESIGN:Rapid realist review guided by Pawson's recommendations and using the Realist and Meta-narrative Evidence Syntheses: Evolving Standards. DATA SO...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.14511
更新日期：2020-11-01 00:00:00
abstract：AIM:To examine the relationships of health literacy to diabetes self-care behaviors (diet, physical exercise, foot care and blood glucose monitoring) through empowerment controlling for diabetes education. BACKGROUND:Potential mechanisms of how health literacy links to health outcomes have not clearly elucidated. DES...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13738
更新日期：2018-10-01 00:00:00
abstract：:the current definitions of caring in nursing education denote a mutual relationship between teachers and students in which they interact to provide an environment which supports the students' personal and professional development. The learning of caring in an interactional context is typical of the female experience. ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.22030600.x
更新日期：1995-09-01 00:00:00
abstract：AIM:To develop and psychometrically test the Italian-language Nurse Caring Behaviours Scale, a short measure of nurse caring behaviour as perceived by inpatients. BACKGROUND:Patient perceptions of nurses' caring behaviours are a predictor of care quality. Caring behaviours are culture-specific, but no measure of patie...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13384
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Hip fracture is a major cause of mortality and morbidity, particularly among older people, but there is little information on how individuals experience this. AIMS:This study was conducted to explore the experiences of individuals who had suffered a hip fracture. The aim was not to produce generalizable fin...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.0309-2402.2003.02817.x
更新日期：2003-11-01 00:00:00
abstract：:A major problem of diabetes mellitus lies in its complications. Fourteen Type 1 diabetic patients with severe long-term complications were interviewed on two occasions with the aim of gaining a deeper understanding of their coping strategies. The study has a qualitative design and a grounded theory approach was used. ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1990.tb01982.x
更新日期：1990-09-01 00:00:00
abstract：:This research study was funded by the Health Systems Trust in Cape Town through the University of Natal in Durban. OBJECTIVES. The objectives of this study were to teach primary health care nurses to diagnose and treat common psychiatric conditions, to refer those patients whom they cannot handle, and to evaluate the ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01068.x
更新日期：1999-07-01 00:00:00
abstract：AIMS:The aim of this study was to evaluate the use of a 7-day Retrospective Diary to assess peri-conceptual and mid-pregnancy alcohol consumption. BACKGROUND:Alcohol consumption among women has increased significantly and is of international concern. Heavy episodic ('binge') drinking is commonplace and is associated w...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/jan.13112
更新日期：2017-02-01 00:00:00
abstract：:Recent surveys show that children are still restricted from visiting their critically ill family and friends on many adult intensive care units throughout the country. The purpose of this small-scale exploratory pilot study was to examine and describe the experiences and perceptions of trained nurses towards children ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01293.x
更新日期：2000-02-01 00:00:00
abstract：:Childhood accidental injuries are a major public health problem, whether measured in terms of morbidity or mortality, and accident prevention is subsequently a priority issue. The Accident and Emergency Notification System to health visitors provides them with vital information and statistics with which to plan accide...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1996.tb03141.x
更新日期：1996-01-01 00:00:00
abstract：AIM:This paper is a report of a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. BACKGROUND:Medication safety is an important issue in which acute care nurses are actively involve...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2007.04378.x
更新日期：2007-10-01 00:00:00
abstract：:Gaming-simulation exercises have become an established teaching strategy for nursing education. This paper suggests that nurse educators must now attempt to evaluate their effect on learning. Problems of evaluation are discussed and alternative approaches critically considered. The dominant 'classical' approach is rej...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1989.tb00913.x
更新日期：1989-02-01 00:00:00
abstract：AIMS:To investigate the moderating effects of work overload and supervisor support on the emotional exhaustion-depressive state relationship. BACKGROUND:Burnout and depression are prevalent in human service professionals and have a detrimental impact on clients. Work overload and supervisor support are two key job dem...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12948
更新日期：2016-08-01 00:00:00
abstract：:Despite dissatisfaction with disease-oriented models, nursing has not yet adopted a truly health-oriented paradigm. It is important that nurse theorists remain open to health-oriented conceptual models which, although developed in other disciplines, offer adaptability for nursing. In the accompanying article, Antonovs...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1989.tb03421.x
更新日期：1989-04-01 00:00:00
abstract：BACKGROUND:In a resident-oriented care model the assignment of patients to primary nurses takes place. These primary nurses are responsible for the total nursing care of their patients and make use of the nursing process. According to job demand-control models, these enlarged and enriched jobs can be described in terms...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2003.02956.x
更新日期：2004-03-01 00:00:00
abstract：:In this paper, research guided by the principles of fourth-generation evaluation, which has negotiation as its centre, will be scrutinized. The role of stakeholders will be discussed with reference to negotiation issues. Throughout this discussion, observations will be based on the actual process of conducting three p...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01253.x
更新日期：2000-01-01 00:00:00
abstract：AIMS OF THE PAPER:This paper aims to explore through historical analysis some of the means by which medicine successfully appropriated and medicalized pregnancy and childbirth and to consider the impact that this has had on women's experiences within maternity care. BACKGROUND AND RATIONALE:The appropriation and medic...
journal_title：Journal of advanced nursing
pub_type： 历史文章,杂志文章
doi：10.1046/j.1365-2648.2001.01669.x
更新日期：2001-02-01 00:00:00
abstract：:Little information exists in the literature to assist the nurse in understanding people of ethnic minority group status who become hospitalized in an acute-care setting. Research on these populations has primarily centred on out-patient service utilization and on folk health practices, yet the process of becoming hosp...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1984.tb00399.x
更新日期：1984-09-01 00:00:00
abstract：AIM OF THE PAPER:To review the literature relating to emotional labour in the workplace and identify potential sources of emotion within midwifery work. RATIONALE:There is substantial evidence to indicate that the quality of the relationship between midwife and woman is significant in determining the quality of the ch...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2001.01772.x
更新日期：2001-05-01 00:00:00
