Abstract:
AIM:To explore district nurses care of chronic pain sufferers and to create a theoretical model that can explain the variation in district nurses experiences when caring for these patients. BACKGROUND:Many people suffer from chronic pain, which greatly affects their wellbeing and causes physical suffering and psychosocial limitations. District nurses frequently meet patients who suffer from chronic pain and consequent problems. District nurses often feel powerless and ill-equipped, and they experience difficulties during interactions with these patients. METHOD:This is a qualitative study with a theory-generating approach. Data were collected from interviews with 20 district nurses in five focus groups. Interviews were taped, transcribed and then analysed as per the grounded theory method. RESULTS:The result is a theoretical model of district nurses' involvement in pain care. The model: (1) illustrates three main conditions in the care situation that influence district nurses' involvement in pain care and (2) explains the connection between how district nurses actively or passively detect and actively or passively respond to patients with pain problems. CONCLUSIONS:The model explains why district nurses sometimes feel powerless or ill-equipped in dealing with chronic pain problems. Insufficient conditions make it difficult for district nurses to become involved with pain problems and thus result in passive detection of and passive response to pain problems. Supporting patients to communicate their pain, collaboration with and involvement from other professionals regarding pain care, the organisation's guidelines and support for pain care and training in pain care are interventions that will contribute to district nurses' involvement in pain care. RELEVANCE TO CLINICAL PRACTICE:Through the model, chronic pain care can be better explained and understood; consequently chronic pain care can be improved. The model can be used in each, unique, case-study analysis. Nursing staff and students can also use the model as a basis for discussions about chronic pain sufferers.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Blomberg AM,Hylander I,Törnkvist Ldoi
10.1111/j.1365-2702.2007.02222.xsubject
Has Abstractpub_date
2008-08-01 00:00:00pages
2022-31issue
15eissn
0962-1067issn
1365-2702journal_volume
17pub_type
杂志文章abstract::This paper reports the preliminary results of research investigating the factors that help or hinder advanced nurse practitioners as they attempt to implement new roles in clinical practice. Multiple facilitating and inhibiting factors are identified, the majority of which are shared across various clinical settings. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.1998.00199.x
更新日期:1998-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the lived experience of patients in fast-track primary unilateral total hip and knee arthroplasty from the first visit at the outpatient clinic until discharge. BACKGROUND:Fast-track has resulted in increased effectiveness, including faster recovery and shorter length of stay to about tw...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13121
更新日期:2016-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the connection between +6 nursing leadership and enhanced patient safety. BACKGROUND:Critical reports from the Institute of Medicine in 1999 and Francis QC report of 2013 indicate that healthcare organisations, inclusive of nursing leadership, were remiss or inconsistent in fostering a c...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13980
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To develop and examine the effectiveness of individualised intervention to reduce constipation among older adults in nursing homes. BACKGROUND:In long-term care facilities, approximately 60-80% of the residents have symptoms of constipation. Constipation may lead to haemorrhoids, faecal impaction, ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.12974
更新日期:2015-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine qualitative studies which reported on patients' challenges of living with and managing inflammatory bowel disease (IBD). BACKGROUND:There is a growing body of qualitative research focusing on the subjective experiences of patients with IBD. This research points to the daily challenges th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/jocn.15080
更新日期:2020-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study is to gain greater understanding of new graduate nurses' organisational socialisation and to help inform recruitment and support strategies for this population. To this end, it uses Van Maneen and Schein's theory of organisational socialisation to explore new graduate nurse...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13563
更新日期:2017-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To identify the specialist role/s that nurses perform and the specialist skills that nurses use when caring for people with intellectual disability. METHODS:Adhering to the "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," various subject headings were used...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14555
更新日期:2018-11-01 00:00:00
abstract:AIMS AND OBJECTIVE:To measure and explore between 2007-2010 measure and explore the nature of family resilience in the context of families with a member with chronic pain. BACKGROUND:Chronic pain impacts on the entire family. The literature suggests that it is possible to strengthen resilience in individuals with chro...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04271.x
更新日期:2012-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the differences in clinical practice activities and work-related burden between nurses with past work experience other than nursing (second career nurses: SCNs) and nurses without any past work experience (nonsecond career nurses: NSCNs). BACKGROUND:The number of SCNs is increasing. Some...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14906
更新日期:2019-09-01 00:00:00
abstract:AIM:To scope and explore hydration practices in care homes. BACKGROUND:Older residents do not regularly consume adequate fluids to support health. Achieving this is difficult with residents who have coexisting health, sensory and functional problems, as well as challenging hydration habits. DESIGN:This project used a...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14727
更新日期:2019-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study was to investigate: (1) the important factors in the self-care of chronic kidney disease (CKD) patients and (2) the mediating effects of self-efficacy on knowledge and self-care. BACKGROUND:Chronic kidney disease has become a major global health issue and is one of the top 10 leading cau...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.13305
更新日期:2016-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study set out to explore the relationship between emotional work, emotional well-being and professional practice of generalist community health nurses who provided palliative care to clients living at home. BACKGROUND:Research suggests that palliative care practice is emotionally demanding and...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02997.x
更新日期:2010-05-01 00:00:00
abstract:AIM AND OBJECTIVES:To analyse and synthesise the structure, content, types of outcome variables and advantages of nurse-led follow-up of adult patients after discharge from intensive care units. BACKGROUND:Follow-up service after discharge from the intensive care unit has been suggested as a way of supporting recovery...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12939
更新日期:2016-01-01 00:00:00
abstract:AIM:To identify the factors associated with the resilience of school-aged children with atopic dermatitis. BACKGROUND:Atopic dermatitis, a common chronic skin condition in childhood with an increasing incidence rate, can impose many challenges to children and their families. DESIGN:Survey. METHODS:The participants w...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03750.x
更新日期:2012-01-01 00:00:00
abstract:AIMS:The aim of this study was to determine during which phase of delivery augmentation is started when used and to establish any correlation that might exist between the oxytocin infusion and the evaluations by primiparas themselves of their labour pain, strength of contractions and fatigue. In addition, we wanted to ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01481.x
更新日期:2007-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate nurses' experiences of caring for older (65+ years) patients afflicted by delirium in a neurological department. BACKGROUND:Delirium is a frequent, acute and potentially fatal condition. Patients experience delirium as painful and stressful. The literature shows that nursing care is ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14709
更新日期:2019-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the experiences and perceptions of hospital staff caring for dying patients in a dedicated patient/family room (named Lotus Room). BACKGROUND:Dying in hospital is a common outcome for people across the world. However, noise and activity in acute environments present barriers to quality e...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12845
更新日期:2015-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To provide an opportunity for members to express their understandings of spirituality and spiritual care. BACKGROUND:The role and place of spirituality within nursing have been contested by academics and wider society. One argument posited is supporting patients with their spiritual needs is not th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12411
更新日期:2013-11-01 00:00:00
abstract::This paper describes one part of a first-stage study concerned with the care received by a group of adolescents and young adults with insulin-dependent diabetes mellitus (IDDM) in one district health authority. The paper reports findings from a self-selected sample of 30 patients aged between 15 and 25. Each of the 30...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1995.tb00215.x
更新日期:1995-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore and describe lived experience of blood glucose self-monitoring among pregnant Thai women with gestational diabetes mellitus. BACKGROUND:Self-monitoring of blood glucose is an essential practice among pregnant women with diabetes to prevent complications in pregnancy and the newborn infan...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13571
更新日期:2017-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determinate the incidence, incidence rate and risk factors of pressure ulcers in critical care patients. BACKGROUND:Pressure ulcers represent one of the most frequent health problems in clinical practice. Specifically, critical patients who are hospitalised in intensive care units have a higher ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14091
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study is to describe the participation of family members in the care of Finnish adult surgical patients and the connection of the participation with the quality of patient care as perceived by surgical patients. BACKGROUND:The family members of adult surgical patients are important....
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13262
更新日期:2016-08-01 00:00:00
abstract:AIM:The aim of the study was to assess health professionals' knowledge, attitudes and beliefs regarding lesbian, gay, bisexual and transgender parents accessing health care for their children. BACKGROUND:Lesbian, gay, bisexual and transgender parents can be reluctant to reveal their sexual orientation to health profes...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03938.x
更新日期:2012-03-01 00:00:00
abstract:AIM AND OBJECTIVES:The aim of this research was to explore the experiences of people with intersex conditions. The main objective was to contribute to knowledge of the condition by giving voice to a group of people who are invisible in society. BACKGROUND:Medical management of intersex conditions has historically focu...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02710.x
更新日期:2009-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study examined the coping styles used by sexual minority men who have experienced intimate partner violence, including sexual, emotional and physical victimisation, as well as physical injury. BACKGROUND:Although sexual minority men experience intimate partner violence at least as often as do ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13388
更新日期:2016-12-01 00:00:00
abstract:AIM:To explore the understanding and experiences of research nurses who obtain informed consent from adult patients participating in emergency care research. DESIGN:Qualitative phenomenographic descriptive study. METHODS:Ten research nurses from six hospitals in England were recruited. Data were collected using semi-...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15339
更新日期:2020-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate whether warming the feet with socks would prevent hypothermia among patients undergoing spinal surgery. BACKGROUND:Perioperative hypothermia is a common health problem among spinal surgery patients. RESEARCH DESIGN:This study used a quasi-experimental design. METHODS:Seventy-two pa...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14284
更新日期:2018-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore staff reactions to residents' behaviour consisting in exposing their genitals in public, and to differentiate between what is perceived as common practice (what most staff do) and best practice (the best possible approach). BACKGROUND:The presence of inappropriate sexual behaviours (ISBs...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.14952
更新日期:2019-10-01 00:00:00
abstract::Only a small proportion of cancer patients undergo radical radiotherapy to the head and neck, but their needs are particularly complex. Although extensive research describes the side-effects of radiotherapy to the head and neck, few studies focus on patients' subjective experiences of eating problems and the impact th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00751.x
更新日期:2003-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the interrelationships between workplace violence, thriving at work and turnover intention among Chinese nurses and to explore the action mechanism among these variables. BACKGROUND:Workplace violence is a dangerous occupational hazard globally, and it is pervasive in the health serv...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14311
更新日期:2018-07-01 00:00:00