The Perception of Nurses and Doctors on a Care Bundle Guideline for Management of Pain in Critical Care

Authors

  • Pathmawathi Subramanian Author University of Malaya, Kuala Lumpur Malaysia
  • Nick Allcock Author University of Nottingham
  • Veronica James Author University of Nottingham
  • Judith Lathlean Author University of Southampton

Keywords:

Critical care, pain, pain management, nurses, perception, nursing

Abstract

DOI: 10.5294/aqui.2013.13.3.2

Objective: The aim of this study was to explore nurses’ and doctors’ perception on using a care bundle as a guideline for the manage- ment of pain in critical care. Despite the development of evidence-based guidelines and protocols on the management of pain in critical care, pain is still a major problem. The introduction of care bundles in critical care has improved the management of ventilated patients. A care bundle in pain management aims to reduce variations in practice. Method: This study employed a qualitative prospective design us- ing a semi-structured, in-depth interview of 23 nurses and doctors in a critical care unit. Result: Four main themes emerged: 1) suitability to the critical care setting; 2) applicability to the critical care setting; 3) ownership of the Pain Care Bundle; and 4) necessity for current practice. The results showed a poor uptake by the healthcare professionals in managing acute pain among critically ill patients. Conclusion: The study found that nurses and doctors did not perceive the pain care bundle as a useful tool for improving pain managment, with evidence pointing to a gap between pain management practice, as described by the care bundle, and actual practice. DOI: 10.5294/aqui.2013.13.3.2

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Author Biographies

Pathmawathi Subramanian, University of Malaya, Kuala Lumpur Malaysia

lecturer

Dept of Nursing Sciences

Nick Allcock, University of Nottingham

Associate Professor, School of Nursing, Midwifery and Physiotherapy.

Veronica James, University of Nottingham

Professor of Nursing, School of Nursing, Midwifery and Physiotherapy

Judith Lathlean, University of Southampton

Professor of Health Research,School of Health Sciences,

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Published

2013-12-19

How to Cite

Subramanian, P., Allcock, N., James, V., & Lathlean, J. (2013). The Perception of Nurses and Doctors on a Care Bundle Guideline for Management of Pain in Critical Care. Aquichan, 13(3). Retrieved from https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/2194

Issue

Vol. 13 No. 3 (2013)

Section

Articles

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