How military nurses rationalize their postoperative pain assessment decisions

Journal of Advanced Nursing

Volumn 59, Issue 6, 2007, Pages 601-611

  Harper, Phil ^a   Ersser, Steven ^b   Gobbi, Mary ^c  

^a OXFORD BROOKES UNIVERSITY   (United Kingdom)

^b BOURNEMOUTH UNIVERSITY   (United Kingdom)

^c UNIVERSITY OF SOUTHAMPTON   (United Kingdom)

Author keywords

Attitudes; Clinical decision making; Empirical research report; Ethnomethodological ethnography; Interviews; Military nurses; Pain assessment; Postoperative pain

Indexed keywords

ARTICLE; ATTITUDE TO HEALTH; CULTURAL ANTHROPOLOGY; DEFENSE MECHANISM; ETHNOLOGY; FEMALE; HUMAN; INTUITION; LEARNING; MALE; METHODOLOGY; MILITARY NURSING; NONVERBAL COMMUNICATION; NURSE PATIENT RELATIONSHIP; NURSING; ORGANIZATION; PAIN ASSESSMENT; POSTOPERATIVE PAIN; PSYCHOLOGICAL ASPECT; SOLDIER; UNITED KINGDOM;

ANTHROPOLOGY, CULTURAL; FEMALE; GREAT BRITAIN; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INTUITION; MALE; MEN; MILITARY NURSING; MILITARY PERSONNEL; NONVERBAL COMMUNICATION; NURSE-PATIENT RELATIONS; ORGANIZATIONAL CULTURE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; RATIONALIZATION; SET (PSYCHOLOGY);

EID: 34548179629     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2007.04369.x     Document Type: Article

References (76)

1. Alvesson M. Sköldberg K. (2000) Reflexive Methodology: New Vistas for Qualitative Research. Sage Publications, London.
2. Benner P., Tanner C.A. Chesla C.A. (eds 1996) Expertise in Nursing Practice: Caring, Clinical Judgements and Ethics. Springer Publishing Company, Inc., New York.
3. Bond J. Bond S. (1994) Sociology and Health Care: An Introduction for Nurses and other Health Care Professionals, 2nd edn. Churchill Livingstone, Edinburgh.
4. Burgess R.G. (ed. 1982) The unstructured interview as a conversation. In Field Research: A Sourcebook and Field Manual. Routledge, London, pp. 107 110.
5. Carr E.C.J. (2002) Refusing analgesia: using continuous improvement to improve pain management on a surgical ward. Journal of Clinical Nursing 11 (6 743 752.
6. Carr E.C.J. Thomas V.J. (1997) Anticipating and experiencing pain: the patients' perspective. Journal of Clinical Nursing 6 (3 191 201.
7. Chuk P.K.C. (1999) Vital signs and nurses' choices of titrated dosages of intravenous morphine for relieving pain following cardiac surgery. Journal of Advanced Nursing 30 (4 858 865.
8. Cohen F.L. (1980) Post surgical pain relief: patients' status and nurses' medication choices. Pain 9, 265 274.
9. Couling S. (2005) Nurses' and doctors' knowledge of pain after surgery. Nursing Standard 19 (34 41 49.
10. Coulon A. (1995) Ethnomethodology. Sage Publications, Inc., Thousand Oaks.
11. Dihle A., Bjolseth G. Helseth S. (2006) The gap between saying and doing in postoperative pain management. Journal of Clinical Nursing 15 (4 469 479.
12. Dreyfus H.L. Dreyfus S.E. (1996) The Relationship of Theory and Practice in the Acquisition of Skill. In Expertise in Nursing Practice: Caring, Clinical Judgements and Ethics (Benner P., Tanner C.A. Chesla C.A., eds Springer Publishing Company, Inc., New York, pp. 29 47.
13. Ersser S. (1996) Ethnography in clinical situations: an ethical appraisal. In Nursing Research: An Ethical and Legal Appraisal (De Raeve L., ed. Baillière Tindall, London, pp. 42 56.
14. Field L. (1996) Factors influencing nurses' analgesia decisions. British Journal of Nursing 5 (14 838 844.
15. Frost G. (ed. 1998) How to destroy an army: Introduction and summary. In Not Fit To Fight: The Cultural Subversion of the Armed Forces in Britain and America. The Social Affairs Unit, London, pp. 1 18.
16. Garfinkel H. (1984) Studies in Ethnomethodology, 2nd edn. Polity Press, Cambridge.
17. Goodman B. Strong F. (1997) Ethnomethodology. In Research Mindedness for Practice: An Interactive Approach for Nursing and Health Care (Smith P. Hunt J.M., eds Churchill Livingstone, New York, pp. 139 163.
18. Gubrium J.F. Holstein J.A. (1997) The New Language of Qualitative Method. Oxford University Press, New York.
19. Hand H. (2003) The mentor's tale: a reflexive account of semi-structured interviews. Nurse Researcher 10 (3 15 27.
20. Harmer M. Davies K.A. (1998) The effect of education, assessment and a standardised prescription for postoperative pain management. Anaesthesia 53 (5 424 430.
21. Harper P.J. (2006) 'No pain, no gain' - pain behaviour in the Armed Forces. British Journal of Nursing 15 (10 548 551.
22. Harper P.J. (2007) 'Emergency defence nursing, skills and development'. Defence Editorial. British Journal of Nursing 16 (1 5.
23. Haston R. (1999) A high-flying career. Nursing Standard 14 (9 61.
24. Helman C.G. (1994) Culture, Health and Illness, 3rd edn. Butterworth Heinemann, Oxford.
25. Hockey J. (1986) Squaddies: Portrait of a Subculture. University of Exeter Publications, Exeter.
26. Horn S. Monafò M. (1997) Pain, Theory, Research and Intervention. Open University Press, Buckingham.
27. Hunt K. (1995) Perceptions of patients' pain: a study assessing nurses' attitudes. Nursing Standard 10 (4 32 35.
28. Klopfenstein C.E., Herrmann F.R., Mamie C., Van Gessel E. Forster A. (2000) Pain intensity and pain relief after surgery. Acta Anaesthesiologica Scandinavica 44 (1 58 62.
29. Klopper H., Andersson H., Minkkenen M., Ohisson C. Sjostrom B. (2006) Strategies in assessing post operative pain - a South African study. Intensive and Critical Care Nursing 22 (1 12 21.
30. Krivo S. Reidenberg M.M. (1996) Assessment of patients' pain. New England Journal of Medicine 334 (1 59.
31. Lincoln Y.S. Guba E.G. (1985) Naturalistic Inquiry. Sage Publications, Newbury Park.
32. Martin B.A. Belcher J.V. (1986) Influence of cultural background on nurses' attitudes and care of the oncology patient. Cancer Nursing 9 (5 230 237.
33. Mason J. (2002) Qualitative Researching, 2nd edn. Sage Publications, London.
34. McCaffery M. (1968) Nursing Practice Theories Related to Cognition, Bodily Pain, and Man-Environment Interactions. University of California at Los Angeles Students' Store, Los Angeles.
35. McCaffery M. (1999) Pain management: problems and progress. In Pain: Clinical Manual, 2nd edn (McCaffery M. Pasero C., eds Mosby, St Louis, pp. 1 14.
36. McCaffery M. Ferrell B. (1992) How vital are vital signs? Nursing 22 (1 43 46.
37. McCaffery M. Ferrell B.R. (1997) Nurses' knowledge of pain assessment and management: how much progress have we made? Journal of Pain and Symptom Management 14 (3 175 188.
38. McCaffery M. Pasero C. (Eds 1999) Assessment: underlying complexities, misconceptions, and practical tasks. In Pain: Clinical Manual, 2nd edn. Mosby, St Louis, pp. 35 102.
39. McCaffery M. Pasero C. (2001) Using the 0-10 Pain Rating Scale: nine common problems solved. American Journal of Nursing 101 (10 81 82.
40. McManners H. (1994) The Scars of War. Harper Collins Publishers, London.
41. Miller G. (1997) Building bridges: the possibility of analytic dialogue between ethnography, conversation analysis and Foucault. In Qualitative Research: Theory, Method and Practice (Silverman D., ed. Sage Publications, London, pp. 24 44.
42. Miller J. Glassner B. (1997) The 'Inside' and the 'Outside': Finding Realities in Interviews. In Qualitative Research: Theory, Method and Practice (Silverman D., ed. Sage Publications, London, pp. 99 112.
43. Molzahn A.E. Northcott H.C. (1989) The social bases of discrepancies in health/illness perceptions. Journal of Advanced Nursing 14 (2 132 140.
44. Munro R. (2001) You're in the NHS now. Nursing Times 97 (13 14 15.
45. National Institute for Health (1987) The integrated approach to the management of pain. Journal of Pain Symptom Management 2, 35 44.
46. Parahoo K. (1997) Nursing Research: Principles, Process and Issues. Macmillan, Basingstoke.
47. Pasero C. McCaffery M. (2001) The patient's report of pain: believing vs, accepting. There's a big difference. American Journal of Nursing 101 (12 73 74.
48. Pasero C., Paice J.A. McCaffery M. (1999) Basic mechanisms underlying the causes and effects of pain. In Pain: Clinical Manual, 2nd edn (McCaffery M. Pasero C., eds Mosby, St Louis, pp. 15 74.
49. Pellatt G. (2003) Ethnography and reflexivity: emotions and feelings in fieldwork. Nurse Researcher 10 (3 28 37.
50. Pontin D. (2000) Observation. In The Research Process in Nursing, 4th edn (Cormack D.F.S., ed. Blackwell Science, Oxford, pp. 315 326.
51. QSR International 2002) QSR N6. QSR International Pty Ltd, Victoria.
52. Richardson F.M. (1978) Fighting Spirit: A Study of Psychological Factors in War. Leo Cooper, London.
53. Richardson L. (1990) Writing Strategies: Reaching Diverse Audiences. Sage Publications, Newbury Park, CA, USA.
54. de Rond M.E.J., de Wit R., van Dam F.S.A. Muller M.J. (2000) A pain monitoring progam for nurses: effects on communication, assessment and documentation of patients' pain. Journal of Pain and Symptom Management 20 (6 424 439.
55. Schafheutle E.I., Cantrill J.A. Noyce P.R. (2001) Why is pain management suboptimal on surgical wards. Journal of Advanced Nursing 33 (6 728 737.
56. Schön D.A. (1983) The Reflective Practitioner: How Professionals Think in Action. Basic Books, New York.
57. Sharrock W. Anderson B. (1986) The Ethnomethodologists. Ellis Harwood Ltd, Chichester.
58. Silverman D. (2000) Doing Qualitative Research: A Practical Handbook. Sage Publications, London.
59. Simon H.A. (1983) Alternative visions of rationality. In Judgement and Decision-making: An Interdisciplinary Reader (Arkes H.R. Hammond K.R., eds Cambridge University Press, Cambridge, pp. 97 113.
60. Sjöström B., Haljamaäe H., Dahlgren L.O. Lindstöm B. (1997) Assessment of postoperative pain: impact of clinical experience and professional role. Acta Anaesthesiologica Scandinavica 41 (3 339 344.
61. Sjöström B., Dahlgrem L.O. Haljamaäe H. (2000) Strategies used in pain assessment and their clinical accuracy. Journal of Clinical Nursing 9 (1 111 118.
62. Skevington S.M. (1995) Psychology of Pain. John Wiley, Chichester.
63. Stake R.E. (2000) In Case Studies. Handbook of Qualitative Research, 2nd edn (Denzin N.K. Lincoln Y.S., eds Sage Publications Inc., Thousand Oaks, pp. 435 454.
64. Starns P. (2000) March of the Matrons: Military Influence on the British Civilian Nursing Profession, 1939-1969. DSM, Peterborough.
65. Suominen T., Kovasin M. Ketola O. (1997) Nursing culture - some viewpoints. Journal of Advanced Nursing 25 (1 186 190.
66. Surgeon General 2000) Centre for Defence Medicine. Ministry of Defence, London.
67. Tanner C.A. (2006) Thinking like a nurse: a research-based model of clinical judgment in nursing. Journal of Nursing Education 45 (6 204 211.
68. Thomas V.N. (Ed. 1997) Psychological and social factors influencing pain: Individual differences in the experience of pain. In Pain: Its Nature and Management. Baillière Tindall, London, pp. 20 34.
69. Thomas T., Robinson C., Champion D., McKell M. Pell M. (1998) Prediction and assessment of the severity of pain and of satisfaction with management. Pain 75 (2 177 185.
70. Thorn M. (1997) A survey of nurses' attitudes towards the assessment and control of pain. Journal of Orthopaedic Nursing 1 (1 30 38.
71. Timlin-Scalera R.M., Ponterotto J.G., Blumberg F.C. Jackson M. (2003) A grounded theory study of help-seeking behaviors among White male high school students. Journal Of Counselling Psychology 50 (3 339 350.
72. Wakefield A.B. (1995) Pain: an account of nurses' talk. Journal of Advanced Nursing 21 (5 905 910.
73. Wills R.A. (1997) Cultures in collision: an investigation into the impact on ethos and culture experienced by the army medical services following integration into civilian secondary care organisations. The British Army Review 115, 40 52.
74. Willson H. (2000) Factors affecting the administration of analgesia to patients following repair of a fractured hip. Journal of Advanced Nursing 31 (5 1145 1154.
75. Zalon M.L. (1993) Nurses' assessment of postoperative patients' pain. Pain 54 (3 329 334.
76. Zborowski M. (1969) People in Pain. Jossey-Bass Ltd, San Francisco.