Abstract
Nurses' autonomy is essential for optimal pain management in nursing home (NH) residents. However, little is known about nurses' autonomy and how it relates to the issue of unrelieved pain in NH residents in Jordan and beyond. The current descriptive comparative study aimed to compare the prevalence of barriers to pain assessment and management in NH residents, perceived by nurses according to their autonomy level. Participating nurses were found to have low levels of clinical autonomy. A significant difference in the prevalence of perceived barriers to pain assessment and management was found among nurses according to their autonomy level. Findings provide a better understanding of nurses' autonomy and their perceived barriers to pain assessment and management in NH residents. Findings also highlight the significance of nurses' autonomy for the assessment and management of pain in NH residents. [Journal of Gerontological Nursing, 47(8), 45–52.]
- 2013). Pain management in patients with dementia. Clinical Interventions in Aging, 8, 1471–1482.
10.2147/CIA.S36739 PMID:24204133 > ( Crossref MedlineGoogle Scholar - 2011). The effects of psychopathology on the pain expression of children and youth with intellectual and developmental disabilities. Journal of Mental Health Research in Intellectual Disabilities, 4(4), 290–309.
10.1080/19315864.2011.603881 > ( CrossrefGoogle Scholar - 2011). Developing the practice context to enable more effective pain management with older people: An action research approach. Implementation Science, 6(1), 9
10.1186/1748-5908-6-9 PMID:21284857 > ( Crossref MedlineGoogle Scholar - 2004). Implementation of an ED protocol for pain management at triage at a busy Level I trauma center. Journal of Emergency Nursing, 30(5), 431–438.
10.1016/j.jen.2004.06.013 PMID:15452521 > ( Crossref MedlineGoogle Scholar - 2019). Effects of structural empowerment and professional governance on autonomy and job satisfaction of the Korean nurses. Journal of Nursing Management, 27(8), 1664–1672.
10.1111/jonm.12855 PMID:31454116 > ( Crossref MedlineGoogle Scholar - 2013). Applied multiple regression/correlation analysis for the behavioral sciences. Routledge.
10.4324/9780203774441 > ( CrossrefGoogle Scholar - 2010). Nurses' perceived barriers to optimal pain management in older adults on acute medical units. Applied Nursing Research, 23(3), 139–146.
10.1016/j.apnr.2008.07.003 PMID:20643323 > ( Crossref MedlineGoogle Scholar - 2011). Shared mind: Communication, decision making, and autonomy in serious illness. Annals of Family Medicine, 9(5), 454–461.
10.1370/afm.1301 PMID:21911765 > ( Crossref MedlineGoogle Scholar - 2019). The impact of restricted decision-making autonomy on health care managers' health and work performance. Journal of Nursing Management, 27(4), 706–714.
10.1111/jonm.12741 PMID:30565780 > ( Crossref MedlineGoogle Scholar - 2013). Core competencies for pain management: Results of an interprofessional consensus summit. Pain Medicine, 14(7), 971–981.
10.1111/pme.12107 PMID:23577878 > ( Crossref MedlineGoogle Scholar - 2011). Advanced dementia care: Demystifying behaviors, addressing pain, and maximizing comfort research and practice: Partners in care. Journal of Hospice and Palliative Nursing, 13(2), 70–78.
10.1097/NJH.0b013e318201975d > ( CrossrefGoogle Scholar 1990, September ). Control over nursing practice scale: Psychometric analysis.Poster presented at National Conference on Instrumentation in Nursing ,Tucson, AZ . > . (Google Scholar- 2013). Understanding nurses' decisions to treat pain in nursing home residents with dementia. Research in Gerontological Nursing, 6(2), 127–138.
10.3928/19404921-20130110-02 PMID:23330944 > ( LinkGoogle Scholar - 2010). Pain in the older adult: An imperative across all health care settings. Pain Management Nursing, 11(Suppl. 2), S1–S10.
10.1016/j.pmn.2010.03.005 PMID:20510844 > ( Crossref MedlineGoogle Scholar - 2010). Use of pain-behavioral assessment tools in the nursing home: Expert consensus recommendations for practice. Journal of Gerontological Nursing, 36(3), 18–29.
10.3928/00989134-20100108-04 PMID:20128526 > ( LinkGoogle Scholar - 2011). Pain assessment in the patient unable to self-report: Position statement with clinical practice recommendations. Pain Management Nursing, 12(4), 230–250.
10.1016/j.pmn.2011.10.002 PMID:22117755 > ( Crossref MedlineGoogle Scholar - 2007). Pain management decision making among long-term care physicians and nurses. Western Journal of Nursing Research, 29(5), 561–580.
10.1177/0193945906295522 PMID:17548894 > ( Crossref MedlineGoogle Scholar - 2018). The effects of job autonomy and job satisfaction on burnout among careworkers in long-term care settings: Policy and practice implications for Japan and South Korea. Educational Gerontology, 44(5–6), 289–300.
10.1080/03601277.2018.1471255 > ( CrossrefGoogle Scholar - 2013). Assessing pain and unmet need in patients with advanced dementia: The role of the serial trial intervention (STI). In Handbook of pain and palliative care (pp. 131–144). Springer. > ( CrossrefGoogle Scholar
- 2016). Clinical decision-making among critical care nurses: A qualitative study. Health (Irvine, Calif.), 8(15), 1807–1819.
10.4236/health.2016.815173 > ( CrossrefGoogle Scholar - 2015). Specific physician orders improve pain detection and pain reports in nursing home residents: Preliminary data. Pain Management Nursing, 16(5), 770–780.
10.1016/j.pmn.2015.06.002 PMID:26259882 > ( Crossref MedlineGoogle Scholar - 2015). Decision factors nurses use to assess pain in nursing home residents with dementia. Archives of Psychiatric Nursing, 29(5), 316–320.
10.1016/j.apnu.2015.05.007 PMID:26397435 > ( Crossref MedlineGoogle Scholar - 2019). Registered nurses' perceptions and experiences of autonomy: A descriptive phenomenological study. BMC Nursing, 18(1), 51
10.1186/s12912-019-0378-3 PMID:31695577 > ( Crossref MedlineGoogle Scholar - 2010). Nurses' autonomy and end-of-life decision making. Nursing Ethics, 17(3), 285–287.
10.1177/0969733010362956 PMID:20444770 > ( Crossref MedlineGoogle Scholar - 2005). Practice and clinical decision-making autonomy among Hellenic critical care nurses. Journal of Nursing Management, 13(2), 154–164.
10.1111/j.1365-2934.2004.00510.x PMID:15720485 > ( Crossref MedlineGoogle Scholar - 2018). The association of nurses' assessment and certainty to pain management and outcomes for nursing home residents in Jordan. Geriatric Nursing (New York, N.Y.), 39(1), 66–71.
10.1016/j.gerinurse.2017.06.015 PMID:28743558 > . ( Crossref MedlineGoogle Scholar - 2019). Responding to varying levels of certainty about pain in people with dementia after initial pain assessment. Dementia and Geriatric Cognitive Disorders Extra, 9(2), 271–280.
10.1159/000501030 PMID:31572423 > ( Crossref MedlineGoogle Scholar - 2017). Better nurse autonomy decreases the odds of 30-day mortality and failure to rescue. Journal of Nursing Scholarship, 49(1), 73–79.
10.1111/jnu.12267 PMID:28094907 > ( Crossref MedlineGoogle Scholar - 2008). Disparities in pain management between cognitively intact and cognitively impaired nursing home residents. Journal of Pain and Symptom Management, 35(4), 388–396.
10.1016/j.jpainsymman.2008.01.001 PMID:18280101 > ( Crossref MedlineGoogle Scholar - 2008). Unit characteristics and patient satisfaction: A multilevel model. Policy, Politics & Nursing Practice, 9(4), 230–240.
10.1177/1527154408327094 PMID:19074201 > ( Crossref MedlineGoogle Scholar - 2013). Pain assessment: The roles of physician certainty and curiosity. Health Communication, 28(7), 740–746.
10.1080/10410236.2012.715380 PMID:23356451 > ( Crossref MedlineGoogle Scholar - 2010). Nursing staff, patient, and environmental factors associated with accurate pain assessment. Journal of Pain and Symptom Management, 40(5), 723–733.
10.1016/j.jpainsymman.2010.02.024 PMID:20692807 > ( Crossref MedlineGoogle Scholar - 2010). The meaning of autonomy in nursing practice. Journal of Clinical Nursing, 19(15–16), 2226–2234. PMID:
19538554 > ( MedlineGoogle Scholar - 2014). Current practices and barriers impairing physicians' and nurses' adherence to analgosedation recommendations in the intensive care unit—A national survey. Critical Care (London, England), 18(6), 655
10.1186/s13054-014-0655-1 PMID:25475212 > ( Crossref MedlineGoogle Scholar - 2012). Challenges faced by nurses in managing pain in a critical care setting. Journal of Clinical Nursing, 21(9–10), 1254–1262.
10.1111/j.1365-2702.2011.03789.x PMID:21777315 > ( Crossref MedlineGoogle Scholar - 2013). The effect of continuing professional education on perioperative nurses' relationships with medical staff: Findings from a qualitative study. Journal of Advanced Nursing, 69(4), 817–827.
10.1111/j.1365-2648.2012.06065.x PMID:22709362 > ( Crossref MedlineGoogle Scholar - 2018). Knowledge, compliance with good clinical practices and barriers to effective control of postoperative pain among nurses from hospitals with and without a “Hospital without Pain” certificate. Journal of Clinical Nursing, 27(7–8), 1641–1652.
10.1111/jocn.14215 PMID:29218814 > ( Crossref MedlineGoogle Scholar - 2010). Autonomy, evidence and intuition: Nurses and decision-making. Journal of Advanced Nursing, 66(7), 1584–1591.
10.1111/j.1365-2648.2010.05317.x PMID:20497271 > ( Crossref MedlineGoogle Scholar - 2002). Attitudinal barriers to effective treatment of persistent pain in nursing home residents. Journal of the American Geriatrics Society, 50(12), 2035–2040.
10.1046/j.1532-5415.2002.50618.x PMID:12473018 > ( Crossref MedlineGoogle Scholar - 2009). Validity of instruments for measuring autonomy and control over nursing practice. Journal of Nursing Scholarship, 41(1), 87–94.
10.1111/j.1547-5069.2009.01255.x PMID:19335682 > ( Crossref MedlineGoogle Scholar - 2020). An exploration of the influences on under-representation of male pre-registration nursing students. Nurse Education Today, 84, 104234
10.1016/j.nedt.2019.104234 PMID:31707252 > ( Crossref MedlineGoogle Scholar - 2007). Nurses' knowledge of pain. Journal of Clinical Nursing, 16(6), 1012–1020.
10.1111/j.1365-2702.2007.01692.x PMID:17518877 > ( Crossref MedlineGoogle Scholar - 2017). The importance of interdisciplinary communication in the process of anticipatory prescribing. International Journal of Palliative Nursing, 23(3), 129–135.
10.12968/ijpn.2017.23.3.129 PMID:28345478 > ( Crossref MedlineGoogle Scholar - 2015). Empowering nurses with evidence-based practice environments: Surveying Magnet®, Pathway to Excellence®, and non-magnet facilities in one healthcare system. Worldviews on Evidence-Based Nursing, 12(1), 12–21.
10.1111/wvn.12077 PMID:25598144 > ( Crossref MedlineGoogle Scholar