Factors Influencing Orthopedic Nurses' Pain Management Decision Making: A Focused Ethnography

Simple item page
atmire.migration.oldid4456
dc.contributor.advisorCarr, Eloise
dc.contributor.authorDenness, Kayla
dc.contributor.committeememberSeneviratne, Cydnee
dc.contributor.committeememberRae, Janice
dc.contributor.committeememberSawhney, Monakshi
dc.date.accessioned2016-05-19T16:45:55Z
dc.date.available2016-05-19T16:45:55Z
dc.date.issued2016
dc.date.submitted2016en
dc.description.abstractThe experience of acute pain is highly subjective, and poor pain management contributes to a multitude of harmful conditions. Examining the context in which pain management occurs is important in formulating plans for improvement. The aim of this focused ethnography was to explore the factors orthopedic surgery nurses consider when deciding whether to initiate opioid analgesia for patients who have received a nerve block following total knee arthroplasty. Ten nurses participated in semi-structured interviews using a case study vignette. The overarching factors affecting pain management decision-making in this study relate to the culture of the unit, the self-concept of nurses, and nurses’ perception of patient assessments. Nurses are challenged to provide quality patient-centered care in a fast-paced clinical environment where efficiency and a brief length of stay are prioritized. Supporting informal nursing leaders and facilitating patient-centred care while maintaining efficiency may improve the unit culture and, in turn, pain management practices.en_US
dc.identifier.citationDenness, K. (2016). Factors Influencing Orthopedic Nurses' Pain Management Decision Making: A Focused Ethnography (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/26148en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/26148
dc.identifier.urihttp://hdl.handle.net/11023/3028
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.facultyNursing
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectNursing
dc.subject.classificationpain managementen_US
dc.subject.classificationNursingen_US
dc.subject.classificationClinical Decision Makingen_US
dc.subject.classificationorthopedic surgeryen_US
dc.subject.classificationacute painen_US
dc.subject.classificationnursing unit cultureen_US
dc.titleFactors Influencing Orthopedic Nurses' Pain Management Decision Making: A Focused Ethnography
dc.typemaster thesis
thesis.degree.disciplineNursing
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Nursing (MN)
ucalgary.item.requestcopytrue
Files
Collections
Open Theses and Dissertations