Barriers to and Faciliators for Post Op Pain Management

Best Essays
Post-Operative Pain Control

Jenifer S. McFarlane
Grand Canyon University: NRS-433V Introduction to Nursing Research
December 2, 2012

Unrelieved post-operative pain is one of the leading clinical challenges in the health care field. Despite vast research and numerous analgesic approaches in the management of pain, members of the health care profession continue to struggle in controlling or minimizing it in post-operative patients. Statistics indicate that about 43 million patients in the United States experience acute postoperative pain, with pain intensities of moderate to severe reported by 80% of these patients (Apfelbaum, J. et al, 2003). Nursing research describes post-operative pain management as a fundamental component of nursing process. Although nurses do play a crucial role in pain management, the extent of involvement is often limited in Iranian nursing practice. This study demonstrates the lack of involvement by Iranian nurses and identifies the barriers and facilitators in the control of post-operative pain (Rejeh et al, 2008). While this study is specifically about Iranian nursing practice, it is a worthwhile study as the U.S. also struggles with the management of pain for patients post-operatively.
The only means of post-operative pain control in Iranian surgical units is pharmacological in nature. Due to their unpopularity, alternative methods of pain relief are rarely used in Iran. Iranian nurses express a lack of ability to use their training, knowledge, and skills to act in patients’ best interest in decreasing or eliminating pain. This is a common feeling among nurses in the U.S. as well. While non-pharmacological pain relief therapies are increasing in popularity, health care professionals and patients’ understanding of these methods are not well researched and therefore not used regularly. The purpose of this study was to illustrate the barriers and facilitators to post-operative pain management from the



References: Apfelbaum, J., Chen, C., Mehta, S., Gan, T. (2003). Postoperative Pain Experience: Results From a National Survey Suggest Postoperative Pain Continues to be Undermanaged. Anesth Analg, 97(2), 534–540. Retrieved December 2, 2012, from http://journals.lww.com/ornursejournal/Fulltext/2011/11000/New_thinking_about_postoperative_pain_management.8.aspx#P11 Bicek, E. (2004). Nurses ' Attitudes, Knowledge, and Use of Nonpharmalogical Pain Management Techniques And Therapies. Honors Projects. Paper 12. Retrieved December 2, 2012, from http://digitalcommons.iwu.edu/nursing_honproj/12 Rejeh, N. N., Ahmadi, F. F., Mohammadi, E. E., Anoosheh, M. M., & Kazemnejad, A. A. (2008). Barriers to And Facilitators of Post-Operative Pain Management in Iranian Nursing: a Qualitative Research Study. International Nursing Review, 55(4), 468-475. Retrieved December 2, 2012, from http://ehis.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?sid=f992456e-4001-4729-b8cd-6f2710a56e5f%40sessionmgr12&vid=5&hid=4

You May Also Find These Documents Helpful

  • Powerful Essays

    Barriers to Effective Pain Management Introduction Pain is a fundamental and inevitable form of human suffering, the experience which is unique to every individual. Nurses have a unique role in alleviating the pain experienced by their patients. With their professional knowledge and regular close contacts with patients, they are ideally placed to listen and respond to any concerns. Taking time to assess the individual will allow for the development of a thrusting relationship between the…

    • 3762 Words
    • 16 Pages
    Powerful Essays
  • Good Essays

    Post Op Care

    • 316 Words
    • 2 Pages

    Post operative care There is a range of activities that nurses need to undertake when caring for postoperative patients. There are also specialist areas of surgery, e.g. bowel and thoracic surgery, which require more specific care and these are covered in Section 5. The patient is placed in the recovery room attached to theatre. The patients’ condition is assessed and he is nursed in the lateral recovery position to minimize risks of aspiration until fully conscious, when he can be transferred…

    • 316 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Ops Management

    • 23028 Words
    • 93 Pages

    SAMENVATTING VAN HET BOEK MANAGEMENT CONTROL SYSTEMS eighth edition International student edition van de auteurs ROBERT N. ANTHONY en VIJAY GOVINDARAJAN 1 Inhoud BLZ Hoofdstuk 1 De aard van management control systems 1 Hoofdstuk 2 Gedrag in organisaties 5 Hoofdstuk 3 Verantwoordelijkheidscentra: opbrengsten en kostencentra 10 Hoofdstuk 4 Profit-centers 16 Hoofdstuk 5 Transfer Pricing 21 Hoofdstuk 6 Meten en beheersen van de gebruikte activa 27 Hoofdstuk 7 Strategie 33 Hoofdstuk 8 Strategische…

    • 23028 Words
    • 93 Pages
    Satisfactory Essays
  • Good Essays

    on the barriers to cancer pain management. Some barriers include the lack of knowledge. Also, another barrier is patients not communicating the full extent of their pain. In the first article, “Ethical Perspective Of Cancer Pain Management,” focuses on the ethical barriers related to giving enough pain management. While the study of “Oncology Nurses’ Perception Of Cancer Pain: A Qualitative Exploratory Study”, looks at the emotions related to the nurses when treating their patient's pain. The final…

    • 877 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    ops management

    • 5419 Words
    • 30 Pages

    technologies to manage its day-to-day operations. In order to achieve improved performance, healthcare supply chain must be efficient and integrated. The driver for this integration is logistics and supply chain management. This paper describes trends, issues and some solutions for logistics management for Health Care Supply Chain with concepts drawn from Industrial Engineering, and Operations Research disciplines applied to specific domains. A healthcare supply chain template utilizing Ecommerce strategy…

    • 5419 Words
    • 30 Pages
    Powerful Essays
  • Good Essays

    Pain Management

    • 1170 Words
    • 4 Pages

    Pain Management Joshi, G., & Kehlet, H. (2013). Procedure-specific Pain Management: The Road to Improve Postsurgical Pain Management?. Anesthesiology, 118(4), 780-782. . This article explained that good pain management is known to produce many benefits for the postoperative patient. However, the article goes on to explain that treating postoperative pain is still a major issue with inadequate postoperative patient pain relief remaining high. The article discussed how the Joint Commission declared…

    • 1170 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Pain Management

    • 935 Words
    • 4 Pages

    discuss the problem of management of acute and chronic pain. The purpose of this paper is to explore the effects proper pain management on nursing practice, population most effected by chronic and acute pain, ways to improve pain management from a nursing perspective. Practice Setting Problem The proper managing of acute and chronic pain is a hot topic in the field of nursing. The poor management of pain by nursing is well a documented problem. Of the five vital signs pain is the most subjective…

    • 935 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Pain Management

    • 1666 Words
    • 7 Pages

    expect during labor is a major concern. Since pain is expected, or at least discomfort, the first question most ask is, “What can I do to prevent, or at least relieve to some degree, the pain associated with labor if I want to avoid medical interventions or side effects associated with medical pain relief such as epidurals and pain medication?”. This research study will look deep into this question and research the pros and cons of multiple natural pain relief/reduction methods such as; Lamaze, Bradley…

    • 1666 Words
    • 7 Pages
    Good Essays
  • Satisfactory Essays

    Pain Management

    • 1378 Words
    • 6 Pages

    PAIN MANAGEMENT IN THE EMERGENCY MEDICINE DEPARTMENT Associate Professor Peter Manning Emeritus Consultant Emergency Medicine Department National University Hospital, Singapore Jan 2004 Revised Aug 07 / Feb 08 / Nov 09 / Dec 11 / Dec 12 Accepted practice patterns must be questioned – implementation of pain score to vital signs We underestimate the pain produced by common practical procedures Analogy – just as we vary antibiotics according to sensitivities, perhaps we should be prepared…

    • 1378 Words
    • 6 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Pain Management

    • 541 Words
    • 3 Pages

    PAIN MANAGEMENT WITH THE CORRECT TOOLS Lorin Fernandez TESC Health Assessment NUR-416 Dr. Pamela S. Card February 24, 2013 Introduction Cancer patients, end of life patients, patients with chronic diseases, and patients with a simple complaint of pain are all entitled to the best pain management available for their specific needs. This topic is of particularly important for nursing professionals who need to have the knowledge to adequately assess and manage a patient’s pain with the…

    • 541 Words
    • 3 Pages
    Satisfactory Essays