• Alícia Minaya-Freire, Anna Ramon-Aribau, Gemma Pou-Pujol, Meritxell Fajula-Bonet, and Mireia Subirana-Casacuberta.
• University Hospital of Vic, Vic Hospital Consortium (HUV-CHV), Barcelona, Spain; Research Group on Methodology, Methods, Models and Health and Social Outcomes (M(3)O), Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Barcelona, Spain.
• Pain Manag Nurs. 2020 Dec 1; 21 (6): 495-501.

BackgroundAlthough qualitative studies have been conducted to identify barriers and facilitators that influence the pain management of older adults with dementia, as far as we know, only a very recent study (Andrews et al., 2019) has used participatory action research (PAR) as a methodology for studying pain management. It allows nurses to examine and improve their practice based on their realities and within their context.AimTo reflect on nursing practice and identify facilitators and barriers in the management of pain in older adults with dementia and to propose actions for improvement.DesignWe used qualitative participatory action research.Participants/SettingsTen nurses from the geriatric acute care unit of a university hospital in Spain were recruited through convenience sampling.MethodsData were generated through a written questionnaire and three focus groups.ResultsOne of the main facilitators the participants identified was professional experience. The main barriers they identified were lack of knowledge and skills and lack of time. The participants proposed two main improvements: (1) a training program consisting of three courses (pain evaluation and management, dementia and pain, and pharmacology) and (2) the creation of a specific register for nurses to record patients' pain.ConclusionsInvolving nurses directly in research on their practices can result in precise proposals for improvements based on their needs and oriented toward improving the quality of care. Moreover, our results confirm previous findings in other countries.Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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