• Mędrzycka-Dąbrowska Wioletta, Dąbrowski Sebastian, and Basiński Andrzej.
• Department of General Nursing, Medical University of Gdańsk, Gdańsk, Poland. wioletta.medrzycka@gumed.edu.pl.
• J Nurs Manag. 2016 Nov 1; 24 (8): 1049-1059.

AimThe purpose of the paper was to compare the prevalence of barriers to optimum postoperative pain management in elderly patients, observed by nurses in a clinical, provincial and municipal hospital in Poland.BackgroundIt is currently estimated that the lack of adequate pain management affects 80% of the global population and the phenomenon poses a serious problem in more than 150 countries.MethodsA questionnaire-based study of 1602 nurses working at clinical, provincial and municipal hospitals.ResultsIn the clinical hospitals barriers more often related to a poorly organised systems of care and obstacles in discussing pain management within the team. In provincial and municipal hospitals lack of uninform pain measurement was more evident.ConclusionsDespite the availability of effective pain treatments in hospitals difficulties continue with communication, poorly organised care and limited access to clinical guidelines.Implications For Nursing ManagementAlthough there are possibilities of pain relief after surgery, they are still used insufficiently. Postoperative pain management in Poland needs considerable improvement. This study can contribute to the improvement of pain management quality by supporting and developing practical guidelines or management algorithms for nurses, facilitating the effective implementation of new pain management practices.© 2016 John Wiley & Sons Ltd.

28 keywords...

hide…