Journal of clinical nursing
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To describe the incidence and intensity of pain, hypotension and other epidural-related side-effects after major abdominal surgery and to identify factors associated with effective epidural analgesia. ⋯ This study contributes to the epidural versus standard analgesia debate by describing the population in whom epidurals are used and identifies factors associated with both the success and failure of the technique in everyday practice. The Audit Commission has proposed a standard whereby less than 5% of patients should suffer severe pain following surgery. This may prove to be an unrealistic goal with currently available techniques. Relevance to clinical practice. As it is ward nursing staff who are primarily responsible for monitoring the effectiveness of the technique, it is important for nursing professionals to know the potential risks of postoperative epidural analgesia to be able to respond appropriately. The important measurements of an optimum acute pain assessment have been identified, based on the study results, allowing the development of a national acute pain registry to inform future practice.
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Randomized Controlled Trial
A pain education programme to improve patient satisfaction with cancer pain management: a randomised control trial.
The purpose of this study was (1) to evaluate the effectiveness of a pain education programme to increase the satisfaction of patients with cancer with regard to pain management and (2) to examine how patient satisfaction with pain management mediates the barriers to using analgesics and analgesic adherence. ⋯ It is important for health providers to consider patient satisfaction when attempting to improve adherence to pain management regimes in a clinical setting.
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The aim of this study was to explore key stakeholders and direct care managers' perspectives on the current provision of end-of-life care for older people in acute and long-stay care settings in Ireland and to construct a model of these. ⋯ Understanding the factors that influence the provision of end-of-life care in acute and long-stay facilities in Ireland can help health professionals give more focused support and ensure that influencing factors are addressed so that older people at end-of-life receive quality end-of-life care.
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To examine attitudes towards research and perceived barriers and facilitators of research utilisation in clinical practice in a broad cross-section of Spanish nurses. ⋯ Understanding different organisational and experience perspectives is important to identify challenges and opportunities to ensure research utilisation in clinical practice.