目的:探讨注册护士对痴呆症患者疼痛评估的看法。
方法:由计划行为理论提供的描述性探索性定性研究。
方法:于2023年1月至4月进行了在线半结构化深度访谈,对15名照顾痴呆症患者的注册护士进行了有目的的抽样。转录后,使用直接内容分析法对数据进行分析。
结果:注册护士认为疼痛评估可以改善痴呆症患者的健康状况,并为实践提供信息和评估。然而,有可能将疼痛误诊为激动或行为问题,导致疼痛管理不准确。人际因素,如注册护士的知识和经验,改善护理提供的信念和动机,是疼痛评估的主要促进者。痴呆综合征疼痛的身体和行为维度是疼痛评估中报道最多的障碍。注册护士报告说,多学科团队成员希望他们进行疼痛评估。大多数人在进行疼痛评估时没有遭到反对。
结论:注册护士对疼痛评估益处持有信念,后果,启用者,障碍,关于痴呆症的批准和不批准。这些发现可以为干预措施提供信息,以加强疼痛评估实践。
■政策制定者应为注册护士提供教育机会,以提高他们的知识水平,关于痴呆症疼痛评估的技能和信念。未来的研究应该发展和实施多学科,多方面的疼痛评估协议,以提高疼痛评估实践的准确性。
结论:痴呆患者疼痛评估不足,这可能源于注册护士对痴呆症疼痛评估的信念。这些发现可以为干预措施提供信息,以增强疼痛评估的信念和实践。
■这项研究符合COREQ标准。
■照顾痴呆症患者的注册护士作为受访者参加了采访。
OBJECTIVE: To explore registered nurses\' beliefs regarding pain assessment in people living with dementia.
METHODS: A descriptive exploratory qualitative study informed by the Theory of Planned Behaviour.
METHODS: Online semi-structured in-depth interviews were conducted from January to April 2023 with a purposive sample of 15 registered nurses caring for people with dementia. Following transcription, data were analysed using direct content analysis.
RESULTS: Registered nurses believe pain assessment improves the well-being of people with dementia and informs and evaluates practice. However, there is a possibility of misdiagnosing pain as agitation or behavioural problems, leading to inaccurate pain management. Interpersonal factors, such as registered nurses\' knowledge and experience, beliefs and motivation to improve care provision, were the primary facilitators of pain assessment. Physical and behavioural dimensions of the pain of the dementia syndrome were the most reported barriers to pain assessment. Registered nurses reported that multidisciplinary team members expect them to do pain assessments. Most did not experience disapproval when performing pain assessments.
CONCLUSIONS: Registered nurses hold beliefs about pain assessment benefits, consequences, enablers, barriers, approvals and disapprovals regarding dementia. The findings could inform interventions to enhance pain assessment practices.
UNASSIGNED: Policymakers should provide education opportunities for registered nurses to improve their knowledge, skills and beliefs about pain assessment in dementia. Future research should develop and implement multidisciplinary, multifaceted pain assessment protocols to enhance the accuracy of pain assessment practices.
CONCLUSIONS: Pain is underassessed in dementia, and this could stem from registered nurses\' beliefs about pain assessment in dementia. The findings could inform interventions to enhance pain assessment beliefs and practices.
UNASSIGNED: This study adhered to the COREQ criteria.
UNASSIGNED: Registered nurses caring for people living with dementia participated as interview respondents.