How military nurses rationalize their postoperative pain assessment decisions

Authors: Harper, P., Ersser, S. and Gobbi, M.

Journal: Journal of Advanced Nursing

Volume: 59

Issue: 6

Pages: 601-611

eISSN: 1365-2648

ISSN: 0309-2402

DOI: 10.1111/j.1365-2648.2007.04369.x

Abstract:

Aim. This paper is a report of a study to explore how military nurses rationalize their postoperative pain assessment decisions, particularly when these differ from patients' pain self-reports. Background. Postoperative pain is a complex phenomenon influenced by many factors that make assessment difficult. Nurses are taught to believe what patients say about their pain. However, their attitudes to pain are influenced by their cultural background and they may disagree with patients' self-reports. Military nurses belong to a military culture with different pain attitudes that may also influence their postoperative pain assessment. Method. An ethnomethodological ethnography study was carried out in 2003. A purposive sample of 29 British military surgical/orthopaedic Registered Nurses were interviewed to identify their taken-for-granted assumptions and commonsense cultural knowledge surrounding postoperative pain assessment. The data were analysed using a systematic process of inductive reasoning aided by Non-numerical, Unstructured Data for Indexing, Searching and Theorizing (qsr n6, nud*ist). Findings. Participants told two distinct stories in their postoperative pain narratives. The first, the cultural story, described how military nurses normally assess postoperative pain and revealed taken-for-granted assumptions surrounding this assessment. However, when military nurses believe that patients over- or under-report their pain, the cultural story was challenged through a collective story in which nurses used their commonsense knowledge to account for these differences. Conclusion. Postoperative pain assessment within a military culture is complex, but all nurses need to be aware that their socialization into different nursing cultures may influence their attitudes to postoperative pain assessment. © 2007 The Authors.

Source: Scopus

How military nurses rationalize their postoperative pain assessment decisions.

Authors: Harper, P., Ersser, S. and Gobbi, M.

Journal: J Adv Nurs

Volume: 59

Issue: 6

Pages: 601-611

ISSN: 0309-2402

DOI: 10.1111/j.1365-2648.2007.04369.x

Abstract:

AIM: This paper is a report of a study to explore how military nurses rationalize their postoperative pain assessment decisions, particularly when these differ from patients' pain self-reports. BACKGROUND: Postoperative pain is a complex phenomenon influenced by many factors that make assessment difficult. Nurses are taught to believe what patients say about their pain. However, their attitudes to pain are influenced by their cultural background and they may disagree with patients' self-reports. Military nurses belong to a military culture with different pain attitudes that may also influence their postoperative pain assessment. METHOD: An ethnomethodological ethnography study was carried out in 2003. A purposive sample of 29 British military surgical/orthopaedic Registered Nurses were interviewed to identify their taken-for-granted assumptions and commonsense cultural knowledge surrounding postoperative pain assessment. The data were analysed using a systematic process of inductive reasoning aided by Non-numerical, Unstructured Data for Indexing, Searching and Theorizing (QSR N6, NUD*IST). FINDINGS: Participants told two distinct stories in their postoperative pain narratives. The first, the cultural story, described how military nurses normally assess postoperative pain and revealed taken-for-granted assumptions surrounding this assessment. However, when military nurses believe that patients over- or under-report their pain, the cultural story was challenged through a collective story in which nurses used their commonsense knowledge to account for these differences. CONCLUSION: Postoperative pain assessment within a military culture is complex, but all nurses need to be aware that their socialization into different nursing cultures may influence their attitudes to postoperative pain assessment.

Source: PubMed

How military nurses rationalize their postoperative pain assessment decisions

Authors: Harper, P., Ersser, S. and Gobbi, M.

Journal: JOURNAL OF ADVANCED NURSING

Volume: 59

Issue: 6

Pages: 601-611

eISSN: 1365-2648

ISSN: 0309-2402

DOI: 10.1111/j.1365-2648.2007.04369.x

Source: Web of Science (Lite)

How Military Nurses Rationalize their Postoperative Pain Assessment Decisions

Authors: Harper, P., Ersser, S.J. and Gobbi, M.

Journal: Journal of Advanced Nursing

Volume: 59

Pages: 601-611

ISSN: 0309-2402

DOI: 10.1111/j.1365-2648.2007.04369.x

Abstract:

Aim. This paper is a report of a study to explore how military nurses rationalize their postoperative pain assessment decisions, particularly when these differ from patients' pain self-reports.

Background. Postoperative pain is a complex phenomenon influenced by many factors that make assessment difficult. Nurses are taught to believe what patients say about their pain. However, their attitudes to pain are influenced by their cultural background and they may disagree with patients' self-reports. Military nurses belong to a military culture with different pain attitudes that may also influence their postoperative pain assessment.

Method. An ethnomethodological ethnography study was carried out in 2003. A purposive sample of 29 British military surgical/orthopaedic Registered Nurses were interviewed to identify their taken-for-granted assumptions and commonsense cultural knowledge surrounding postoperative pain assessment. The data were analysed using a systematic process of inductive reasoning aided by Non-numerical, Unstructured Data for Indexing, Searching and Theorizing (qsr n6, nud*ist).

Findings. Participants told two distinct stories in their postoperative pain narratives. The first, the cultural story, described how military nurses normally assess postoperative pain and revealed taken-for-granted assumptions surrounding this assessment. However, when military nurses believe that patients over- or under-report their pain, the cultural story was challenged through a collective story in which nurses used their commonsense knowledge to account for these differences.

Conclusion. Postoperative pain assessment within a military culture is complex, but all nurses need to be aware that their socialization into different nursing cultures may influence their attitudes to postoperative pain assessment.

http://www3.interscience.wiley.com/journal/118487086/abstract?CRETRY=1&SRETRY=0

Source: Manual

How military nurses rationalize their postoperative pain assessment decisions.

Authors: Harper, P., Ersser, S. and Gobbi, M.

Journal: Journal of advanced nursing

Volume: 59

Issue: 6

Pages: 601-611

eISSN: 1365-2648

ISSN: 0309-2402

DOI: 10.1111/j.1365-2648.2007.04369.x

Abstract:

Aim

This paper is a report of a study to explore how military nurses rationalize their postoperative pain assessment decisions, particularly when these differ from patients' pain self-reports.

Background

Postoperative pain is a complex phenomenon influenced by many factors that make assessment difficult. Nurses are taught to believe what patients say about their pain. However, their attitudes to pain are influenced by their cultural background and they may disagree with patients' self-reports. Military nurses belong to a military culture with different pain attitudes that may also influence their postoperative pain assessment.

Method

An ethnomethodological ethnography study was carried out in 2003. A purposive sample of 29 British military surgical/orthopaedic Registered Nurses were interviewed to identify their taken-for-granted assumptions and commonsense cultural knowledge surrounding postoperative pain assessment. The data were analysed using a systematic process of inductive reasoning aided by Non-numerical, Unstructured Data for Indexing, Searching and Theorizing (QSR N6, NUD*IST).

Findings

Participants told two distinct stories in their postoperative pain narratives. The first, the cultural story, described how military nurses normally assess postoperative pain and revealed taken-for-granted assumptions surrounding this assessment. However, when military nurses believe that patients over- or under-report their pain, the cultural story was challenged through a collective story in which nurses used their commonsense knowledge to account for these differences.

Conclusion

Postoperative pain assessment within a military culture is complex, but all nurses need to be aware that their socialization into different nursing cultures may influence their attitudes to postoperative pain assessment.

Source: Europe PubMed Central