ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

PURPOSE. To identify the common patient barriers regarding analgesic use; to describe the influence of patient barriers on pain assessment, patient adherence to analgesic therapy, and pain outcomes; and to describe clinical approaches that address patient barriers.DATA SOURCES. Healthcare literature.DATA SYNTHESIS. Patient barriers to analgesic use include fear of addiction and tolerance, concern about side effects and medication ineffectiveness, desire to be a good patient and to avoid distracting the physician from curing the disease, fatalism, fear of injections, forgetfulness, reliance on nonpharmacologic therapies, stoicism, concern that pain indicates disease progression, and meanings attributed to the pain.CONCLUSIONS. Patient barriers significantly influence analgesic use and pain and quality-of- life outcomes.IMPLICATIONS FOR NURSING PRACTICE. Identifying patient barriers to analgesic use is an important nursing consideration. Patient barriers influence pain reporting of pain, adherence to analgesic therapy, and quality of life. Early assessment and intervention for these barriers are essential, and may be effective in ensuring adequate analgesic use and in identifying appropriate nonpharmacologic pain therapies.

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

PURPOSE. As part of a project to strengthen nursing education in end-of-life (EOL) care, content in major nursing education textbooks was evaluated for the amounts addressing communication and family caregiver topics.METHODS. Content analysis of 50 nursing textbooks selected from a potential of more than 700 texts. The texts were reviewed using an analysis framework encompassing 9 essential areas of EOL care. The methods included content analysis as well as quantification of the content present in the texts.FINDINGS. Only 2% of the overall content and 1.4% of chapters of nursing texts were related to EOL care. Of the EOL content, 11% addressed communication and 5% concerned information on family caregivers.CONCLUSIONS. Based on the analysis, many deficiencies in the texts were identified including inaccurate information and the lack of information on these two critical EOL topics.IMPLICATIONS FOR NURSING PRACTICE. Nursing texts have limited content on EOL care. Improvement in textbooks is essential to prepare nurses to care for patients at the EOL. Achieving the goal of improved texts and the broader goals of strengthened education and improved patient care will require collaboration with publishers and commitment by professionals with expertise in EOL care.

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

PURPOSE. To provide introductory information about the research process for practicing hospice and palliative care nurses.DATA SOURCES. Texts, personal teaching experience.DATA SYNTHESIS. The steps of the quantitative research process are described and the relationships between the steps are clarified. CONCLUSIONS. Hospice and palliative care nurses who understand the research process are more likely to read and use research.IMPLICATIONS FOR NURSING PRACTICE. Nursing practice and patient care may be improved through the use of appropriate research studies.

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1522-2179    

出版商:OVID    

年代:1999

数据来源: OVID