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Congruence between nurses' and patients' assessment of postoperative pain: a literature review.

Branney, J., 2020. Congruence between nurses' and patients' assessment of postoperative pain: a literature review. British Journal of Nursing, 29 (4), 212 - 220.

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Anonymised manuscript 2nd REVISION WITH CHANGES.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial.


DOI: 10.12968/bjon.2020.29.4.212


Postoperative pain remains poorly managed for many patients. Effective pain management begins with accurate pain assessment, with patient self-reporting considered the most accurate measure of pain. This literature review aimed to identify how congruent nurses' assessments of pain were with patients' self-reporting. A search identified six observational studies and one quasi-experimental study that met the inclusion criteria. The findings from these studies were summarised under two themes: nurses' underestimation of patients' pain and nurses' knowledge and understanding of pain assessment. Some nurses' pain management knowledge was deemed inadequate, with evidence of negative attitudes towards managing pain in certain groups of patients. Educational interventions have so far had limited impact on correcting the ethical and professional problem of inadequate pain relief in many patients postoperatively. Randomised controlled trials are required to identify effective education interventions that can contribute to ending this avoidable suffering.

Item Type:Article
Uncontrolled Keywords:Acute pain ; Pain management ; Pain measurement ; Postoperative pain ; Nures-patient relations ; Nurses
Group:Faculty of Health & Social Sciences
ID Code:33653
Deposited By: Symplectic RT2
Deposited On:06 Mar 2020 15:36
Last Modified:14 Mar 2022 14:20


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