Pain Management Nursing最新文献

{"title":"Information for Readers","authors":"","doi":"10.1016/S1524-9042(25)00220-6","DOIUrl":"10.1016/S1524-9042(25)00220-6","url":null,"abstract":"","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 4","pages":"Page A5"},"PeriodicalIF":1.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Sociodemographic Correlates of Low Back Pain in a Diverse U.S. Population: Insights From the All of Us Research Program.","authors":"Anitha Saravanan, Rana Jaber, Boshi Zhao, Alireza Majd, Prempreet Bajaj, Michael R Kushnick, Angela Starkweather","doi":"10.1016/j.pmn.2025.06.007","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.06.007","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate the prevalence of clinically diagnosed low back pain (LBP) and examine associated sociodemographic and clinical factors in a large, diverse national sample of U.S. adults using data from the All of Us Research Program.</p><p><strong>Design: </strong>Cross-sectional analysis of survey data, electronic health records, and physical measurements from the All of Us Research Program.</p><p><strong>Data sources: </strong>All of Us Research Program database, including electronic health record diagnoses, participant surveys, and biometric data.</p><p><strong>Review or analysis methods: </strong>Multivariable logistic regression was used to identify factors associated with LBP diagnosis. Independent variables included sex, race, ethnicity, BMI, income, education level, and marital status.</p><p><strong>Results: </strong>Among 183,714 participants, 49.7% had a clinical diagnosis of LBP. Female participants had significantly higher odds of LBP (OR 1.37) compared to males. Individuals identifying as Asian (OR 0.67), Black/African American (OR 0.75), and Hispanic (OR 0.88) had lower odds of LBP than White participants. Lower income and education levels, along with being married, were associated with higher odds of LBP.</p><p><strong>Conclusions, and nursing practice implications: </strong>This study reveals that sociodemographic disparities play a critical role in the diagnosis of low back pain. Nurses should consider these disparities when assessing risk, planning care, and developing targeted interventions. Tailoring pain management strategies to reflect patients' social and demographic contexts can enhance outcomes and promote equity in care.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering Pediatric Care with Virtual Reality to Alleviate Pain and Anxiety.","authors":"Erin M Temple, Charlene H Chu","doi":"10.1016/j.pmn.2025.06.008","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.06.008","url":null,"abstract":"<p><p>Pain and anxiety are prevalent challenges affecting children undergoing medical procedures, significantly impacting their recovery and long-term well-being. Emerging technologies, particularly virtual reality (VR), offer promising nonpharmacological interventions for pain management and anxiety alleviation in pediatric care. Despite extensive research on VR as a pain management solution in adult populations, there has been a lack of similar in-depth studies on its use for children, highlighting the importance of further exploration in pediatric care. This editorial examines the innovative potential of VR in transforming pediatric healthcare, emphasizing its integration with child- and family-centered care principles. VR immerses children in engaging virtual environments, providing distraction, comfort, and personalized care during painful procedures. Long-term studies suggest that VR can have sustained positive impacts on pediatric patients' mental and physical health. Nurses play a pivotal role in implementing VR, leveraging it to deliver holistic, family-centered care that enhances the overall healthcare experience for children and their families. This paper also discusses the importance of digital health literacy and specialized training for healthcare providers to maximize the benefits of VR in clinical practice. Furthermore, advocacy for policy changes and funding is crucial for the widespread adoption of VR in pediatric healthcare.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital Nurses' Beliefs and Knowledge About Pain Management Among Older Persons Living With Dementia: A Cross-Sectional Survey Study.","authors":"Beverly Ingelson, Sherry Dahlke, GailHannah M LowO'Rourke, Kathleen F Hunter","doi":"10.1016/j.pmn.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.03.008","url":null,"abstract":"<p><strong>Purpose: </strong>Hospitalized older persons living with dementia (PLWDs) often experience unrelieved pain. Nurses' personal knowledge and beliefs are strong predictors of pain management practices. The impact of individual nurse factors such as age, gender, and experience in their pain management practices with PLWDs is unknown. The purpose of this study was to explore the influence of nurses' age, sex, age, and experience on knowledge and beliefs when managing pain in hospitalized PLWDs.</p><p><strong>Design: </strong>An exploratory, descriptive, nonexperimental, cross-sectional study using the Knowledge and Beliefs About Pain in Elderly Patients With Dementia survey examined registered nurses' beliefs and knowledge about pain management. This is the first study in an explanatory mixed methods design and informed data collection in the second and qualitative study reported elsewhere.</p><p><strong>Methods: </strong>Data were collected between February and July 2022 on nurses working in two hospitals in Southern California. The hospital with the larger sample of nurse participants was designated a Nurses Improving Care for Healthsystem Elders facility.</p><p><strong>Results: </strong>Multivariate analysis of variance revealed no statistically significant differences in nurses' general beliefs and knowledge about pain, dementia, and older persons when compared by age, sex, or years of experience. However, analysis of variance indicated that people who identified as men had less favorable beliefs about pain in older persons than women. Overall analysis of the means and standard deviations for the three factors indicated that there were opportunities to improve nurses' knowledge deficits related to pain management and beliefs that may indicate negative stereotypes about pain in older PLWDs.</p><p><strong>Conclusions: </strong>The study found that even in a facility designated a Nurses Improving Care for Healthsystem Elders site, there are knowledge deficits and negative stereotypical beliefs that may result in pain that is underrecognized and undermanaged in hospitalized older PLWDs. Study results also suggest that there may be a difference in knowledge between female and male nurses in terms of knowledge and beliefs that may impact pain management practices. Further research is needed to understand this and other potential influences on nurses' understanding of this area of care.</p><p><strong>Clinical implications: </strong>© 20XX by the American Society for Pain Management Nursing.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compressive Cold Application Effect on Pain Level in Patients Undergoing Total Knee Arthroplasty.","authors":"Özge Buldan, Sümeyye Arslan, Harun Reşit Güngör","doi":"10.1016/j.pmn.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.06.005","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the effect of compressive cold application on pain and satisfaction in patients undergoing Total Knee Arthroplasty (TKA) using the Rapid Recovery Protocol.</p><p><strong>Design: </strong>A randomized controlled trial.</p><p><strong>Methods: </strong>A total of 52 participants were divided into two groups using simple randomization, 26 in the intervention group (compressed cold therapy bandage) and 26 in the control group (cold gel). Cold application with 30 mmHg pressure integration (LM-805 Kifidis) was applied to the patients in the intervention group; patients in the control group only required cold application (ColPac cold gel pack). Both groups were given 9 cold therapy sessions, including postoperative cold application, 20-minute application and 40-minute rest, routine analgesic application, and were followed for 36 hours. Data were collected using the Personal Information Form and Visual Analog Scale (VAS).</p><p><strong>Results: </strong>In all 9 cold applications in the intervention group, VAS scores showed a statistically significant decrease in the first 36 hours and rest periods following the application of physiotherapy sessions (p < .05).</p><p><strong>Conclusion: </strong>Application of cold therapy with pressure in a standard protocol has been shown to be an effective method for the treatment of acute pain in TKA patients. Patients who received cold and pressure were discharged with lower pain scores. This study may provide the basis for further research on whether compression cryotherapy can provide comparable benefits in other orthopedic surgeries and injury types.</p><p><strong>Clinical implications: </strong>Application of compressive cold therapy after TKA resulted in a decrease in patients' pain scores, indicating that a duration of 20 minutes and a pressure of 30 mmHg may be the most appropriate parameters for this approach.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144619717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"The Effect of Tele-Nursing on Pain and Sleep in Patients With Gastritis\".","authors":"Nedret Tekin Kaya, Özlem Örsal","doi":"10.1016/j.pmn.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.06.006","url":null,"abstract":"<p><strong>Background: </strong>Gastritis is inflammation of the stomach, and is one of the common health issues seen worldwide, especially in developing countries.</p><p><strong>Objective: </strong>The aim of this study is to determine the effect of tele- counseling on pain, sleep and gastroıntestınal symptoms in patients with gastritis.</p><p><strong>Methods: </strong>The study was implemented between November 2021 and December 2021.This study was conducted in a pre-test post-test randomized controlled trial design. By simple randomization, 55 patients were assigned to the intervention group, and 55 patients to the control group. Before the study, descriptive ınformation form, Visual Analog Scale (VAS), Richards Campbell Sleep Scale (RCSQ), Patient Assessment of Gastrointestinal Disorders-Symptom Severity Index (PAGI-SYM) were applied to all persons. Telephone interviews were made with the patients in the intervention group. Patients were telephoned at weeks 1, 3, 5 and 7 and training was provided by tele-nursing service. Training was given on the risk factors of gastritis, reduce gastritis complaints and prevent recurrences, proper nutrition, coping with stress, rational drug use, and hygiene. The study was registered at ClinicalTrials.gov(NCT04669275).</p><p><strong>Results: </strong>Post-test results showed decreased PAGI-SYM and VAS scores and increased RCSQ scores in the intervention group (p<0.005). In the post-test results of the intervention group, a moderate negative correlation was found between the total PAGI-SYM score and RCSQ, while a highly significant positive correlation was observed between PAGI-SYM and VAS. Additionally, a moderate negative correlation was identified between VAS and the total RCSQ score. CONCLUSıON: Tele-counseling may be used to reduce pain intensity, GIS symptoms and improve sleep problems in patients with gastritis.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-Related Self-Efficacy Moderates the Relationship Between Pain and Functional Impairment: A Cross-Sectional Study of Emerging Adults With Chronic Illnesses.","authors":"Imani Sims, Katherine Shircliff, Jonathan Singer, Caroline Cummings","doi":"10.1016/j.pmn.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.06.004","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals with chronic or complex illnesses often endorse pain as a symptom of their disease. Experiences of pain are positively associated with depression and anxiety symptomatology and can have a long-term impact on general functioning. Despite the prevalence of pain in emerging adults, most research has been conducted with adolescent, general adult, and older adult samples. Emerging adults often endorse lower health-related self-efficacy than older adults, and self-efficacy more broadly may be an important intervention target to improve general functioning for those with chronic or complex illnesses across the lifespan.</p><p><strong>Design: </strong>The current cross-sectional study aimed to examine the impact of health-related self-efficacy on the relationship between pain intensity and general functioning in an emerging adult population.</p><p><strong>Methods: </strong>Participants (N = 149) included undergraduate students (70.5% female, 68.9% White) aged 18-21 with at least one chronic or complex illness.</p><p><strong>Results: </strong>Pain severity and health-related self-efficacy were significantly associated with physical health, emotional well-being, and role limitations due to physical health but not role limitations due to emotional problems. Health-related self-efficacy significantly moderated the relationship between pain severity and role limitations due to physical health.</p><p><strong>Conclusions: </strong>Continued research with emerging adults is needed to further clarify possible differences in the interdependence of health-related self-efficacy and physical versus emotional well-being for this specific (age) demographic.</p><p><strong>Clinical implications: </strong>It is possible that interventions might need to be tailored based on whether individuals have concurrent emotional problems, as health-related self-efficacy alone might not sufficiently assuage emotional problems in individuals with a chronic/complex illness and comorbid pain.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Interference Mediates the Relationship Between Severe Pain and Depression in Patients with Chronic Pain Referred from Primary Care.","authors":"Nivaldo Ribeiro Villela, Paula Cristina Leitão de Assunção, Ana Carolina Queiroz da Silva, Flavio Antônio Duboc Flutt, Beatriz Fátima Alves de Oliveira","doi":"10.1016/j.pmn.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.06.002","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the prevalence of depression and its relationship with clinical characteristics, demographics, and pain intensity in patients experiencing uncontrolled chronic pain. It also examined whether severe pain interference with daily activities mediates the connection between severe pain and depression.</p><p><strong>Design: </strong>This cross-sectional observational study used data from 2,081 adult patients referred from primary care to a tertiary hospital.</p><p><strong>Data source: </strong>Depression was assessed using the Depression subscale of the Hospital Anxiety and Depression Scale (HADS-D), with scores of 11 or higher indicating depression. Sociodemographic and clinical characteristics were collected, and pain severity and interference were evaluated with the Brief Pain Inventory (BPI).</p><p><strong>Analysis: </strong>Poisson regression assessed the associations between depression and demographic/clinical factors. Mediation analysis examined the effect of severe interference on the relationship between severe pain and depression.</p><p><strong>Results: </strong>Depression was found in 42.7% of patients. Those with depression reported a higher prevalence of severe pain (61% vs. 43%) and more significant interference with daily activities (81% vs. 42%). Males (PR = 0.73, 95% CI: 0.64-0.83) and patients aged 60 years or older (PR = 0.73, 95% CI: 0.64-0.83) exhibited a lower prevalence of depression. Widespread pain (PR = 1.29, 95% CI: 1.15-1.44) and severe pain (PR = 1.39, 95% CI: 1.24-1.53) were associated with a higher prevalence of depression. When severe interference was included in the regression model, the association with severe pain diminished, and severe interference emerged as a stronger predictor of depression (PR = 2.60, 95% CI: 2.24-3.02). In the mediation analysis, severe interference mediated the relationship between severe pain and depression.</p><p><strong>Conclusion: </strong>Depression is common among patients with uncontrolled chronic pain and is linked to significant pain and functional impairment. Addressing these functional limitations is essential for managing this population.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Race on Pain Management Among Registered Nurses.","authors":"Esther Chipps, Todd E Tussing, Carolyn Huffman, Lindsay Thompson Munn, Loraine T Sinnott, Bevra Brinkman, Judy Jefferson-Gordon, Latasha Park, Natalia Cineas","doi":"10.1016/j.pmn.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.06.009","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to determine the impact of racial bias on nurses' clinical decision-making related to pain management.</p><p><strong>Design: </strong>A cross-sectional survey was conducted using clinical vignettes of registered nurses (RNs) working at four healthcare systems across the United States.</p><p><strong>Methods: </strong>RNs working in adult inpatient settings and emergency departments were recruited to participate in an online survey. The survey included four clinical vignettes describing a patient in pain. Blinded to the research questions, participants randomly received one of two survey versions that were identical except for the patient's race (White/Black) in the four vignettes. Participants were asked to read and review each vignette and respond to the clinical questions about the clinical situation. Statistical analysis examined the main and interaction effects based on the nurses' and patients' race. Nurses were informed of the research question and deception after data collection.</p><p><strong>Results: </strong>A total of 563 nurses responded to the survey. Only respondents identifying as White (n = 401) or Black (n = 44) were included in the analysis. Across vignettes, results were mixed, with some evidence of differences in pain treatment and perceptions of therapeutic relationships in racially discordant pairs.</p><p><strong>Conclusions: </strong>Clinical decisions impacted by race were noted in nurses' assessments of pain, nurses' decisions to administer medication, stigma toward substance use, and perceptions of the ability to form therapeutic relationships.</p><p><strong>Clinical implications: </strong>Management of pain in the setting of diversity remains a complex challenge. Clinicians must recognize how bias can influence pain management. Pain assessment policies, procedures, and guidelines must explicitly address race and ethnicity in their development.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Nurses' Pain Beliefs and Ethical Attitudes to Pain.","authors":"Nevin Doğan, Meyreme Aksoy, Nefise Cevriye Sucu Çakmak","doi":"10.1016/j.pmn.2025.06.003","DOIUrl":"https://doi.org/10.1016/j.pmn.2025.06.003","url":null,"abstract":"<p><strong>Purpose: </strong>Pain is a multifaceted phenomenon shaped by biological, psychological, and social factors, as emphasized by cognitive-behavioral and biopsychosocial models. Understanding whether nurses prioritize the biological or psychological dimensions of pain is crucial, as their pain beliefs can directly influence their ethical attitudes and the quality of patient-centered care. Therefore, this study aimed to examine the relationship between nurses' pain beliefs and their ethical attitudes in pain management.</p><p><strong>Design: </strong>A descriptive and correlational research design was used.</p><p><strong>Methods: </strong>The study included 194 nurses working at a state hospital in Türkiye between April and May 2024. Data collection tools consisted of the \"Introductory Information Form,\" the \"Pain Beliefs Scale,\" and the \"Ethical Attitudes in Pain Management Scale.\" Descriptive statistics and multivariate linear regression analysis were applied to evaluate the findings.</p><p><strong>Results: </strong>The results showed that the nurses' average score for psychological pain beliefs was 4.75 ± 0.91, while the average score for organic pain beliefs was 3.62 ± 0.65. Additionally, the average score for nurses' ethical attitudes in pain management was 101.89 ± 11.56. It was found that organic pain beliefs negatively predicted nurses' ethical attitudes in pain management, whereas psychological pain beliefs positively predicted them (p < .05). The regression model explained 11.6% of the variance in ethical attitudes (R² = 0.116), with a small to medium effect size (Cohen's f² = 0.13), indicating practical significance alongside statistical significance.</p><p><strong>Conclusions: </strong>This study highlights the influence of nurses' pain beliefs on their ethical decision-making. Given the differential effects of psychological and organic pain beliefs, tailored educational interventions emphasizing a holistic and ethical approach to pain management are recommended.</p><p><strong>Clinical implications: </strong>The findings highlight the significant impact of nurses' pain beliefs on their ethical attitudes in pain management. Given that psychological pain beliefs positively influence ethical attitudes and organic beliefs have a negative effect, in-service training programs should be designed to include modules on ethical dilemmas specific to pain care (e.g., balancing patient autonomy with clinical judgment), holistic pain assessment techniques (addressing both physical and psychological dimensions), and the application of ethical frameworks in clinical decision-making. These targeted trainings can help nurses adopt a more patient-centered and empathetic approach, ensuring that ethical principles such as autonomy and dignity are upheld in pain management.</p>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}