发现当前护士识别和评估重度智障人士疼痛的 "现状"：欣赏式探究方法

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2024-10-06 DOI:10.1111/jar.13305

Maeve Goodall, Kate Irving, Mary Nevin

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引用次数: 0

摘要

背景深度智障人士的疼痛识别和评估具有挑战性。探索解决这一问题的有效方法至关重要。本研究旨在发现当前在这一护理领域的护理实践，作为四阶段欣赏式探究研究的第一阶段，为进一步的研究和实践提供信息：方法：整理共同研究护士的个人访谈和焦点小组访谈数据，并将其发展为主题：结果：确定了六个主题：无条件的积极关注、尊重关系、创造性的最佳实践、通过竞争视角看待疼痛、准确评估--不可能完成的任务？对疼痛进行药物治疗--过于简单化且价值被低估？在识别疼痛和痛苦时，人际关系至关重要。在对这一人群的护理中，我们了解疼痛的多面性；然而，身体疼痛的识别和评估是优先事项，以防止严重的健康问题和死亡。专业人员之间需要正式的评估和沟通方法。

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Discovering the Current ‘State of Play’ in Pain Recognition and Assessment for People With Profound Intellectual Disabilities by Nurses: An Appreciative Inquiry Approach

Background

Pain recognition and assessment in individuals with profound intellectual disabilities are challenging. Exploring effective methods of addressing this is essential. This study aims to discover current nursing practice in this area of care as the first of a four-phased appreciative inquiry study, to inform further research and practice.

Methods

Data from individual and focus group interviews with co-researching nurses were collated and developed into themes.

Results

Six themes were identified: unconditional positive regard, honouring of relationship, creative best practice, pain through a competing lens, accurate assessment—an impossible task? Medicating pain—oversimplified and undervalued?

Conclusion

Relationship is essential, in recognising pain and distress. There is an understanding of the multifaceted nature of pain in the care of this population; however, physical pain recognition and assessment are prioritised, to prevent serious ill health and death. Formal methods of assessment and communication between professionals are needed.

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.