护士对深度智障人士疼痛的识别和评估：赞赏性调查。

IF 1.5 4区医学 Q2 EDUCATION, SPECIAL

Journal of Intellectual Disabilities Pub Date : 2024-11-22 DOI:10.1177/17446295241303192

Maeve Goodall, Kate Irving, Mary Nevin

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引用次数: 0

摘要

背景：深度智障人士不善言语，在疼痛识别、评估和管理方面依赖照护者。疼痛是一种多方面且相互关联的体验。需要专门为这一人群设计评估工具。本研究旨在为改善护士的疼痛护理实践制定方法：这项定性研究遵循 "欣赏 "的四个阶段：发现、梦想、设计、命运。从爱尔兰一家智障组织招募了八名护士作为共同研究者。采用主题分析和持续反思法对个人访谈和焦点小组访谈的数据进行了分析：结果：开发了疼痛意识宣传活动和 RAPPID 工具（深度智障人士疼痛识别与评估工具）：结论：通过疼痛评估的整体方法体现了对深度智障人士人格的尊重。增强护士的能力可以带来积极的变化。通过正式的协作工具，可以更有效地传播隐性知识。

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The recognition and assessment of pain in people with profound intellectual disabilities by nurses: An appreciative inquiry.

Background: Individuals with profound intellectual disabilities are non-verbal and reliant on carers for pain recognition, assessment and management. Pain is a multifaceted and interconnected experience. Assessment tools designed specifically for this population are needed. This study aimed to develop methods for improved pain care practices by nurses.

Methods: This qualitative study followed the four phases of appreciative; Discovery, Dream, Design, Destiny. Eight nurses were recruited as co-researchers from one Irish intellectual disability organisation. Data were analysed from individual and focus group interviews, using thematic analysis and continuous reflexivity.

Results: A pain awareness campaign and RAPPID tool (recognition and assessment of pain in people with profound intellectual disabilities) were developed.

Conclusion: Respect for personhood in individuals with profound intellectual disabilities is reflected through holistic approaches to pain assessment. The empowerment of nurses enables positive change. Implicit knowledge can be communicated more proficiently with a formal, collaborative tool.

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来源期刊

Journal of Intellectual Disabilities Multiple-

CiteScore

3.40

自引率

13.30%

发文量

期刊介绍： The principal aim of the journal is to provide a medium for the exchange of best practice, knowledge and research between academic and professional disciplines from education, social and health settings to bring about advancement of services for people with intellectual disabilities. The idea of a practice-led journal is both exciting and timely. This journal serves as a medium for all those involved with people with intellectual disabilities to submit and publish papers on issues relevant to promoting services for people with intellectual disabilities.