Concept Analysis of Nurses' Identification of Pain in Demented Patients in a Nursing Home: Development of a Hybrid Model

Sung Ok Chang, Younjae Oh, Eun Young Park, Geun Myun Kim, Suk Yong Kil

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Pain is a subjective feeling, with no known biologic markers. Proof of its presence and measurement of intensity rely entirely on self-reporting by the patient. The hampered or abrogated ability of demented patients to report their pain is a major difficulty in pain assessment and management. The purpose of this study was to clarify and conceptualize pain identification in demented patients by nurses. The hybrid model of concept development was used in the development of a conceptual structure of pain in demented patients. Data were collected by literature review (theoretical phase) and among nurses caring for demented patients in three nursing homes in South Korea (fieldwork phase). The 13 nurses involved each reported >3 years' nursing home experience. In a hybrid model, pain identification in demented patients by nurses constituted an active daily process of integrating patient expressional cues during periods of pain and pain relief and involving three dimensions: identification schemes based on the stage and type of dementia, connecting assessments after each intervention, and cognitive efforts to establish the origin of pain. Identification of pain in demented patients by nurses is a complex process. More research is needed to formulate an assessment tool and pain management strategies for patients with dementia.

Original languageEnglish
Pages (from-to)61-69
Number of pages9
JournalPain Management Nursing
Volume12
Issue number2
DOIs
Publication statusPublished - 2011 Jun 1

Fingerprint

Nursing Homes
Nurses
Pain
Pain Management
Dementia
Republic of Korea
Aptitude
Pain Measurement
Cues
Emotions
Biomarkers
Research

ASJC Scopus subject areas

  • Advanced and Specialised Nursing

Cite this

Concept Analysis of Nurses' Identification of Pain in Demented Patients in a Nursing Home : Development of a Hybrid Model. / Chang, Sung Ok; Oh, Younjae; Park, Eun Young; Kim, Geun Myun; Kil, Suk Yong.

In: Pain Management Nursing, Vol. 12, No. 2, 01.06.2011, p. 61-69.

Research output: Contribution to journalArticle

Chang, Sung Ok ; Oh, Younjae ; Park, Eun Young ; Kim, Geun Myun ; Kil, Suk Yong. / Concept Analysis of Nurses' Identification of Pain in Demented Patients in a Nursing Home : Development of a Hybrid Model. In: Pain Management Nursing. 2011 ; Vol. 12, No. 2. pp. 61-69.
@article{3c2a946477464f8dbaa8297dea654c83,
title = "Concept Analysis of Nurses' Identification of Pain in Demented Patients in a Nursing Home: Development of a Hybrid Model",
abstract = "Pain is a subjective feeling, with no known biologic markers. Proof of its presence and measurement of intensity rely entirely on self-reporting by the patient. The hampered or abrogated ability of demented patients to report their pain is a major difficulty in pain assessment and management. The purpose of this study was to clarify and conceptualize pain identification in demented patients by nurses. The hybrid model of concept development was used in the development of a conceptual structure of pain in demented patients. Data were collected by literature review (theoretical phase) and among nurses caring for demented patients in three nursing homes in South Korea (fieldwork phase). The 13 nurses involved each reported >3 years' nursing home experience. In a hybrid model, pain identification in demented patients by nurses constituted an active daily process of integrating patient expressional cues during periods of pain and pain relief and involving three dimensions: identification schemes based on the stage and type of dementia, connecting assessments after each intervention, and cognitive efforts to establish the origin of pain. Identification of pain in demented patients by nurses is a complex process. More research is needed to formulate an assessment tool and pain management strategies for patients with dementia.",
author = "Chang, {Sung Ok} and Younjae Oh and Park, {Eun Young} and Kim, {Geun Myun} and Kil, {Suk Yong}",
year = "2011",
month = "6",
day = "1",
doi = "10.1016/j.pmn.2010.05.007",
language = "English",
volume = "12",
pages = "61--69",
journal = "Pain Management Nursing",
issn = "1524-9042",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Concept Analysis of Nurses' Identification of Pain in Demented Patients in a Nursing Home

T2 - Development of a Hybrid Model

AU - Chang, Sung Ok

AU - Oh, Younjae

AU - Park, Eun Young

AU - Kim, Geun Myun

AU - Kil, Suk Yong

PY - 2011/6/1

Y1 - 2011/6/1

N2 - Pain is a subjective feeling, with no known biologic markers. Proof of its presence and measurement of intensity rely entirely on self-reporting by the patient. The hampered or abrogated ability of demented patients to report their pain is a major difficulty in pain assessment and management. The purpose of this study was to clarify and conceptualize pain identification in demented patients by nurses. The hybrid model of concept development was used in the development of a conceptual structure of pain in demented patients. Data were collected by literature review (theoretical phase) and among nurses caring for demented patients in three nursing homes in South Korea (fieldwork phase). The 13 nurses involved each reported >3 years' nursing home experience. In a hybrid model, pain identification in demented patients by nurses constituted an active daily process of integrating patient expressional cues during periods of pain and pain relief and involving three dimensions: identification schemes based on the stage and type of dementia, connecting assessments after each intervention, and cognitive efforts to establish the origin of pain. Identification of pain in demented patients by nurses is a complex process. More research is needed to formulate an assessment tool and pain management strategies for patients with dementia.

AB - Pain is a subjective feeling, with no known biologic markers. Proof of its presence and measurement of intensity rely entirely on self-reporting by the patient. The hampered or abrogated ability of demented patients to report their pain is a major difficulty in pain assessment and management. The purpose of this study was to clarify and conceptualize pain identification in demented patients by nurses. The hybrid model of concept development was used in the development of a conceptual structure of pain in demented patients. Data were collected by literature review (theoretical phase) and among nurses caring for demented patients in three nursing homes in South Korea (fieldwork phase). The 13 nurses involved each reported >3 years' nursing home experience. In a hybrid model, pain identification in demented patients by nurses constituted an active daily process of integrating patient expressional cues during periods of pain and pain relief and involving three dimensions: identification schemes based on the stage and type of dementia, connecting assessments after each intervention, and cognitive efforts to establish the origin of pain. Identification of pain in demented patients by nurses is a complex process. More research is needed to formulate an assessment tool and pain management strategies for patients with dementia.

UR - http://www.scopus.com/inward/record.url?scp=79956340336&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79956340336&partnerID=8YFLogxK

U2 - 10.1016/j.pmn.2010.05.007

DO - 10.1016/j.pmn.2010.05.007

M3 - Article

C2 - 21620308

AN - SCOPUS:79956340336

VL - 12

SP - 61

EP - 69

JO - Pain Management Nursing

JF - Pain Management Nursing

SN - 1524-9042

IS - 2

ER -