8 research outputs found
Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes
Older people who live in nursing homes commonly suffer from pain. Therefore, relieving suffering among older people thatstems from pain demands knowledge improvement through an integration of international knowledge. This study aimed tointegrate current international findings and strengthen the understanding of older peopleâs experiences of and perspectiveson pain and pain management in nursing homes. A meta-synthesis study using Noblit and Hareâs interpretative metaethnographyapproach was conducted. Empirical research papers from journals were collected from various databases. Thesearch process and appraisal determined six articles for inclusion. Two studies were conducted in the US and one each inIceland, Norway, the UK, and Australia. The older peopleâs experiences of pain as well as perspectives on pain managementfrom all involved (older people, their family members, and healthcare staff) were integrated into a theoretical model usingthree themes of ââidentity of pain,ââ âârecognition of pain,ââ and ââresponse to pain.ââ The metaphor of âânormalizing sufferingââwas devised to illustrate the meaning of pain experiences and pain management in nursing homes. Societyâs commonattitude that pain is unavoidable and therefore acceptable in old age in society*among older people themselves as well asthose who are responsible for reporting, acknowledging, and relieving pain*must change. The article emphasizes that painas a primary source of suffering can be relieved, provided that older people are encouraged to report their pain. In addition,healthcare staff require sufficient training to take a person-centered approach towards assessment and management of painthat considers all elements of pain
Long-term memories and experiences of childbirth in a Nordic contextâa secondary analysis
Balancing preterm infantsâ developmental needs with parentsâ readiness for skin-to-skin care: A phenomenological study
The aim of this article is to articulate the essence and constituents of neonatal intensive care unit (NICU) nursesâ experiences in enacting skin-to-skin care (SSC) for preterm newborns and their parents. SSC is commonly employed in high-tech NICUs, which entails a movement from maternalâinfant separation. Parentsâ opportunities for performing the practice have been addressed to NICU staff, with attitude and environment having crucial influence. The study was carried out with a reflective lifeworld research approach. Data were collected in Denmark, Sweden, and Norway by open-dialogue interviews with a purposive sample of 18 NICU nurses to achieve the essence of and variation within the phenomenon. NICU nurses experience balancing what they consider preterm newbornsâ current and developmental needs, with readiness in both parents for SSC. They share an experience of a change in the history of NICU care to increased focus on the meaning of proximity and touch for the infantsâ development. The phenomenon of enacting SSC is characterized by a double focus with steady attention to signals from both parents and newborns. Thereby, a challenge emerges from the threshold of getting started as the catalyst to SSC