Nurses’ Perceived Barriers to and Facilitators of Pain Assessment and Management in Critical Care Patients: A Systematic Review

References

• Puntillo KA, Max A, Timsit J-F, et al. Determinants of procedural pain intensity in the intensive care unit. The Europain® study. Am J Respir Crit Care Med. 2014;189(1):39–47.
   PubMed Web of Science ®Google Scholar
• Barr J, Fraser GL, Puntillo K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41(1):263–306.
   PubMed Web of Science ®Google Scholar
• Dueñas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. J Pain Res. 2016;9:457. doi:10.2147/JPR.S105892
   PubMed Web of Science ®Google Scholar
• Gélinas C. Pain assessment in the critically ill adult: recent evidence and new trends. Intensive Crit Care Nurs. 2016;34:1–11. doi:10.1016/j.iccn.2016.03.001
   PubMed Web of Science ®Google Scholar
• Alotaibi K, Higgins I, Day J, Chan S. Paediatric pain management: knowledge, attitudes, barriers and facilitators among nurses–integrative review. Int Nurs Rev. 2018;65(4):524–533. doi:10.1111/inr.12465
   PubMed Web of Science ®Google Scholar
• Mamhidir A-G, Sjölund B-M, Fläckman B, Wimo A, Sköldunger A, Engström M. Systematic pain assessment in nursing homes: a cluster-randomized trial using mixed-methods approach. BMC Geriatr. 2017;17(1):1–16. doi:10.1186/s12877-017-0454-z
   Web of Science ®Google Scholar
• Stamp R, Tucker L, Tohid H, Gray R. Reliability and validity of the critical-care pain observation tool: a rapid synthesis of evidence. J Nurs Meas. 2018;26(2):378–397. doi:10.1891/1061-3749.26.2.378
   Web of Science ®Google Scholar
• Korving H, Sterkenburg P, Barakova E, Feijs L. Physiological measures of acute and chronic pain within different subject groups: a systematic review. Pain Res Manag. 2020;2020:1–10. doi:10.1155/2020/9249465
   Web of Science ®Google Scholar
• Berde C, Nurko S. Opioid Side Effects—Mechanism-Based Therapy. Mass Medical Soc; 2008.
   Google Scholar
• Gaskin DJ, Richard P. The economic costs of pain in the United States. J Pain. 2012;13(8):715–724. doi:10.1016/j.jpain.2012.03.009
   PubMed Web of Science ®Google Scholar
• Devlin JW, Skrobik Y, Gélinas C, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med. 2018;46(9):e825–e873.
   PubMed Web of Science ®Google Scholar
• Melnyk BM, Fineout-Overholt E. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Lippincott Williams & Wilkins; 2011.
   Google Scholar
• Alasiry S, Löfvenmark C. Nurses’perceptions of pain assessment and pain management for patients with myocardial infarction in a coronary care unit. Middle East J Nurs. 2013;7(5):9–22.
   Google Scholar
• Deldar K, Froutan R, Ebadi A. Challenges faced by nurses in using pain assessment scale in patients unable to communicate: a qualitative study. BMC Nurs. 2018;17(1):1–8. doi:10.1186/s12912-018-0281-3
   Web of Science ®Google Scholar
• Lindberg J-O, Engström Å. Critical care nurses’ experiences:“A good relationship with the patient is a prerequisite for successful pain relief management”. Pain Manag Nurs. 2011;12(3):163–172. doi:10.1016/j.pmn.2010.03.009
   Web of Science ®Google Scholar
• Subramanian P, Allcock N, James V, Lathlean J. Challenges faced by nurses in managing pain in a critical care setting. J Clin Nurs. 2012;21(9–10):1254–1262. doi:10.1111/j.1365-2702.2011.03789.x
   Web of Science ®Google Scholar
• Asman O, Slutsker E, Melnikov S. Nurses’ perceptions of pain management adequacy in mechanically ventilated patients. J Clin Nurs. 2019;28(15–16):2946–2952. doi:10.1111/jocn.14896
   Web of Science ®Google Scholar
• Rose L, Haslam L, Dale C, et al. Survey of assessment and management of pain for critically ill adults. Intensive Crit Care Nurs. 2011;27(3):121–128. doi:10.1016/j.iccn.2011.02.001
   Google Scholar
• Rose L, Smith O, Gélinas C, et al. Critical care nurses’ pain assessment and management practices: a survey in Canada. Am J Crit Care. 2012;21(4):251–259. doi:10.4037/ajcc2012611
   Web of Science ®Google Scholar
• Wang HL, Tsai YF. Nurses’ knowledge and barriers regarding pain management in intensive care units. J Clin Nurs. 2010;19(21‐22):3188–3196. doi:10.1111/j.1365-2702.2010.03226.x
   Web of Science ®Google Scholar
• Wøien H. Movements and trends in intensive care pain treatment and sedation: what matters to the patient? J Clin Nurs. 2020;29(7–8):1129–1140. doi:10.1111/jocn.15179
   Web of Science ®Google Scholar
• Topolovec-Vranic J, Canzian S, Innis J, Pollmann-Mudryj MA, McFarlan AW, Baker AJ. Patient satisfaction and documentation of pain assessments and management after implementing the adult nonverbal pain scale. Am J Crit Care. 2010;19(4):345–354. doi:10.4037/ajcc2010247
   PubMed Web of Science ®Google Scholar
• Lewis CP, Corley DJ, Lake N, Brockopp D, Moe K. Overcoming barriers to effective pain management: the use of professionally directed small group discussions. Pain Manag Nurs. 2015;16(2):121–127. doi:10.1016/j.pmn.2014.05.002
   Web of Science ®Google Scholar
• Machira G, Kariuki H, Martindale L. Impact of an educational pain management programme on nurses’ pain knowledge and attitudes in Kenya. Int J Palliat Nurs. 2013;19(7):341–345. doi:10.12968/ijpn.2013.19.7.341
   Google Scholar
• Schreiber JA, Cantrell D, Moe KA, et al. Improving knowledge, assessment, and attitudes related to pain management: evaluation of an intervention. Pain Manag Nurs. 2014;15(2):474–481. doi:10.1016/j.pmn.2012.12.006
   Web of Science ®Google Scholar
• Gerber A, Thevoz A-L, Ramelet A-S. Expert clinical reasoning and pain assessment in mechanically ventilated patients: a descriptive study. Aust Crit Care. 2015;28(1):2–8. doi:10.1016/j.aucc.2014.06.002
   Web of Science ®Google Scholar
• Hamdan KM. Nurses’ assessment practices of pain among critically ill patients. Pain Manag Nurs. 2019;20(5):489–496. doi:10.1016/j.pmn.2019.04.003
   Web of Science ®Google Scholar
• Khalil H, Mashaqbeh M. Areas of knowledge deficit and misconceptions regarding pain among jordanian nurses. Pain Manag Nurs. 2019;20(6):649–655. doi:10.1016/j.pmn.2019.02.010
   Web of Science ®Google Scholar
• Khalil NS. Critical care nurses’ use of non-pharmacological pain management methods in Egypt. Appl Nurs Res. 2018;44:33–38. doi:10.1016/j.apnr.2018.09.001
   Web of Science ®Google Scholar
• Kizza I, Muliira J. Nurses’ pain assessment practices with critically ill adult patients. Int Nurs Rev. 2015;62(4):573–582. doi:10.1111/inr.12218
   PubMed Web of Science ®Google Scholar
• Ufashingabire CM, Nsereko E, Njunwa KJ, Brysiewicz P. Knowledge and attitudes of nurses regarding pain in the intensive care unit patients in Rwanda. Rwanda J. 2016;3(1):21–26. doi:10.4314/rj.v3i1.4F
   Google Scholar
• Roos-Blom M-J, Dongelmans D, Stilma W, Spijkstra JJ, de Jonge E, de Keizer N. Association between organizational characteristics and adequate pain management at the intensive care unit. J Crit Care. 2020;56:1–5. doi:10.1016/j.jcrc.2019.11.010
   Web of Science ®Google Scholar
• Kizza IB, Muliira JK, Kohi TW, Nabirye RC. Nurses’ knowledge of the principles of acute pain assessment in critically ill adult patients who are able to self-report. Int J Afr Nurs Sci. 2016;4:20–27. doi:10.1016/j.ijans.2016.02.001
   Google Scholar
• Wang J, Xiao LD, He GP, De Bellis A. Family caregiver challenges in dementia care in a country with undeveloped dementia services. J Adv Nurs. 2014;70(6):1369–1380. doi:10.1111/jan.12299
   PubMed Web of Science ®Google Scholar
• Knopp-Sihota JA, Dirk KL, Rachor GS. Factors associated with pain assessment for nursing home residents: a systematic review and meta-synthesis. J Am Med Dir Assoc. 2019;20(7):884–892. e883. doi:10.1016/j.jamda.2019.01.156
   Web of Science ®Google Scholar
• McAuliffe L, Nay R, O’Donnell M, Fetherstonhaugh D. Pain assessment in older people with dementia: literature review. J Adv Nurs. 2009;65(1):2–10. doi:10.1111/j.1365-2648.2008.04861.x
   PubMed Web of Science ®Google Scholar
• Dessie M, Asichale A, Belayneh T, Enyew H, Hailekiros A. Knowledge and attitudes of Ethiopian nursing staff regarding post-operative pain management: a cross-sectional multicenter study. Patient Relat Outcome Meas. 2019;10:395. doi:10.2147/PROM.S234521
   Web of Science ®Google Scholar
• de Knegt NC, Pieper MJ, Lobbezoo F, et al. Behavioral pain indicators in people with intellectual disabilities: a systematic review. J Pain. 2013;14(9):885–896. doi:10.1016/j.jpain.2013.04.016
   PubMed Web of Science ®Google Scholar
• Saifan AR, Bashayreh IH, Al-Ghabeesh SH, et al. Exploring factors among healthcare professionals that inhibit effective pain management in cancer patients. Cent Eur J Nurs Midwifery. 2019;10(1):967. doi:10.15452/CEJNM.2019.10.0003
   Google Scholar
• Burns M, McIlfatrick S. Palliative care in dementia: literature review of nurses’ knowledge and attitudes towards pain assessment. Int J Palliat Nurs. 2015;21(8):400–407. doi:10.12968/ijpn.2015.21.8.400
   PubMed Web of Science ®Google Scholar
• Munkombwe WM, Petersson K, Elgán C. Nurses’ experiences of providing nonpharmacological pain management in palliative care: a qualitative study. J Clin Nurs. 2020;29(9–10):1643–1652. doi:10.1111/jocn.15232
   PubMed Web of Science ®Google Scholar
• Samarkandi OA. Knowledge and attitudes of nurses toward pain management. Saudi J Anaesth. 2018;12(2):220. doi:10.4103/sja.SJA_587_17
   PubMed Web of Science ®Google Scholar
• Ismail A, Forgeron P, Polomeno V, Gharaibeh H, Dagg W, Harrison D. Pain management interventions in the paediatric intensive care unit: a scoping review. Intensive Crit Care Nurs. 2019;54:96–105. doi:10.1016/j.iccn.2019.05.002
   PubMed Web of Science ®Google Scholar
• Drake G, Williams A. Nursing education interventions for managing acute pain in hospital settings: a systematic review of clinical outcomes and teaching methods. Pain Manag Nurs. 2017;18(1):3–15. doi:10.1016/j.pmn.2016.11.001
   Web of Science ®Google Scholar
• Jacobsen R, Møldrup C, Christrup L, Sjøgren P. Patient‐related barriers to cancer pain management: a systematic exploratory review. Scand J Caring Sci. 2009;23(1):190–208. doi:10.1111/j.1471-6712.2008.00601.x
   Web of Science ®Google Scholar
• Dequeker S, Van Lancker A, Van Hecke A. Hospitalized patients’ vs. nurses’ assessments of pain intensity and barriers to pain management. J Adv Nurs. 2018;74(1):160–171. doi:10.1111/jan.13395
   Web of Science ®Google Scholar
• Reardon DP, Anger KE, Szumita PM. Pathophysiology, assessment, and management of pain in critically ill adults. Am J Health Syst Pharm. 2015;72(18):1531–1543. doi:10.2146/ajhp140541
   PubMed Web of Science ®Google Scholar
• Passik SD, Kirsh KL, Donaghy KB, Portenoy RK. Pain and aberrant drug-related behaviors in medically ill patients with and without histories of substance abuse. Clin J Pain. 2006;22(2):173–181. doi:10.1097/01.ajp.0000161525.48245.aa
   PubMed Web of Science ®Google Scholar
• Paice JA. Cancer pain management and the opioid crisis in America: how to preserve hard‐earned gains in improving the quality of cancer pain management. Cancer. 2018;124(12):2491–2497. doi:10.1002/cncr.31303
   Web of Science ®Google Scholar
• Jacobsen R, Sjogren P, Moldrup C, Christrup L. Physician-related barriers to cancer pain management with opioid analgesics: a systematic review. J Opioid Manag. 2007;3(4):207–214. doi:10.5055/jom.2007.0006
   PubMedGoogle Scholar
• Ozawa M, Yokoo K. Pain management of neonatal intensive care units in Japan. Acta Paediatr. 2013;102(4):366–372. doi:10.1111/apa.12160
   Web of Science ®Google Scholar
• Ishikawa H, Kawagoe K, Kashiwagi M, Yano E. Nurse-physician collaboration in pain management for terminally ill cancer patients treated at home in Japan. J Palliat Care. 2007;23(4):255–261. doi:10.1177/082585970702300403
   Web of Science ®Google Scholar
• Tsai I-P, Jeong -SY-S, Hunter S. Pain assessment and management for older patients with dementia in hospitals: an integrative literature review. Pain Manag Nurs. 2018;19(1):54–71. doi:10.1016/j.pmn.2017.10.001
   Web of Science ®Google Scholar
• Tse MMY, Ho SS. Enhancing knowledge and attitudes in pain management: a pain management education program for nursing home staff. Pain Manag Nurs. 2014;15(1):2–11. doi:10.1016/j.pmn.2012.03.009
   Web of Science ®Google Scholar
• Mędrzycka-Dąbrowska WA, Dąbrowski S, Basiński A. Perception of barriers to postoperative pain management in elderly patients in Polish hospitals‐a multicentre study. J Nurs Manag. 2016;24(8):1049–1059. doi:10.1111/jonm.12405
   Web of Science ®Google Scholar
• Rafati F, Soltaninejad M, Aflatoonian MR, Mashayekhi F. Postoperative pain: management and documentation by Iranian nurses. Mater Sociomed. 2016;28(1):36. doi:10.5455/msm.2016.28.36-40
   Google Scholar
• Rababa M, Al-Rawashdeh S. Critical care nurses’ critical thinking and decision making related to pain management. Intensive Crit Care Nurs. 2021;63:103000. doi:10.1016/j.iccn.2020.103000
   Web of Science ®Google Scholar
• Taylor A, Stanbury L. A review of postoperative pain management and the challenges. Curr Anaesth Crit Care. 2009;20(4):188–194. doi:10.1016/j.cacc.2009.02.003
   Google Scholar
• Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–112. doi:10.1016/j.nedt.2003.10.001
   PubMed Web of Science ®Google Scholar
• Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess R, editors. Analysing Qualitative Data. London: Routledge; 1994:172–194.
   Google Scholar
• Downe‐Wamboldt B. Content analysis: method, applications, and issues. Health Care Women Int. 1992;13(3):313–321. doi:10.1080/07399339209516006
   PubMedGoogle Scholar
• Liberati A, Altman D, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Journal of Clinical Epidemiology. 2009;62(10):e1–e34.
   PubMedGoogle Scholar