Differences in nurses’ perceptions of self-reported pain and the administered morphine dose according to the patient’s facial expression in Korea

Purpose This study aimed to compare nurses’ perceptions of self-reported pain, the recorded pain score, and pain treatment according to the patient’s facial expression. Methods In this descriptive cross-sectional survey, the participants were 482 nurses working at a tertiary hospital in Seoul, Korea...

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Main Authors: Jeong Yun Park, Da In Lee
Format: Article
Language:English
Published: Korea Health Personnel Licensing Examination Institute 2020-12-01
Series:Journal of Educational Evaluation for Health Professions
Subjects:
Online Access:http://www.jeehp.org/upload/jeehp-17-38.pdf
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author Jeong Yun Park
Da In Lee
author_facet Jeong Yun Park
Da In Lee
author_sort Jeong Yun Park
collection DOAJ
description Purpose This study aimed to compare nurses’ perceptions of self-reported pain, the recorded pain score, and pain treatment according to the patient’s facial expression. Methods In this descriptive cross-sectional survey, the participants were 482 nurses working at a tertiary hospital in Seoul, Korea. A self-report questionnaire presented nurses with a smiling patient complaining of acute post-surgical pain and a grimacing patient with cancer pain, both of whom reported a pain level of 8 out of 10, and asked nurses to indicate their perception of the pain intensity, the pain score that they would record, and the medication that they would provide for each patient. Results The pain intensity perceived by nurses for the grimacing patient was significantly higher than that for the smiling patient (P<0.001). The recorded pain score was likewise significantly higher for the grimacing patient than for the smiling patient (P<0.001). There was a significant difference in the amount of morphine chosen by the nurses for pain interventions between the smiling and grimacing patients (P=0.040). Higher perceived pain intensity and score were associated with higher administered doses of morphine. Conclusion These findings suggest that nurses might be affected by patients’ facial expressions when treating pain. A pain management program should be developed that trains nurses to accurately recognize pain hidden in patients’ faces and provides them with the knowledge of how to appropriately assess and manage patients’ pain.
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spelling doaj.art-599cfc17a49f43d38835bbedadcb69cf2023-08-02T03:05:51ZengKorea Health Personnel Licensing Examination InstituteJournal of Educational Evaluation for Health Professions1975-59372020-12-011710.3352/jeehp.2020.17.38385Differences in nurses’ perceptions of self-reported pain and the administered morphine dose according to the patient’s facial expression in KoreaJeong Yun Park0Da In Lee1Department of Clinical Nursing, University of Ulsan, Seoul, KoreaDepartment of Nursing, Seoil University, Seoul, KoreaPurpose This study aimed to compare nurses’ perceptions of self-reported pain, the recorded pain score, and pain treatment according to the patient’s facial expression. Methods In this descriptive cross-sectional survey, the participants were 482 nurses working at a tertiary hospital in Seoul, Korea. A self-report questionnaire presented nurses with a smiling patient complaining of acute post-surgical pain and a grimacing patient with cancer pain, both of whom reported a pain level of 8 out of 10, and asked nurses to indicate their perception of the pain intensity, the pain score that they would record, and the medication that they would provide for each patient. Results The pain intensity perceived by nurses for the grimacing patient was significantly higher than that for the smiling patient (P<0.001). The recorded pain score was likewise significantly higher for the grimacing patient than for the smiling patient (P<0.001). There was a significant difference in the amount of morphine chosen by the nurses for pain interventions between the smiling and grimacing patients (P=0.040). Higher perceived pain intensity and score were associated with higher administered doses of morphine. Conclusion These findings suggest that nurses might be affected by patients’ facial expressions when treating pain. A pain management program should be developed that trains nurses to accurately recognize pain hidden in patients’ faces and provides them with the knowledge of how to appropriately assess and manage patients’ pain.http://www.jeehp.org/upload/jeehp-17-38.pdfcancer painfacial expressionmorphinepain managementrepublic of korea
spellingShingle Jeong Yun Park
Da In Lee
Differences in nurses’ perceptions of self-reported pain and the administered morphine dose according to the patient’s facial expression in Korea
Journal of Educational Evaluation for Health Professions
cancer pain
facial expression
morphine
pain management
republic of korea
title Differences in nurses’ perceptions of self-reported pain and the administered morphine dose according to the patient’s facial expression in Korea
title_full Differences in nurses’ perceptions of self-reported pain and the administered morphine dose according to the patient’s facial expression in Korea
title_fullStr Differences in nurses’ perceptions of self-reported pain and the administered morphine dose according to the patient’s facial expression in Korea
title_full_unstemmed Differences in nurses’ perceptions of self-reported pain and the administered morphine dose according to the patient’s facial expression in Korea
title_short Differences in nurses’ perceptions of self-reported pain and the administered morphine dose according to the patient’s facial expression in Korea
title_sort differences in nurses perceptions of self reported pain and the administered morphine dose according to the patient s facial expression in korea
topic cancer pain
facial expression
morphine
pain management
republic of korea
url http://www.jeehp.org/upload/jeehp-17-38.pdf
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