Surgery patients’ perspectives of their role in postoperative pain: A scoping review
Background: Post-operative pain is a major factor in surgical recovery. There is evidence that pain remains undermanaged. Complications related to the undermanagement of acute pain can increase length of stay and contribute to readmission and the development of chronic pain. It is well acknowledged...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | International Journal of Nursing Studies Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666142X23000085 |
| _version_ | 1797401705978003456 |
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| author | Laura L. Walton Elsie Duff Rakesh C. Arora Diana E. McMillan |
| author_facet | Laura L. Walton Elsie Duff Rakesh C. Arora Diana E. McMillan |
| author_sort | Laura L. Walton |
| collection | DOAJ |
| description | Background: Post-operative pain is a major factor in surgical recovery. There is evidence that pain remains undermanaged. Complications related to the undermanagement of acute pain can increase length of stay and contribute to readmission and the development of chronic pain. It is well acknowledged that pain assessment is critical to pain management and that self-report of pain is the gold standard. As a result, patients play a central role in their own pain management. A preliminary review of the literature failed to provide a clear or consistent description of this key patient role. Objective: A scoping review was conducted with the objective of reviewing literature that described adult patients’ perspectives or highlighted the adult patient's role in post-operative pain management, including assessment. Understanding patients’ attitudes toward their roles in pain management through a scoping review of the current literature is critical for informing research and improvements in post-operative pain management. Design: Scoping review. Methods: The databases searched for the review included CINAHL, MEDLINE, PubMed, and SCOPUS (ending May 2022). Thematic analysis, using the methodology of Arksey and O'Malley, was applied to the records identified Results: Of the 106 abstracts initially identified, 26 papers were included in the final analysis. Two major themes identified through thematic analysis were attitudes toward pain and pain management, with the subthemes of patient expectations and beliefs and desire to treat; and care and communication, with the subthemes of pain assessment and education. Conclusions: This paper provides one of the first known comprehensive scoping reviews of surgical patients’ perspectives of their role in pain management, including assessment, and offers an important global awareness of this patient role. The findings suggest that improved understanding of patients’ perspectives of their roles in pain assessment and treatment is critical to improving post-operative pain management. Engaging patients as partners in their care can facilitate enhanced communication and improving congruence in pain assessment and treatment decisions. The complex nature of patients’ beliefs, expectations, and subjective experiences of pain present challenges for health care practitioners. These challenges can be met with enhanced education for patients, respect for patients’ beliefs and expectations, and the provision of dignified care. |
| first_indexed | 2024-03-09T02:13:57Z |
| format | Article |
| id | doaj.art-a3549f0468d940339598f0209fe2747f |
| institution | Directory Open Access Journal |
| issn | 2666-142X |
| language | English |
| last_indexed | 2024-03-09T02:13:57Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Studies Advances |
| spelling | doaj.art-a3549f0468d940339598f0209fe2747f2023-12-07T05:30:25ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2023-12-015100124Surgery patients’ perspectives of their role in postoperative pain: A scoping reviewLaura L. Walton0Elsie Duff1Rakesh C. Arora2Diana E. McMillan3College of Nursing, University of Manitoba, Winnipeg, Canada; Corresponding author at: 3 Millbank avenue, Winnipeg Manitoba, R3Y0B4, Canada.College of Nursing, University of Manitoba, Winnipeg, CanadaDepartment of Surgery, College of Medicine, University of Manitoba, Winnipeg, CanadaCollege of Nursing, University of Manitoba, Winnipeg, Canada; Clinical Chair Program, Health Sciences Centre, Winnipeg, CanadaBackground: Post-operative pain is a major factor in surgical recovery. There is evidence that pain remains undermanaged. Complications related to the undermanagement of acute pain can increase length of stay and contribute to readmission and the development of chronic pain. It is well acknowledged that pain assessment is critical to pain management and that self-report of pain is the gold standard. As a result, patients play a central role in their own pain management. A preliminary review of the literature failed to provide a clear or consistent description of this key patient role. Objective: A scoping review was conducted with the objective of reviewing literature that described adult patients’ perspectives or highlighted the adult patient's role in post-operative pain management, including assessment. Understanding patients’ attitudes toward their roles in pain management through a scoping review of the current literature is critical for informing research and improvements in post-operative pain management. Design: Scoping review. Methods: The databases searched for the review included CINAHL, MEDLINE, PubMed, and SCOPUS (ending May 2022). Thematic analysis, using the methodology of Arksey and O'Malley, was applied to the records identified Results: Of the 106 abstracts initially identified, 26 papers were included in the final analysis. Two major themes identified through thematic analysis were attitudes toward pain and pain management, with the subthemes of patient expectations and beliefs and desire to treat; and care and communication, with the subthemes of pain assessment and education. Conclusions: This paper provides one of the first known comprehensive scoping reviews of surgical patients’ perspectives of their role in pain management, including assessment, and offers an important global awareness of this patient role. The findings suggest that improved understanding of patients’ perspectives of their roles in pain assessment and treatment is critical to improving post-operative pain management. Engaging patients as partners in their care can facilitate enhanced communication and improving congruence in pain assessment and treatment decisions. The complex nature of patients’ beliefs, expectations, and subjective experiences of pain present challenges for health care practitioners. These challenges can be met with enhanced education for patients, respect for patients’ beliefs and expectations, and the provision of dignified care.http://www.sciencedirect.com/science/article/pii/S2666142X23000085Acute painChronic painLength of stayPain managementPain measurementPain |
| spellingShingle | Laura L. Walton Elsie Duff Rakesh C. Arora Diana E. McMillan Surgery patients’ perspectives of their role in postoperative pain: A scoping review International Journal of Nursing Studies Advances Acute pain Chronic pain Length of stay Pain management Pain measurement Pain |
| title | Surgery patients’ perspectives of their role in postoperative pain: A scoping review |
| title_full | Surgery patients’ perspectives of their role in postoperative pain: A scoping review |
| title_fullStr | Surgery patients’ perspectives of their role in postoperative pain: A scoping review |
| title_full_unstemmed | Surgery patients’ perspectives of their role in postoperative pain: A scoping review |
| title_short | Surgery patients’ perspectives of their role in postoperative pain: A scoping review |
| title_sort | surgery patients perspectives of their role in postoperative pain a scoping review |
| topic | Acute pain Chronic pain Length of stay Pain management Pain measurement Pain |
| url | http://www.sciencedirect.com/science/article/pii/S2666142X23000085 |
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