Can patient lifestyle influence the management of pain?
Open accessAbstract
Aim The aim of this study was to explore whether a patient's lifestyle influences nurses' pain assessment and management decisions. Background Nurses' inferences of physical pain are thought to be affected by a matrix of implicit assumptions that operate without effort and thought, motivating behaviour and guiding reactions in the clinical setting. Studies have demonstrated how patient characteristics not only influence assessment but also the nurse's choice of pain management. Design One of two patient scenarios was employed in a self-administered questionnaire that also addressed pain knowledge, inferences of physical pain, general attitudes and beliefs about pain management. The variable lifestyle/socio-economic status (SES) of the patient was manipulated; all other patient variables were kept constant. The participants were then required to identify the patient's pain level and make pain management decisions. Method One hundred questionnaires were distributed and 86 were returned. Following selection of the sample, 72 nurses participated in the study: 35 hospice/oncology nurses (specialist) and 37 district nurses (general). Data analysis was carried out using SPSS and qualitative analysis of the written responses. Results Both the specialist and general nurses differentiated between the patients in the scenarios, influencing their decisions to acknowledge the patient's self-report and choice of pain management. However, both patients were undermedicated with the nurses id…
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In Anastas et al and Wilson's studies, this led to disproportionate concerns about possible opioid addiction and triggered 'gate keeping' behaviours in the HP, affecting pain management decisions.
“Anastas et al 72 and Wilson’s81 studies both found that people with low SES were often viewed as being untrustworthy and incapable during pain assessment, which led to disproportionate concerns about possible opioid addiction and triggered ‘gate keeping’ behaviours in the HP and this affected pain management decisions.”
From Health professionals implicit bias of patients with low socioeconomic status (SES) and its effects on clinical decision-making: a scoping review (2024) · cites this paper as [81]
Anastas et al and Wilson's studies both found that people with low SES were often viewed as being untrustworthy and incapable during pain assessment.
“Anastas et al 72 and Wilson’s81 studies both found that people with low SES were often viewed as being untrustworthy and incapable during pain assessment, which led to disproportionate concerns about possible opioid addiction and triggered ‘gate keeping’ behaviours in the HP and this affected pain management decisions.”
From Health professionals implicit bias of patients with low socioeconomic status (SES) and its effects on clinical decision-making: a scoping review (2024) · cites this paper as [81]
Wilson, Anastas et al and Brandao et al's studies highlight stereotyping as an influence in HP behaviour and decision-making.
“Wilson81, Anastas et al 72 and Brandao et al’s82 studies highlight stereotyping as an influence in HP behaviour and decision-making.”
From Health professionals implicit bias of patients with low socioeconomic status (SES) and its effects on clinical decision-making: a scoping review (2024) · cites this paper as [81]
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Job, C., Adenipekun, B., Cleves, A., Gill, P., & Samuriwo, R. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-081723 · Cited by 44 · see citing works
“However, half of the studies (50%; n=24) 19 used the IAT to gather data regarding the participants’ favourable bias as a precursor to vignette examination of decision-making.”
Background
- Authors
- Wilson, B.
- Affiliations
- University of Hull (GB)
- Corresponding author
- Wilson, Benita
- Venue
- Journal of Clinical Nursing
- Publisher
- Wiley
- Published
- 2009-01-14
- Volume
- 18
- Issue
- 3
- Pages
- 399-408
- ISSN
- 0962-1067 (ISSN-L)
- 1365-2702
- OpenAlex
- W1953146178
- Cited by
- 16
- References
- 0
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 2 · 2019: 1 · 2015: 2 · 2014: 4 · 2013: 1 · 2012: 2
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- Locations
- Journal of Clinical Nursing (publishedVersion)
- PubMed (publishedVersion)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- pain assessment, pain management, patient lifestyle, socioeconomic status, cognitive biases, schemas, pain myths, respiratory depression, district nursing, patient self-report
- MeSH terms
- Humans, Life Style, Pain, Pain Measurement, Surveys and Questionnaires, Social Class, Pain Management
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