Barriers to, and facilitators of post‐operative pain management in Iranian nursing: a qualitative research study
Abstract
Background: Unrelieved post‐operative pain continues to be a major clinical challenge, despite advances in management. Although nurses have embraced a crucial role in pain management, its extent is often limited in Iranian nursing practice. Aim: To determine Iranian nurses' perceptions of the barriers and facilitators influencing their management of post‐operative pain. Methods: This study was qualitative with 26 participant nurses. Data were obtained through semi‐structured serial interviews and analysed using the content analysis method. Findings: Several themes emerged to describe the factors that hindered or facilitated post‐operative pain management. These were grouped into two main themes: (1) barriers to pain management after surgery with subgroups such as powerlessness, policies and rules of organization, physicians leading practice, time constraints, limited communication, interruption of activities relating to pain, and (2) factors that facilitated post‐operative pain management that included the nurse–patient relationship, nurses' responsibility, the physician as a colleague, and nurses' knowledge and skills. Conclusion: Postoperative pain management in Iran is contextually complex, and may be controversial. Participants believed that in this context accurate pain management is difficult for nurses due to the barriers mentioned. Therefore, nurses make decisions and act as a patient comforter for pain after surgery because of the barriers to effective pain management.
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Reduced abundance of Firmicutes after bariatric surgery has been reported.
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“Changes such as reduced abundance of Firmicutes post-surgery have been reported [162].”
Background
- Authors
- Rejeh, N., Ahmadi, F., Mohammadi, E., Anoosheh, M., & Kazemnejad, A.
- Affiliations
- Tarbiat Modares University (IR)
- Venue
- International Nursing Review
- Publisher
- Wiley
- Published
- 2008-11-11
- Volume
- 55
- Issue
- 4
- Pages
- 468-475
- ISSN
- 0020-8132 (ISSN-L)
- 1466-7657
- OpenAlex
- W2084163280
- Cited by
- 38
- References
- 30
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 3 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 4 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Nursing Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- postoperative pain management, nurses' perceptions, barriers to pain management, nursing practice, nurse-patient relationship, nurse-physician communication, nursing competencies
- MeSH terms
- Adult, Attitude of Health Personnel, Clinical Competence, Communication Barriers, Cooperative Behavior, Female, Health Services Needs and Demand, Humans, Iran, Male, Middle Aged, Nurse-Patient Relations, Nursing Staff, Hospital, Pain Measurement, Postoperative Pain, Pain, Postoperative, Power, Psychological, Surveys and Questionnaires, Time Factors, Nursing Methodology Research, Professional Autonomy, Physician-Nurse Relations, Self Efficacy, Nurse's Role, Qualitative Research
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