ArticleThe journal of pain2010
Evaluation of nurses' self-insight into their pain assessment and treatment decisions.
Article in The journal of pain, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05235035 (The Effect of Sleep Misalignment on the Cognitive Empathetic Ability to Recognize Pain and to Evaluate the Pain Intensity in Others as Competence for Qualitative Care), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Sleep Misalignment on the Cognitive Empathetic Ability to Recognize Pain and to Evaluate the Pain Intensity in Others as Competence for Qualitative Care
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the extent and measurement of healthcare provider racism.Journal of general internal medicine · 2014Pooled it
- Trial
- Combine or separate future pain? The impact of current pain on decisions about future dental treatments.PloS one · 2013Trial
- Article
- Health Disparities: Impact of Health Disparities and Treatment Decision-Making Biases on Cancer Adverse Effects Among Black Cancer Survivors.Clinical journal of oncology nursing · 2021Review
- Ethnic Differences in Experimental Pain Responses Following a Paired Verbal Suggestion With Saline Infusion: A Quasiexperimental Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021Article
- What Do Placebo and Nocebo Effects Have to Do With Health Equity? The Hidden Toll of Nocebo Effects on Racial and Ethnic Minority Patients in Clinical Care.Frontiers in psychology · 2021Review
- Social Influences on Peer Judgments about Chronic Pain and Disability.The journal of pain · 2019Article
- Racial and ethnic differences in the experience and treatment of noncancer pain.Pain management · 2019Review
- Impact of Implementing the Critical Care Pain Observation Tool on Nurses' Performance in Assessing and Managing Pain in the Critically Ill Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019Article
- Nurses' Use of Race in Clinical Decision Making.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2016Article
- African Americans Have Better Outcomes for Five Common Gastrointestinal Diagnoses in Hospitals With More Racially Diverse Patients.The American journal of gastroenterology · 2016Article
- Assessment of the Influence of Demographic and Professional Characteristics on Health Care Providers' Pain Management Decisions Using Virtual Humans.Journal of dental education · 2016Article
- Examining influential factors in providers' chronic pain treatment decisions: a comparison of physicians and medical students.BMC medical education · 2015Article
- Ethnic Differences in Nonverbal Pain Behaviors Observed in Older Adults with Dementia.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2015Article
- Assessment of pain. Knowledge, attitudes, and practices of health care providers in Almadinah Almunawwarah, Saudi Arabia.Neurosciences (Riyadh, Saudi Arabia) · 2015Article
- Development and validation of a virtual human vignette to compare nurses' assessment and intervention choices for pain in critically ill children.Simulation in healthcare : journal of the Society for Simulation in Healthcare · 2015Article
- The influence of health care professional characteristics on pain management decisions.Pain medicine (Malden, Mass.) · 2015Article
- Racial Healthcare Disparities: A Social Psychological Analysis.European review of social psychology · 2013Article
- The influence of sex, race, and age on pain assessment and treatment decisions using virtual human technology: a cross-national comparison.Journal of pain research · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
unlabelledResearch generally indicates that providers demonstrate modest insight into their clinical decision processes. In a previous study utilizing virtual human (VH) technology, we found that patient demographic characteristics and facial expressions of pain were statistically significant predictors of many nurses' pain-related decisions. The current study examined the correspondence between the statistically identified and self-reported influences of contextual information on pain-related decisions. Fifty-four nurses viewed vignettes containing a video of a VH patient and text describing a postsurgical context. VH sex, race, age, and facial expression varied across vignettes. Participants made pain-assessment and treatment decisions on visual analogue scales. Participants subsequently indicated the information they relied on when making decisions. None of the participants reported using VH sex, race, or age in their decision process. Statistical modeling indicated that 28 to 54% of participants (depending on the decision) used VH demographic cues. 76% of participants demonstrated concordance between their reported and actual use of the VH facial expression cue. Vital signs, text-based clinical summary, and VH movement were also reported as influential factors. These data suggest that biases may be prominent in practitioner decision-making about pain, but that providers have minimal awareness of and/or a lack of willingness to acknowledge this bias. PERSPECTIVE: The current study highlights the complexity of provider decision-making about pain management. The VH technology could be used in future research and education applications aimed at improving the care of all persons in pain.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.