ArticleJournal of clinical nursing2017
Nurses' experiences of pain management for people with advanced dementia approaching the end of life: a qualitative study.
Article in Journal of clinical nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Aspiration pneumonia in nursing literature-a mapping review.Frontiers in rehabilitation sciences · 2024Pooled it
- Algorithm-based pain management for people with dementia in nursing homes.The Cochrane database of systematic reviews · 2022Pooled it
- Pain Cues in People With Dementia: Scoping Review.JMIR mental health · 2025Article
- Tips for multidisciplinary pain management in advanced dementia based on expert opinions.Journal of rural medicine : JRM · 2025Article
- Self-reported pain assessment, core competence and practice ability for palliative care among Chinese oncology nurses: a multicenter cross-sectional study.BMC nursing · 2024Article
- Challenges in recognizing and discussing changes in a resident's condition in the palliative phase: focus group discussions with nursing staff working in nursing homes about their experiences.BMC palliative care · 2024Article
- Effects of specialized nursing intervention based on quantitative assessment strategy on psychological state and quality of life of patients with senile dementia.Acta neurologica Belgica · 2023Article
- Specialist Palliative Care and Dementia: Staff Challenges and Learning Needs.Journal of palliative care · 2023Article
- Process of pain assessment in people with dementia living in nursing homes: a scoping review protocol.BMJ open · 2022Article
- Impact of settings and culture on nurses' knowledge of and attitudes and perceptions towards people with dementia: An integrative literature review.Nursing open · 2022Review
- What Intern Nursing Students in Turkey Think About Death and End-of-Life Care? A Qualitative Exploration.Journal of religion and health · 2021Article
- Pain management nursing practice assessment in older adults with dementia.Nursing open · 2021Article
- Optimising Medication Use along Dementia Progression: Recommendations from a Qualitative Study.Healthcare (Basel, Switzerland) · 2021Article
- "A good death but there was all this tension around"- perspectives of residential managers on the experience of delivering end of life care for people living with dementia.BMC geriatrics · 2021Article
- Sex-specific Differences in Multisite Pain Presentation among Adults with Lower-Limb Loss.Pain practice : the official journal of World Institute of Pain · 2021Article
- The Overlap Between Geriatric Medicine and Palliative Care: A Scoping Literature Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021Article
- Article
- Experience of Intensive Care Nurses in Assessment of Postoperative Pain in Patients with Hip Fracture and Dementia.Materia socio-medica · 2020Article
- Barriers and Solutions for Improving Pain Management Practices in Acute Hospital Settings: Perspectives of Healthcare Practitioners for a Pain-Free Hospital Initiative.Annals of geriatric medicine and research · 2019Article
- Evaluation of the impact of telementoring using ECHO© technology on healthcare professionals' knowledge and self-efficacy in assessing and managing pain for people with advanced dementia nearing the end of life.BMC health services research · 2018Article
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AIMS AND
objectivesTo explore hospice, acute care and nursing home nurses' experiences of pain management for people with advanced dementia in the final month of life. To identify the challenges, facilitators and practice areas requiring further support.
backgroundPain management in end-stage dementia is a fundamental aspect of end-of-life care; however, it is unclear what challenges and facilitators nurses experience in practice, whether these differ across care settings, and whether training needs to be tailored to the context of care.
designA qualitative study using semi-structured interviews and thematic analysis to examine data.
methodsTwenty-four registered nurses caring for people dying with advanced dementia were recruited from 10 nursing homes, three hospices and two acute hospitals across a region of the UK. Interviews were conducted between June 2014-September 2015.
resultsThree core themes were identified: challenges administering analgesia, the nurse-physician relationship, and interactive learning and practice development. Patient-related challenges to pain management were universal across care settings; nurse- and organisation-related barriers differed between settings. A need for interactive learning and practice development, particularly in pharmacology, was identified.
conclusionsAchieving pain management in practice was highly challenging. A number of barriers were identified; however, the manner and extent to which these impacted on nurses differed across hospice, nursing home and acute care settings. Needs-based training to support and promote practice development in pain management in end-stage dementia is required. RELEVANCE TO CLINICAL PRACTICE: Nurses considered pain management fundamental to end-of-life care provision; however, nurses working in acute care and nursing home settings may be undersupported and under-resourced to adequately manage pain in people dying with advanced dementia. Nurse-to-nurse mentoring and ongoing needs-assessed interactive case-based learning could help promote practice development in this area. Nurses require continuing professional development in pharmacology.
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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.