ArticleNursing open2019
"Having the compass-drawing the map": Exploring nurses' management of pain and other discomforts during use of analgosedation in intensive care.
Article in Nursing open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 16 citations in OpenAlex.
- Nurses' Pain Assessment and Attitudes: A Qualitative Study in a Neurointensive Care Unit.Nursing in critical care · 2026Article
- Health care providers' perceptions of family participation in essential care in the intensive care unit: A qualitative study.Nursing in critical care · 2025Article
- Above cuff vocalisation (ACV): A scoping review.Acta anaesthesiologica Scandinavica · 2021Article
- "Having the compass-drawing the map": Exploring nurses' management of pain and other discomforts during use of analgosedation in intensive care.Nursing open · 2019Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo explore the deliberation and enactment processes of nurses in relation to pain and other discomforts in the critically ill patients after the implementation of an analgosedation protocol.
backgroundNurses in intensive care units (ICU) face great challenges when managing pain and other discomforts and distinguishing between patients' needs for analgesics and sedatives. An analgosedation protocol favouring pain management, light sedation and early mobilization was implemented in a university hospital ICU in Norway in 2014. Changing sedation paradigms resulting in an increasing number of awake patients during critical illness is expected to affect nursing practice.
designExploratory, single-unit study in a mixed adult ICU.
methodsData collection with participant observation and semi-structured interviews in sixteen clinical situations in 2014 and 2015. Thirteen experienced certified critical care nurses were included. Thematic content analysis was conducted.
resultsAn overall theme "
conclusionNurses seem to attend adequately to patient pain, but the approach to discomforts other than pain appears unsystematic and haphazard. More explicit goals of care and strategies to handle discomfort as distinct from pain are needed. More research is needed to identify effective comfort measures for ICU patients.
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