ArticleBMJ open2019
Qualitative descriptive study to explore nurses' perceptions and experience on pain, agitation and delirium management in a community intensive care unit.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 29 citations in OpenAlex.
- Optimising pain management in intensive care setting: Insights from a realist evaluation.International journal of nursing studies advances · 2026Review
- What Enables Implementation of Pain Management Interventions in Intensive Care Units and Why: A Realist Evaluation to Refine Program Theory.Journal of advanced nursing · 2025Article
- Phenomenological Study on the Lived Experience of Patients After Major Cardiac Surgery in Intensive Care Units.Nursing in critical care · 2025Article
- Evaluating the Effectiveness of a Self-Management Program on Patients Living with Chronic Diseases.Risk management and healthcare policy · 2024Article
- Investigating nurses' knowledge and attitudes about delirium in older persons: a cross-sectional study.BMC nursing · 2023Article
- A Mixed-Methods Sequential Explanatory Study of the Factors That Impact Nurses' Perspectives toward Nurse Practitioners' Roles in Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- The Effects of Pain, Agitation, Delirium, Immobility, and Sleep Disruption Education on Novice Nurses in Adult Intensive Care Units.Healthcare (Basel, Switzerland) · 2022Article
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- Patients, family members and providers perceive family-administered delirium detection tools in the adult ICU as feasible and of value to patient care and family member coping: a qualitative focus group study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Article
- The challenges of using physical restraint in intensive care units in Iran: A qualitative study.Journal of the Intensive Care Society · 2021Article
- Impact of a nurse engagement intervention on pain, agitation and delirium assessment in a community intensive care unit.BMJ open quality · 2019Article
- The Mediating Effect of Model-Based Learning on Attitude and Pain Management Awareness Among Nurses During COVID 19 Pandemic in Saudi Arabia.SAGE open nursingArticle
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this study was to explore the experiences, beliefs and perceptions of intensive care unit (ICU) nurses on the management of pain, agitation and delirium (PAD) in critically ill patients.
designA qualitative descriptive study.
settingThis study took place in a community hospital ICU located in a medium size Canadian city.
participantsPurposeful sampling was conducted. Participants included full-time nurses working in the ICU. Forty-six ICU nurses participated.
methodsA total of five focus group sessions were held to collect data. There were one to three separate groups in each focus group session, with no more than seven participants in each group. There were 10 separate groups in total. A semistructured question guide was used. Thematic analysis method was adopted to analyse the data, and to search for emergent themes and patterns.
resultsThree main themes emerged: (1) the professional perspectives on patient wakefulness state, (2) the professional perspectives on PAD management of critically ill patients and (3) the factors impacting PAD management. Nurses have different opinions on the optimal level of patient sedation and felt that many factors, including environmental, healthcare teams, patients and family members, can influence PAD management. This potentially leads to inconsistent PAD management in critically ill patients. The nurses also believed that PAD management requires a multidisciplinary approach including healthcare teams and patients' families.
conclusionsMany external and internal factors contribute to the complexity of PAD management including the attitudes of nursing staff towards PAD. The themes emerged from this study suggested the need of a multifaceted and multidisciplinary quality improvement programme to optimise the management of PAD in the ICU.
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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.