Evidence map›Paper›PMID 39209772›Full record

ArticleJournal of clinical nursing2024

Nurses' Beliefs About Pain Assessment in Dementia: A Qualitative Study Informed by the Theory of Planned Behaviour.

Madushika Wishvanie Kodagoda Gamage, Lihui Pu, Michael Todorovic, Wendy Moyle

Abstract read
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Article in Journal of clinical nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Madushika Wishvanie Kodagoda GamageSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0002-1914-9636
Lihui PuSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0003-0136-0940
Michael TodorovicSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0003-0806-5610
Wendy MoyleSchool of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.ORCID 0000-0003-3004-9019

Funding

Griffith University
6 · The paper itself

Abstract

aimTo explore registered nurses' beliefs regarding pain assessment in people living with dementia.

designA descriptive exploratory qualitative study informed by the Theory of Planned Behaviour.

methodsOnline semi-structured in-depth interviews were conducted from January to April 2023 with a purposive sample of 15 registered nurses caring for people with dementia. Following transcription, data were analysed using direct content analysis.

findingsRegistered nurses believe pain assessment improves the well-being of people with dementia and informs and evaluates practice. However, there is a possibility of misdiagnosing pain as agitation or behavioural problems, leading to inaccurate pain management. Interpersonal factors, such as registered nurses' knowledge and experience, beliefs and motivation to improve care provision, were the primary facilitators of pain assessment. Physical and behavioural dimensions of the pain of the dementia syndrome were the most reported barriers to pain assessment. Registered nurses reported that multidisciplinary team members expect them to do pain assessments. Most did not experience disapproval when performing pain assessments.

conclusionRegistered nurses hold beliefs about pain assessment benefits, consequences, enablers, barriers, approvals and disapprovals regarding dementia. The findings could inform interventions to enhance pain assessment practices. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Policymakers should provide education opportunities for registered nurses to improve their knowledge, skills and beliefs about pain assessment in dementia. Future research should develop and implement multidisciplinary, multifaceted pain assessment protocols to enhance the accuracy of pain assessment practices. IMPACT: Pain is underassessed in dementia, and this could stem from registered nurses' beliefs about pain assessment in dementia. The findings could inform interventions to enhance pain assessment beliefs and practices. REPORTING

methodThis study adhered to the COREQ criteria. PATIENT OR PUBLIC CONTRIBUTION: Registered nurses caring for people living with dementia participated as interview respondents.

Indexed as

Attitude of Health PersonnelDementiaPain MeasurementQualitative ResearchAdultFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedNursesTheory of Planned Behaviorbeliefsdementiapain assessmentqualitativeregistered nurse

Identifiers

PMID39209772
PMCPMC11579553

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.