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Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes / Mojtaba Vaismoradi; Lisa Skär; Siv Söderberg; Terese E. Bondas

International Journal of Qualitative Studies on Health and Well-Being, Volume: 11, Issue: 1

Swansea University Author: Vaismoradi, Mojtaba

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DOI (Published version): 10.3402/qhw.v11.31203

Abstract

Older people who live in nursing homes commonly suffer from pain. Therefore, relieving suffering among older people thatstems from pain demands knowledge improvement through an integration of international knowledge. This study aimed tointegrate current international findings and strengthen the unde...

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Published in: International Journal of Qualitative Studies on Health and Well-Being
ISSN: 1748-2623 1748-2631
Published: 2016
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa27833
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Abstract: Older people who live in nursing homes commonly suffer from pain. Therefore, relieving suffering among older people thatstems from pain demands knowledge improvement through an integration of international knowledge. This study aimed tointegrate current international findings and strengthen the understanding of older people’s experiences of and perspectiveson pain and pain management in nursing homes. A meta-synthesis study using Noblit and Hare’s interpretative metaethnographyapproach was conducted. Empirical research papers from journals were collected from various databases. Thesearch process and appraisal determined six articles for inclusion. Two studies were conducted in the US and one each inIceland, Norway, the UK, and Australia. The older people’s experiences of pain as well as perspectives on pain managementfrom all involved (older people, their family members, and healthcare staff) were integrated into a theoretical model usingthree themes of ‘‘identity of pain,’’ ‘‘recognition of pain,’’ and ‘‘response to pain.’’ The metaphor of ‘‘normalizing suffering’’was devised to illustrate the meaning of pain experiences and pain management in nursing homes. Society’s commonattitude that pain is unavoidable and therefore acceptable in old age in society*among older people themselves as well asthose who are responsible for reporting, acknowledging, and relieving pain*must change. The article emphasizes that painas a primary source of suffering can be relieved, provided that older people are encouraged to report their pain. In addition,healthcare staff require sufficient training to take a person-centered approach towards assessment and management of painthat considers all elements of pain.
Keywords: Older people; nursing homes; meta-synthesis; meta-ethnography; pain; pain management; suffering;
College: College of Human and Health Sciences
Issue: 1