Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes

Vaismoradi, Mojtaba; Skär, Lisa; Söderberg, Siv; Bondas, Terese E.

doi:10.3402/qhw.v11.31203

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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: Mojtaba Vaismoradi

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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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first_indexed	2016-05-13T01:18:26Z
last_indexed	2018-11-13T19:44:09Z
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spelling	2018-11-13T13:30:21.4153860 v2 27833 2016-05-12 Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes b865b33654e99f5cbccdb11350f7b069 Mojtaba Vaismoradi Mojtaba Vaismoradi true false 2016-05-12 FGMHL 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 societyamong older people themselves as well asthose who are responsible for reporting, acknowledging, and relieving painmust 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. Journal Article International Journal of Qualitative Studies on Health and Well-Being 11 1 1748-2623 1748-2631 Older people; nursing homes; meta-synthesis; meta-ethnography; pain; pain management; suffering; 11 5 2016 2016-05-11 10.3402/qhw.v11.31203 http://dx.doi.org/10.3402/qhw.v11.31203 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2018-11-13T13:30:21.4153860 2016-05-12T14:15:51.3215986 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Mojtaba Vaismoradi 1 Lisa Skär 2 Siv Söderberg 3 Terese E. Bondas 4 0027833-28092016170313.pdf 31203-197937-1-PB.pdf 2016-09-28T17:03:13.6230000 Output 410944 application/pdf Version of Record true 2016-09-28T00:00:00.0000000 © 2016 M. Vaismoradi et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license. true
title	Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes
spellingShingle	Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes Mojtaba Vaismoradi
title_short	Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes
title_full	Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes
title_fullStr	Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes
title_full_unstemmed	Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes
title_sort	Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes
author_id_str_mv	b865b33654e99f5cbccdb11350f7b069
author_id_fullname_str_mv	b865b33654e99f5cbccdb11350f7b069_***_Mojtaba Vaismoradi
author	Mojtaba Vaismoradi
author2	Mojtaba Vaismoradi Lisa Skär Siv Söderberg Terese E. Bondas
format	Journal article
container_title	International Journal of Qualitative Studies on Health and Well-Being
container_volume	11
container_issue	1
publishDate	2016
institution	Swansea University
issn	1748-2623 1748-2631
doi_str_mv	10.3402/qhw.v11.31203
college_str	Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title	Faculty of Medicine, Health and Life Sciences
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department_str	School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
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description	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 societyamong older people themselves as well asthose who are responsible for reporting, acknowledging, and relieving painmust 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.
published_date	2016-05-11T03:33:48Z
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Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes

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