Palliative care in dementia: literaturereview of nurses’ knowledge andattitudes towards pain assessment

Research output: Contribution to journalArticle

Abstract

Background: Pain is prevalent among older people, yet is often under-recognised and undertreated in people with dementia.The nurse has a central role in identifying and appropriately assessing pain in order to provide effective treatment. Researchhowever suggests there are significant deficits in this area. Aim: To explore the evidence on nurses’ knowledge and attitudesto pain assessment in older people with dementia. Design: A systematic narrative review of peer-reviewed articles publishedbetween 2000 and 2014. Data sources: Seven electronic data bases (CINAHL, MEDLINE, PsycInfo, Wiley, Pubmed, ProQuestand OVID) were searched and articles focusing on nurses knowledge and attitudes on pain assessment towards people withdementia. Methods: Research participants within the studies reviewed were to include registered nurses involved in theassessment and management of pain in older adults with dementia from across all healthcare settings (e.g. dementia units,nursing homes, community and acute settings). Results: Data were systematically analysed from 11 papers. Using an inductiveapproach for thematic content analysis informed by the theory of planned behaviour, five themes were identified. Theseincluded: 1) Challenges in diagnosing pain in dementia 2) Inadequacies of pain assessment tools 3) Time constraints andworkload pressures 4) Lack of interdisciplinary teamwork and communication 5) Training and education. Conclusion:Nurses play a key role in the effective management of pain through the use of pain assessment tools, behavioural observation,and analgesic choice. Pain assessment in dementia remains challenging for nurses due to the complexity and individualisationof pain behaviours. The accessibility of appropriate training, workforce stability and a standardised approach to painassessment are key to the successful management of pain in older people with dementia.
LanguageEnglish
Pages400-407
JournalInternational Journal of Palliative Nursing
Volume21
Issue number8
DOIs
Publication statusPublished - 27 Aug 2015

Fingerprint

Pain Measurement
Palliative Care
Dementia
Nurses
Pain Management
Pain
Interdisciplinary Communication
Peer Review
Information Storage and Retrieval
Nursing Homes
PubMed
MEDLINE
Analgesics
Databases
Delivery of Health Care
Education
Pressure
Research

Keywords

  • Pain assessment l Dementia l Palliative care l Older people l Knowledge l Attitudes

Cite this

@article{d607817cfe9f4ca490f708b9a7460ab9,
title = "Palliative care in dementia: literaturereview of nurses’ knowledge andattitudes towards pain assessment",
abstract = "Background: Pain is prevalent among older people, yet is often under-recognised and undertreated in people with dementia.The nurse has a central role in identifying and appropriately assessing pain in order to provide effective treatment. Researchhowever suggests there are significant deficits in this area. Aim: To explore the evidence on nurses’ knowledge and attitudesto pain assessment in older people with dementia. Design: A systematic narrative review of peer-reviewed articles publishedbetween 2000 and 2014. Data sources: Seven electronic data bases (CINAHL, MEDLINE, PsycInfo, Wiley, Pubmed, ProQuestand OVID) were searched and articles focusing on nurses knowledge and attitudes on pain assessment towards people withdementia. Methods: Research participants within the studies reviewed were to include registered nurses involved in theassessment and management of pain in older adults with dementia from across all healthcare settings (e.g. dementia units,nursing homes, community and acute settings). Results: Data were systematically analysed from 11 papers. Using an inductiveapproach for thematic content analysis informed by the theory of planned behaviour, five themes were identified. Theseincluded: 1) Challenges in diagnosing pain in dementia 2) Inadequacies of pain assessment tools 3) Time constraints andworkload pressures 4) Lack of interdisciplinary teamwork and communication 5) Training and education. Conclusion:Nurses play a key role in the effective management of pain through the use of pain assessment tools, behavioural observation,and analgesic choice. Pain assessment in dementia remains challenging for nurses due to the complexity and individualisationof pain behaviours. The accessibility of appropriate training, workforce stability and a standardised approach to painassessment are key to the successful management of pain in older people with dementia.",
keywords = "Pain assessment l Dementia l Palliative care l Older people l Knowledge l Attitudes",
author = "Sonja McIlfatrick",
year = "2015",
month = "8",
day = "27",
doi = "10.12968/ijpn.2015.21.8.400",
language = "English",
volume = "21",
pages = "400--407",
journal = "International Journal of Palliative Nursing",
issn = "1357-6321",
number = "8",

}

TY - JOUR

T1 - Palliative care in dementia: literaturereview of nurses’ knowledge andattitudes towards pain assessment

AU - McIlfatrick, Sonja

PY - 2015/8/27

Y1 - 2015/8/27

N2 - Background: Pain is prevalent among older people, yet is often under-recognised and undertreated in people with dementia.The nurse has a central role in identifying and appropriately assessing pain in order to provide effective treatment. Researchhowever suggests there are significant deficits in this area. Aim: To explore the evidence on nurses’ knowledge and attitudesto pain assessment in older people with dementia. Design: A systematic narrative review of peer-reviewed articles publishedbetween 2000 and 2014. Data sources: Seven electronic data bases (CINAHL, MEDLINE, PsycInfo, Wiley, Pubmed, ProQuestand OVID) were searched and articles focusing on nurses knowledge and attitudes on pain assessment towards people withdementia. Methods: Research participants within the studies reviewed were to include registered nurses involved in theassessment and management of pain in older adults with dementia from across all healthcare settings (e.g. dementia units,nursing homes, community and acute settings). Results: Data were systematically analysed from 11 papers. Using an inductiveapproach for thematic content analysis informed by the theory of planned behaviour, five themes were identified. Theseincluded: 1) Challenges in diagnosing pain in dementia 2) Inadequacies of pain assessment tools 3) Time constraints andworkload pressures 4) Lack of interdisciplinary teamwork and communication 5) Training and education. Conclusion:Nurses play a key role in the effective management of pain through the use of pain assessment tools, behavioural observation,and analgesic choice. Pain assessment in dementia remains challenging for nurses due to the complexity and individualisationof pain behaviours. The accessibility of appropriate training, workforce stability and a standardised approach to painassessment are key to the successful management of pain in older people with dementia.

AB - Background: Pain is prevalent among older people, yet is often under-recognised and undertreated in people with dementia.The nurse has a central role in identifying and appropriately assessing pain in order to provide effective treatment. Researchhowever suggests there are significant deficits in this area. Aim: To explore the evidence on nurses’ knowledge and attitudesto pain assessment in older people with dementia. Design: A systematic narrative review of peer-reviewed articles publishedbetween 2000 and 2014. Data sources: Seven electronic data bases (CINAHL, MEDLINE, PsycInfo, Wiley, Pubmed, ProQuestand OVID) were searched and articles focusing on nurses knowledge and attitudes on pain assessment towards people withdementia. Methods: Research participants within the studies reviewed were to include registered nurses involved in theassessment and management of pain in older adults with dementia from across all healthcare settings (e.g. dementia units,nursing homes, community and acute settings). Results: Data were systematically analysed from 11 papers. Using an inductiveapproach for thematic content analysis informed by the theory of planned behaviour, five themes were identified. Theseincluded: 1) Challenges in diagnosing pain in dementia 2) Inadequacies of pain assessment tools 3) Time constraints andworkload pressures 4) Lack of interdisciplinary teamwork and communication 5) Training and education. Conclusion:Nurses play a key role in the effective management of pain through the use of pain assessment tools, behavioural observation,and analgesic choice. Pain assessment in dementia remains challenging for nurses due to the complexity and individualisationof pain behaviours. The accessibility of appropriate training, workforce stability and a standardised approach to painassessment are key to the successful management of pain in older people with dementia.

KW - Pain assessment l Dementia l Palliative care l Older people l Knowledge l Attitudes

U2 - 10.12968/ijpn.2015.21.8.400

DO - 10.12968/ijpn.2015.21.8.400

M3 - Article

VL - 21

SP - 400

EP - 407

JO - International Journal of Palliative Nursing

T2 - International Journal of Palliative Nursing

JF - International Journal of Palliative Nursing

SN - 1357-6321

IS - 8

ER -