Pain management nursing : official journal of the American Society of Pain Management Nurses
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The aim was to examine nurses' experiences and opinions regarding using their professional autonomy in nonpharmacologic pain management. ⋯ Nurse managers can support nurses in their units and use their expertise to develop care, practices, and processes. At the organizational level, they can create a working environment in which nurses can better participate in multiprofessional working groups. Supportive management can have a significant positive impact on nurses' professional autonomy. It creates a work culture in the organization where there is an opportunity for shared decision-making and development of daily work without hierarchy and where employees feel trusted and valued.
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Chronic pain affects 1.9 billion people worldwide and wait times for interprofessional pain management programs can be extensive. The existing wait times provide an opportunity to introduce internet-based interventions that enhance self-management ability. ⋯ The use of a self-directed web-based chronic pain and motivational empowerment program appears to be a promising option to support people waiting for specialist care and may influence readiness for interprofessional care.
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Accurate pain assessment still faces many challenges, which impact the effectiveness of analgesic interventions. Understanding the current status of pain assessment implementation and its inhibiting and facilitating factors might help facilitate accurate pain assessment. ⋯ The study reveals significant discrepancies in pain assessment practices among nurses. In the process of pain assessment practice, the assessment time is shorter, and the process is less standardized compared to self-reported results. The factors impeding standardized pain assessment included nurses' insufficient knowledge and poor protocol adherence. Therefore, enhanced training, more explicit guidelines, and robust institutional support are needed to standardize pain assessments and improve patient outcomes.
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Pain following a cesarean section is a significantly stressful experience, impeding women's fast recovery. Interventions such as hand and foot massage have been employed for pain management after cesarean sections, but their effectiveness remains undetermined. ⋯ This meta-analysis indicated that hand and foot massage are beneficial for pain and anxiety management among women following a cesarean section. Appropriate implementation in clinical practice was suggested at an early stage.
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The Pain Relief Motivation Scale (PRMS) was administered to chronic pain sufferers and predicts their psychological well-being. However, the Chinese version of the PRMS has not undergone psychometric validation. ⋯ The Chinese version of the PRMS has powerful validity and reliability and can be used to assess the level of the motivation for pain alleviation in people with pain, serving as a reference for the development of intervention programs for healthcare providers.