Patient satisfaction with pain relief following major abdominal surgery is influenced by good communication,pain relief and empathic caring: a qualitative interview study
Restricted accessResearch articleFirst published online February, 2020
Patient satisfaction with pain relief following major abdominal surgery is influenced by good communication,pain relief and empathic caring: a qualitative interview study
Monitoring and improving the quality of care is an ever increasing concern for health care organisations. Measuring the effectiveness of clinical outcomes is done by looking at specific markers of high quality care. Pain management is considered one of the markers of high quality care and satisfaction with pain management is a crucial and important quality assurance marker; yet, we know little about what contributes to a patient’s decision about satisfaction.
Methods:
A qualitative study drawing on phenomenological approach aiming to evaluate the perspective of patients experiencing post-operative pain. Patients undergoing major abdominal surgery were recruited from a Renal Transplant and Urology ward in the North of England, UK. Data were collected using in-depth semi-structured interviews and were analysed using Colaizzi’s approach.
Results:
Ten patients participated in the study and three themes emerged from the analysis. The findings of this study revealed that in order to achieve satisfaction with the management of pain, patient care has to include information delivery which is timely and adequate according to a patient’s individual needs, nurses should have a caring attitude and pain should be well controlled.
Conclusion:
Satisfaction with pain management is influenced by good communication and information transfer, appropriate pain management and an empathic presence throughout.
RalaighVSFootC.Getting the measure of quality: opportunities and challenges. London: The Kings Fund, 2010.
2.
BoerlageAAMasmanADHagoortJ, et al. Is pain assessment feasible as a performance indicator for Dutch nursing homes? A cross-sectional approach. Pain Manage Nurs2013; 14(1): 36–40.
3.
DohertySKnottJBennettsS, et al. National project seeking to improve pain management in the emergency department setting: findings from the NHMRC-NICS national pain management initiative. Emerg Med Australas2013; 25(2): 120–126.
4.
SaturnoPJMartinez-NicolasIRobles-GarciaIS, et al. Development and pilot test of a new set of good practice indicators for chronic cancer pain management. Eur J Pain2015; 19(1): 28–38.
5.
StevensBJYamadaJEstabrooksCA, et al. Pain in hospitalized children: effect of a multidimensional knowledge translation strategy on pain process and clinical outcomes. Pain2014; 155(1): 60–68.
6.
GueantSTalebABorel-KuhnerJ, et al. Quality of pain management in the emergency department: results of a multicentre prospective study. Eur J Anaesthesiol2011; 28(2): 97–105.
7.
WeingartSNClearyAStuverSO, et al. Assessing the quality of pain care in ambulatory patients with advanced stage cancer. J Pain Symptom Manage2012; 43(6): 1072–1081.
8.
FriedrichsdorfSJPostierAEullD, et al. Pain outcomes in a US Children’s Hospital: a prospective cross-sectional survey. Hosp Pediatr2015; 5(1): 18–26.
9.
CarrECJMeredithPChumbleyG, et al. Pain: a quality of care issue during patients’ admission to hospital. J Adv Nurs2014; 70(6): 1391–1403.
10.
MartinezKASnyderCFMalinJL, et al. Patient-reported quality of care and pain severity in cancer. Palliat Support Care2015; 13(4): 875–884.
11.
ZoegaSSveinsdottirHSigurdssonGH, et al. Quality pain management in the hospital setting from the patient’s perspective. Pain Pract2015; 15(3): 236–246.
12.
NavehPLeshemRDrorYF, et al. Pain severity, satisfaction with pain management, and patient-related barriers to pain management in patients with cancer in Israel. Oncol Nurs Forum2011; 38(4): E305–E313.
13.
TornvallEWilhelmssonS.Quality of nursing care from the perspective of patients with leg ulcers. J Wound Care2010; 19(9): 388–395.
14.
RosenbergREKlejmontLGallenM, et al. Making comfort count: using quality improvement to promote pediatric procedural pain management. Hosp Pediatr2016; 6(6): 359–368.
15.
MarattJDLeeYLymanS, et al. Predictors of satisfaction following total knee arthroplasty. J Arthroplasty2015; 30: 1142–1145.
16.
SavvasSGibsonS.Pain management in residential aged care facilities. Austr Family Phys2015; 44(4): 198–203.
17.
BrownAM.The role of nurses in pain and palliative care. J Pain Palliat Care Pharmacother2013; 27: 300–302.
18.
HayesKGordonDB.Delivering quality pain management: the challenge for nurses. AORN J2015; 101(3): 328–334, quiz 335.
19.
HallerGAgoritsasTLuthyCP, et al. Collaborative quality improvement to manage pain in acute care hospitals. Pain Med2011; 12(1): 138–147.
20.
IyerSBSchubertCJSchoettkerPJ, et al. Use of quality-improvement methods to improve timeliness of analgesic delivery. Pediatrics2011; 127(1): e219–e225.
21.
BeckSLTowsleyGLBerryPH, et al. Core aspects of satisfaction with pain management: cancer patients’ perspectives. J Pain Symptom Manage2010; 39(1): 100–115.
22.
WelchSJ.Twenty years of patient satisfaction research applied to the emergency department: a qualitative review. Am J Med Qual2010; 25(1): 64–72.
23.
LeeTH.Zero pain is not the goal. JAMA2016; 315: 1575–1577.
24.
DarziL.High quality for all: NHS next stage review final report. London: Department of Health, 2008.
25.
TongcoDC.Purposive sampling as a tool for informant selection. Ethinobot Res Appl2007; 5: 147–158.
26.
Bradbury-JonesCIrvinFSanbrookS.Phenomenology and participant feedback: convention or contention. Nurs Res2010; 17(2): 25–35.
27.
AndersonVOtterstrom-RydgergEKarlssonA.The importance of written and verbal information on pain treatment on patients undergoing surgical intervention. Pain Manage Nurs2015; 16(5): 634–641.
28.
BennettMIBagnallAMJose-ClossS.How effective are patient based educational interventions in the management of cancer pain. Pain2009; 143(3): 9.
29.
SzycaRRosiekANowakoskaU, et al. Analysis of factors influencing patient satisfaction with hospital treatment at a surgical department. Pol Przegl Chir2012; 84(3): 136–143.
30.
FosnochtDEHeapsNDSwansonER.Patient expectations for pain relief in the ED. Am J Emerg Med2004; 22(4): 286–288.
31.
O’HalloranRGrohnBWorralL.Environmental factors that influence communication in patients with a communication disability in Acute Hospital stroke units: a qualitative metasynthesis. Arch Phys Med Rehabilitat2012; 93: S77–S85.
32.
MulleyAGTrimbleCElwynG.Stop the silent misdiagnosis: patients’ preferences matter. BMJ2012; 345: e6572.
33.
WatersSEdmondstonSJYatesPJ, et al. Identification of factors influencing patient satisfaction with orthopaedic outpatient clinic consultation: a qualitative study. Man Ther2016; 25: 48–55.
34.
LemayCALewisCGSinghJA, et al. Receipt of pain management information pre-operatively is associated with improved functional gain after elective total joint arthroplasty. J Arthroplasty2017; 32: 1763–1768.
35.
HopayianKNotleyC.A systematic review of low back pain and sciatica patients’ expectations and experiences of health care. Spine J2014; 14: 1769–1780.
EidTBucknallT.Documenting and implementing evidence-based post-operative pain management in older patients with hip fractures. J Orthopaed Nurs2008; 12: 90–98.
38.
DwarswardJBakkerEvan StaaA, et al. Self-management support from perspective of patients with chronic condition. A thematic synthesis of qualitative studies. Health Expectat2015; 19: 194–204.
39.
RichardsonCOvensE.Therapeutic opportunities when using vapocoolants for cannulation in children. Br J Nurs2016; 25(14): S23–S17.
