{ "@context": "http://iiif.io/api/presentation/3/context.json", "id": "https://budc.barry.edu/iiif/manifest/AA00001946/00001", "type": "Manifest", "label": { "none": [ "A grounded theory on the process emergency department nurses utilize when managing adult patients\u0027 pain" ] }, "metadata": [ { "label": { "en": [ "Abstract" ] }, "value": { "none": [ "Background: Pain is the most common presenting complaint in emergency departments (EDs) and the primary reason patients seek medical care. Improving inadequate pain control has been identified as a critical goal in emergency health care. As patients\u2019 primary health care advocates, ED nurses play a vital role in resolving the problem of under treated pain in their patients. Purpose: To develop a grounded theory on the process ED nurses use to manage adult patients\u2019 pain and to increase understanding of how this process impacts on patients\u2019 pain treatment. Research Question: What is the process ED nurses use when managing adult patients\u2019 pain? Theoretical Framework: Grounded theory and the philosophical foundation of symbolic interactionism guided this study of human processes on ED nurses\u2019 management of ED adult patients\u2019 pain. Symbolic interactionism focuses on meanings people attach to events experienced in their everyday life. Subsequent actions are a direct result of interpretations of these meanings. Grounded theory methodology examines people\u2019s actions/ interactions with the goal of theory generation grounded in data gathered from people in social settings in which these phenomena occur. Methods: Participants were recruited from the membership of the local emergency nurses\u2019 association and six hospital based EDs in Northeast Florida. Fifteen ED nurses were individually interviewed by the researcher. Interviews were transcribed verbatim and analyzed using open, axial, and selective coding. Results: The central core category that emerged highlighted ED environments as inconducive to demonstrating caring when relating to adult patients with pain. Three broad categories supported this central core category: (a) feeling overwhelmed, (b) perceived non-cohesiveness of the health care team, and (c) frustration. Each broad category was supported by three subcategories. Feeling Overwhelmed included constant prioritizing, lack of staff, and lack of control. Perceived non-cohesiveness of the health care team included nurses, administrators and ED doctors. Frustration involved abuse of EDs, pain complexity, and unrealistic patient expectations. Conclusions: Interventions and solutions need to be explored to improve ED nurses\u2019 ability to manage adult ED patients\u2019 pain adequately and to demonstrate caring while doing so. Implications for accomplishing this goal clearly exist in nursing education, practice, research, and public policy." ] } }, { "label": { "en": [ "Classification" ] }, "value": { "none": [ "RT120.E4 B47 2009" ] } }, { "label": { "en": [ "Publication Date" ] }, "value": { "none": [ "2009" ] } }, { "label": { "en": [ "Genre" ] }, "value": { "none": [ "Academic theses" ] } }, { "label": { "en": [ "Holding Location" ] }, "value": { "none": [ "Barry University Archives and Special Collections" ] } }, { "label": { "en": [ "Resource Identifier" ] }, "value": { "none": [ "RT120.E4 B47 2009_BergmanCheryl" ] } }, { "label": { "en": [ "Language" ] }, "value": { "none": [ "English" ] } }, { "label": { "en": [ "Permanent Link" ] }, "value": { "none": [ "http://sobekcmsrv.barrynet.barry.edu/AA00001946/00001" ] } }, { "label": { "en": [ "Creator" ] }, "value": { "none": [ "Bergman, Cheryl L." ] } }, { "label": { "en": [ "Note" ] }, "value": { "none": [ "Thesis (Ph.D.)--Barry University, 2009.", "Includes bibliographical references (leaves 118-131)." ] } }, { "label": { "en": [ "Physical Description" ] }, "value": { "none": [ "xiii, 149 leaves : ill. ; 28 cm" ] } }, { "label": { "en": [ "Publisher" ] }, "value": { "none": [ "Barry University" ] } }, { "label": { "en": [ "Place of Publication" ] }, "value": { "none": [ "Miami, Fla." ] } }, { "label": { "en": [ "Type" ] }, "value": { "none": [ "Book" ] } }, { "label": { "en": [ "Rights Management" ] }, "value": { "none": [ "Copyright Cheryl L. Bergman. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder." ] } }, { "label": { "en": [ "Source Institution" ] }, "value": { "none": [ "Barry University" ] } }, { "label": { "en": [ "Subjects / Keywords" ] }, "value": { "none": [ "Emergency nursing", "Emergency medicine", "Pain -- Treatment", "Nurse and patient" ] } }, { "label": { "en": [ "Degree Disciplines" ] }, "value": { "none": [ "Nursing" ] } }, { "label": { "en": [ "Title" ] }, "value": { "none": [ "A grounded theory on the process emergency department nurses utilize when managing adult patients\u0027 pain" ] } }, { "label": { "en": [ "Series Title" ] }, "value": { "none": [ "Barry University Dissertations -- College of Nursing and Health Sciences" ] } }, { "label": { "en": [ "Format" ] }, "value": { "none": [ "Book" ] } }, { "label": { "en": [ "Digital Resource Creation Date" ] }, "value": { "none": [ "5/21/2020" ] } } ], "service": [ { "@context": "http://iiif.io/api/search/2/context.json", "id": "https://budc.barry.edu/iiif/manifest/AA00001946/00001/search", "type": "SearchService2", "profile": "http://iiif.io/api/search/2/search" } ], "seeAlso": [ { "id": "https://budc.barry.edu/content/AA/00/00/19/46/00001/AA00001946_00001.mets.xml", "type": "Dataset", "format": "application/mets\u002Bxml", "label": { "en": "METS" } }, { "id": "https://budc.barry.edu/content/AA/00/00/19/46/00001/marc.xml", "type": "Dataset", "format": "application/marcxml\u002Bxml", "label": { "en": "MARCXML" } } ], "items": [] }