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Exploring nursing assistants' roles in the process of pain management for cognitively impaired nursing home residents: a qualitative study

Justina Y.W. Liu · Journal of Advanced Nursing · 2013

AbstractAimTo explore nursing assistants' roles during the actual process of pain management (assessment, reporting, implementation of pain‐relieving interventions and re‐assessment) for cognitively impaired home residents with pain.BackgroundNursing assistants provide most of the direct care to residents and represent the major taskforce in nursing homes. They may develop specialized knowledge of residents' pain experience that enables them to play both a pivotal role in pain assessment and possibly a supporting role in pain treatment. Currently, there is a lack of research into nursing assistants' functions in pain management.DesignThis is a descriptive, exploratory qualitative study.MethodsForty‐nine nursing assistants were recruited from 12 nursing homes, 12 of them participating in semi‐structured individual interviews and 37 in 8 semi‐structured focus groups. All interviews were carried out from May to September 2010. Data collected via both data collection methods were transcribed verbatim and analysed by content analysis.ResultsNursing assistants were found to play four roles in the pain management process: (1) pain assessor; (2) reporter; (3) subordinate implementing presc

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