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Normalizing suffering: A meta-synthesis of experiences of and perspectives on pain and pain management in nursing homes
Faculty of Professional Studies, Nord University, Bodø, Norway.
Faculty of Professional Studies, Nord University, Bodø, Norway.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Faculty of Professional Studies, Nord University, Bodø, Norway.
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, 31203Article in journal (Refereed) Published
Abstract [en]

Older people who live in nursing homes commonly suffer from pain. Therefore, relieving suffering among older people that stems from pain demands knowledge improvement through an integration of international knowledge. This study aimed to integrate current international findings and strengthen the understanding of older people's experiences of and perspectives on pain and pain management in nursing homes. A meta-synthesis study using Noblit and Hare's interpretative metaethnography approach was conducted. Empirical research papers from journals were collected from various databases. The search process and appraisal determined six articles for inclusion. Two studies were conducted in the US and one each in Iceland, Norway, the UK, and Australia. The older people's experiences of pain as well as perspectives on pain management from all involved (older people, their family members, and healthcare staff) were integrated into a theoretical model using three themes of "identity of pain," "recognition of pain," and "response to pain." The metaphor of "normalizing suffering" was devised to illustrate the meaning of pain experiences and pain management in nursing homes. Society's common attitude that pain is unavoidable and therefore acceptable in old age in society-among older people themselves as well as those who are responsible for reporting, acknowledging, and relieving pain-must change. The article emphasizes that pain as a primary source of suffering can be relieved, provided that older people are encouraged to report their pain. In addition, healthcare staff require sufficient training to take a person-centered approach towards assessment and management of pain that considers all elements of pain.

Place, publisher, year, edition, pages
2016. Vol. 11, 31203
Keyword [en]
Meta-ethnography, Meta-synthesis, Nursing homes, Older people, Pain, Pain management, Suffering
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-27367DOI: 10.3402/qhw.v11.31203ISI: 000375927200001PubMedID: 27173102Scopus ID: 2-s2.0-84982740630OAI: oai:DiVA.org:miun-27367DiVA: diva2:918113
Available from: 2016-04-10 Created: 2016-04-10 Last updated: 2017-01-10Bibliographically approved

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Söderberg, Siv
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CiteExportLink to record
Permanent link

Direct link
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf