PAIN AND DISCOMFORT

Pain and Discomfort

Pain and Discomfort

The purpose of this qualitative study was to describe the use of independent therapeutic nursing interventions by registered nurses in a variety of health care delivery agencies. The process used to integrate nursing interventions into the daily routines of agencies that did not formally require their use, the conditions in which they were implemented, and the consequences of their use, were examined. Data collection methods include observations and interviews of 36 participant nurses, employed in five health care agencies, for 1 year. The organizational culture of each environment was observed and its impact on the enactment of independent therapeutic nursing interventions was evaluated. Data analysis, done by using the constant comparative method, generated a proposal of a substantive theory that integrates conditions and consequences of therapeutic nursing intervention. Intra-role conflict, the product of incompatible expectations of the professional conception of nursing and task oriented/medically controlled work environments, served as the motivating force behind strategies of enactment utilized to overcome barriers to implement therapeutic nursing interventions. As a consequence of using therapeutic nursing interventions, participants perceived empowerment in relation to clients, peers and other health care professionals.

Annotated Bibliography

Author, Title

Source

Date (year)

Research Type (experimental, quasi-experimental, case series, ethnographic, etc)

Population/

sample size

Outcome measures

Pertinent data from results

Suggested Conclusions

Comments

1. Coining and Defining Novel Nursing Terminology. Part 2: Critical Incident Nursing Intervention.

By: Wong, Elizabeth

International Journal of Nursing Terminologies & Classifications

2008

literature

require

every member of the team to communicate their

unique perspective. As RNs are the most populous

profession in health care with 2,417,150 members

Transferring information

from the nursing record to a computerized-based

system has become possible as a result of the development

of software for several different nursing classification

systems.

Coining and defining novel nursing

terminology, CINI, for patient care during life-threatening

situations is important and fills the gap in the current

standardized nursing terminology.

The current nursing interventions in

the NIC are inaccurate or inadequate for describing nursing

care during life-threatening situations. The lack of standardized

nursing terminology creates a barrier that may impede critical

communication and patient care during life-threatening

situations.

Author, Title

Source

Date (year)

Research Type (experimental, quasi-experimental, case series, ethnographic, etc)

Population/

sample size

Outcome measures

Pertinent data from results

Suggested Conclusions

Comments

Fall and Balance Outcomes After an Intervention to Promote Leg Strength, Balance, and Walking in People With Diabetic Peripheral Neuropathy: "Feet First" Randomized Controlled Trial.

By Kruse, Robin L.,LeMaster, Joseph W.,Madsen, Richard W.

Physical Therapy

2010

statististical

The participants were 79 people who were mostly sedentary, who had

DM+PN, and who were randotnly assigned to either a control group (n=38) or an

intervention group (n=4l).

. Research personnel who

collected measurements or outcome

data were unaware of participants'

study group identities.

There were no statistically significant differences between the groups for

falls during follow-up. At 12 months, there was a small increase in the amount of time

that participants in the intervention group could stand on 1 leg with their eyes closed.

No other strength or balance measurements differed between the groups.

The training program had a minimal effect on participants' balance

and lower-extremity strength. Increasing weight-bearing activity did not alter the rate

of falling for participants in the intervention group relative to that for participants in

the control group.

The training program had a minimal effect on participants' balance

and lower-extremity ...