Inadequate and inconsistent nursing practices related to pain management are a significant problem facing stakeholders in the health care industry. The purpose of the research study was twofold: (a) to explore the processes used by registered nurses’ for clinical decision making regarding pain management in the acute care setting and (b) to develop a substantive theory using grounded theory by examining the emergent data from the perceptions of as many as 20 registered nurses. The study explored registered nurses’ perceptions of the process of clinical decision-making in pain management within the context of social norms of nursing care and the setting in which practice takes place. The exploration of the complex dynamics of clinical decision-making in pain management was guided by the principles of classic grounded theory. Fourteen registered nurses (n=14) participated in an interview process and provided their perceptions of the clinical decision-making process in pain management. Through an inductive iterative process of constant comparative analysis, patterns of conceptual relationships were revealed closing the theory-practice gap in the literature for the substantive problem of inadequate pain management and the process of clinical decision-making in pain management. The substantive theory that emerged from the data is facilitating shared understanding: registered nurses partnering through relating, referring, advocating, and bargaining with the patient, and members of the health care team to make patient-centered clinical decisions in pain management.
|Commitee:||Colucciello, Margaret L., Nelso, Francine|
|School:||University of Phoenix|
|Department:||School of Advanced Studies|
|School Location:||United States -- Arizona|
|Source:||DAI-B 78/01(E), Dissertation Abstracts International|
|Keywords:||Clinical decision-making, Grounded theory, Pain management|
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