This is not a paper. There are about ten questions that need to be answered after reading an article, however, You MUST have knowledge in qualitative research in nursing to answer these questions effectively.
QUALITATIVE CRITIQUE ARTICLE
• Select an article to work with. Be sure that is not an integrated summary, review of the literature, state of the science paper or meta-analysis.
• Type your answers directly into the discussion board. Don’t attach it as a document.
• Post the reference, using APA format, for your article immediately in the discussion board – NO duplications allowed. Your next posting should include the following:
1. In the discussion, summarize the research question
2. Summarize the findings.
3. Briefly discuss the choice of research approach, i.e., was a qualitative research approach suitable for the phenomenon being studied?
4. Identify another way that the data could have been collected.
5. List at least three key themes that emerged from the study.
6. List one more question that you would like to have asked of the research subjects.
7. How could you use this study’s findings in your nursing practice?
8. Suggest the most appropriate method of disseminating the findings of this study. . Pay attention of how the points are dispersed to see where you should place your greatest efforts.
CRITERIA POINT VALUE POINTS EARNED COMMENTS
1. Research question summarized 10
2. Summary of findings 10
3. Discussion of research approach 10
4. Identify another way the data could have been collected 5
5. Three key themes identified 10
6. One question that you would have asked 5
7. How could you apply the study to your nursing practice? 15
8. What do you think is the most appropriate method of disseminating the findings of this study?
9. Posted timely responses to two classmates 5
10. Described an appropriate application of both classmates’ selected articles. 20
Barriers to, and facilitators of post-operative
pain management in Iranian nursing:
a qualitative research study
N. Rejeh1 BScN, RN, MScN, F. Ahmadi2 BScN, RN, MScN, PhD,
E. Mohammadi2 BScN, RN, MScN, PhD, M. Anoosheh3 BScN, RN, MScN, PhD
& A. Kazemnejad4 BSc, MSc, PhD
1 PhD Student, 2 Associate Professor, 3 Assistant Professor, 4 Full Professor, Faculty of Medical Sciences,Tarbiat Modares
REJEH N., AHMADI F., MOHAMMADI E., ANOOSHEH M. & KAZEMNEJAD A. (2008) Barriers to, and
facilitators of post-operative pain management in Iranian nursing: a qualitative research study. International
Nursing Review 55, 468–475
Background: Unrelieved post-operative pain continues to be a major clinical challenge, despite advances in
management. Although nurses have embraced a crucial role in pain management, its extent is often limited in
Iranian nursing practice.
Aim: To determine Iranian nurses’ perceptions of the barriers and facilitators influencing their management
of post-operative pain.
Methods: This study was qualitative with 26 participant nurses. Data were obtained through semi-structured
serial interviews and analysed using the content analysis method.
Findings: Several themes emerged to describe the factors that hindered or facilitated post-operative pain
management. These were grouped into two main themes: (1) barriers to pain management after surgery
with subgroups such as powerlessness, policies and rules of organization, physicians leading practice, time
constraints, limited communication, interruption of activities relating to pain, and (2) factors that facilitated
post-operative pain management that included the nurse–patient relationship, nurses’ responsibility, the
physician as a colleague, and nurses’ knowledge and skills.
Conclusion: Postoperative pain management in Iran is contextually complex, and may be controversial.
Participants believed that in this context accurate pain management is difficult for nurses due to the barriers
mentioned. Therefore, nurses make decisions and act as a patient comforter for pain after surgery because of
the barriers to effective pain management.
Keywords: Iran, Nursing, Patient, Post-operative Pain Management, Qualitative Research
Pain and its management remain one of the major clinical problems
confronting healthcare professionals in general and specifically
in surgery settings (Klopfenstein et al. 2000; Klopper et al.
2006). Continuing pain is associated with morbidity and delayed
discharge. Delayed healing, higher complication rates, anxiety,
sleep disturbance, increased suffering and lowered quality of life
are also significant sequelae (Sherwood et al. 2003). Numerous
studies have demonstrated the inadequacy of pain management.
Despite decades of research and the availability of effective
analgesic approaches, many patients continue to experience
Correspondence address: Fazlollah Ahmadi, Department of Nursing, Tarbiat
Modares University, P.O. Box 14155-4838, Tehran, Islamic Republic of Iran;
Tel: +9821-88011001 (ext: 3550,3553); Fax: +9821-88006544;
© 2008 The Authors. Journal compilation © 2008 International Council of Nurses 468
moderate to severe pain following surgery (Gilmartin & Wright
2007; Manias et al. 2005; Schafheutle et al. 2001).
Greater research efforts are needed to identify the factors that
impede or facilitate effective pain management (Weissman et al.
2004). Despite the fact that a variety of research and clinical
studies on all aspects of pain have been conducted in many
countries, the factors affecting pain management have not been
completely identified (Rao 2006). Pain and its management have
been a fairly low priority for receiving time and attention from
healthcare professionals, and nurses seemed to place a lower
priority on activities that directly impacted a patient’s comfort,
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