Healthcare professionals’ reports of the cues used to identify cancer pain in older people with delirium: a qualitative-quantitative content analysis

Simple item page
dc.contributor.authorGraham, Carol A.
dc.contributor.authorChaves, Gabriela
dc.contributor.authorHarrison, Rebecca
dc.contributor.authorGauthier, Lynn
dc.contributor.authorNissim, Rinat
dc.contributor.authorZimmermann, Camilla
dc.contributor.authorChan, Vincent
dc.contributor.authorRodin, Gary
dc.contributor.authorStevens, Bonnie
dc.contributor.authorGagliese, Lucia
dc.date.accessioned2022-09-26T18:20:17Z
dc.date.available2022-09-26T18:20:17Z
dc.date.issued2020
dc.description.abstractContext: Healthcare professionals (HCP) currently judge pain presence and intensity in patients with delirium despite the lack of a valid, standardized assessment protocol. However, little is known about how they make these judgements. This information is essential to develop a valid and reliable assessment tool. Objectives: to identify pain cues that HCP report utilizing to judge pain in patients with delirium and to examine whether the pain cues differ based on patient cognitive status and delirium subtype. Methods: Mixed qualitative-quantitative design. Doctors and nurses were recruited. All participants provided written informed consent and prior to the recorded interview, demographic information was collected. Participants were asked to describe their practices and beliefs regarding pain assessment and management with older patients who are cognitively intact or who have delirium. Interviews were transcribed verbatim by Wordwrap and coded for pain cues. Coded data were imported into SPSS to conduct bivariate analyses. Results: The pain cue self-report and agitation were stated more often by the HCP s for intact and delirium patients, respectively. Considering the subtypes of delirium, the HCP s stated yelling χ2 (2, N = 159) = 11.14, p=0.004, when describing pain in hyperactive than in hypoactive and mixed delirium patients; and significantly more HCP s stated grimace χ2 (2, N = 159) = 6.88, p=0.03, when describing pain in hypoactive than hyperactive and mixed patients. Conclusion: This study outlines how HCP report conducting pain assessment in patients with delirium and, also, specify pain behaviour profiles for the subtypes of delirium.
dc.description.sponsorshipThis research was funded by grant MOP – 111090 from the Canadian Institutes of Health Research to Lucia Gagliese. We wish to thank the members of the Cancer Pain Research Unit for their contributions to the analyses and for their valuable feedback on earlier drafts of this manuscript.
dc.identifier.citationGraham, Chaves, G., Harrison, R., Gauthier, L. R., Nissim, R., Zimmermann, C., Chan, V., Rodin, G., Stevens, B., & Gagliese, L. (2020). Health Care Professionals’ Reports of Cancer Pain Cues Among Older People With Delirium: A Qualitative-Quantitative Content Analysis. Journal of Pain and Symptom Management, 60(1), 28–36.e1. https://doi.org/10.1016/j.jpainsymman.2020.01.021en_US
dc.identifier.issn0885-3924
dc.identifier.urihttp://hdl.handle.net/10315/39726
dc.identifier.urihttps://doi.org/10.1016/j.jpainsymman.2020.01.021
dc.language.isoenen_US
dc.publisherJournal of Pain and Symptom Management
dc.subjectCancer pain
dc.subjectOlder people
dc.subjectDelirium
dc.subjectPain assessment
dc.titleHealthcare professionals’ reports of the cues used to identify cancer pain in older people with delirium: a qualitative-quantitative content analysisen_US
dc.typeArticle
dcterms.licenseCC BY-NC-ND
dcterms.rights© 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
AAM.10.1016.j.jpainsymman.2020.01.021.pdf
Size:
575.17 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.83 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

School of Kinesiology and Health Science

All items in the YorkSpace institutional repository are protected by copyright, with all rights reserved except where explicitly noted.