International Journal of Orthopaedic and Trauma Nursing
Volume 16, Issue 1 , Pages 3-12 , February 2012

Assessments of patients’ pain, nutrition and skin in clinical practice: Registered and enrolled nurses’ perceptions

  • Bååth Carina, PhD, RN

      Affiliations

    • Department of Nursing, Karlstad University, SE-651 88 Karlstad, Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46 547002089; fax: +46 54836996.
  • ,
  • Wilde-Larsson Bodil, PhD, RNT (Professor)

      Affiliations

    • Department of Nursing, Karlstad University, SE-651 88 Karlstad, Sweden
    • Department of Nursing, Hedmark University College, Norway
  • ,
  • Idvall Ewa, PhD, RNT (Professor)

      Affiliations

    • Faculty of Health and Society, Malmö University, Sweden
  • ,
  • Hall-Lord Marie-Louise, PhD, RNT (Professor)

      Affiliations

    • Department of Nursing, Karlstad University, SE-651 88 Karlstad, Sweden
    • Department of Nursing, Gjovik University College, Norway

References 

  1. Aydin N, Karaöz S. Nutritional assessment of patients before gastrointestinal surgery and nurses’ approach to this issue. Journal of Clinical Nursing. 2008;17(5):608–617
  2. Bachrach-Lindström M, Jensen S, Lundin R, Christensson L. Attitudes of nursing staff working with older people towards nutritional nursing care. Journal of Clinical Nursing. 2007;16(11):2007–2014
  3. Beeckman, D., 2011. Pressure Ulcer prevention. Evidence-based tool development and Tailored protocol implementation to improve clinical practice Doctoraatsthesis Universiteit Gent.
  4. Benner P, Tanner C, Chesla C. Expertise in Nursing Practice: Caring, Clinical Judgement and Ethics. New York: Springer Publishing; 1996;
  5. Blomqvist K. Older people in persistent pain: nursing and paramedical staff perceptions and pain management. Journal of Advanced Nursing. 2003;41(6):575–584
  6. Blomqvist K, Hallberg I. Recognising pain in older adults living in sheltered accommodation: the views of nurses and older adults. International Journal of Nursing Studies. 2001;38(3):305–318
  7. Buss C, Halfens R, Abu-Saad H, Kok G. Pressure ulcer prevention in nursing homes: views and beliefs of enrolled nurses and other health care workers. Journal of Clinical Nursing. 2004;13(6):668–676
  8. Bååth C, Hall-Lord M-L, Idvall E, Wiberg-Hedman K, Wilde-Larsson B. Interrater reliability using modified Norton scale, pressure ulcer card, short form-mini nutritional assessment by registered and enrolled nurses in clinical practice. Journal of Clinical Nursing. 2008;17(5):618–626
  9. Bååth C, Wilde Larsson B, Idvall E, Hall-Lord M-L. Registered nurses and enrolled nurses’ assessments of postoperative pain and risk for malnutrition and pressure ulcers in patients with hip fracture. International Journal of Orthopaedic and Trauma Nursing. 2010;14(1):30–39
  10. Chaboyer E, Wallis M, Duffield C, Courtney M, Seaton P, Holzhauser K, et al. A comparison of activities undertaken by enrolled and registered nurses on medical wards in Australia: an observational study. International Journal of Nursing Studies. 2008;45(9):1274–1284
  11. Christensson L, Ödlund Olin A, Unosson M. Kvalitetsindikatorer for prevention av undernäring. In:  Idvall E editors. Kvalitetsindikatorer Inom Omvårdnad. Stockholm: Gothia; 2007;p. 155–165
  12. Ek A-C, Nordstrom G, Lindgren M. Kvalitetsindikatorer for patienter med eller utan risk for trycksår. In:  Idvall E editors. Kvalitetsindikatorer Inom Omvårdnad. Stockholm: Gothia; 2007;p. 137–154
  13. EPUAP . Nutritional guidelines for pressure ulcer prevention and treatment. Epuap Review. 2003;5(3):
  14. European Pressure Ulcer Advisory Panel & National Pressure Ulcer Advisory Panel . Prevention and Treatment of Pressure Ulcer. Washington, DC: National Pressure Ulcer Advisory Panel; 2009;
  15. Funkesson K, Anbäcken E-M, Ek A-C. Nurses´ reasoning process during care planning taking pressure ulcer prevention as an example. A think-aloud study. International Journal of Nursing Studies. 2007;44(7):1109–1119
  16. Gibson T, Heartfield M. Australian enrolled nurses have their say- Part 2: scope of practice. Contemporary Nurse. 2005;19(1–2):126–136
  17. Graneheim U, Lundman U. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2):105–112
  18. Hallström I, Elander G, Rooke L. Pain and nutrition as experienced by patients with hip fracture. Journal of Clinical Nursing. 2000;9(4):639–646
  19. Hedberg B, Sätterlund Larsson U. Environmental elements affecting the decision-making process in nursing practice. Journal of Clinical Nursing. 2004;13316:324
  20. Hommel A, Bjorkelund K, Thorngren K, Ulander K. Nutritional status among patients with hip fracture in relation to pressure ulcers. Clinical Nutrition. 2007;26(5):589–596
  21. SP IA. International Association for the Study of Pain. Management of Acute Pain. Seattle: IASP Publications; 1992;
  22. Idvall E, Hamrin E, Sjöström B, Unosson M. Quality indicators in postoperative pain management: a validation study. Scandinavian Journal Caring Science. 2001;15(4):331–338
  23. Jones JM. Reliability of nutritional screening and assessment tools. Nutrition. 2004;20(3):307–311
  24. Kim S, Schwartz Barcott D, Tracy S, Fortin J, Sjöström B. Strategies of pain assessment used by nurses on surgical units. Pain Management Nursing. 2005;6(1):3–9
  25. Kondrup SP, Allison ME, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clinical Nutrition. 2003;22(4):415–421
  26. Kowanko I, Simon S, Wood J. Nutritional care of the patient: nurses’ knowledge and attitudes in an acute care setting. Journal of Clinical Nursing. 1999;8(2):217–224
  27. Kvale S. Den Kvalitativa Forskningsintervjun. Lund: Studentlitteratur; 1997;
  28. Langhorne P, Stott D, Robertson L, MacDonald J, Jones L, McAlpine C, et al. Medical complications after stroke. A multicenter study. Stroke. 2000;31(6):1223–1229
  29. Larsson J, Akner G, Bosaeus I, Cederholm T, Essén P, Ljungqvist O, et al. Nutritionsbehandling i sjukvård och omsorg. Dietisternas Riksförbund, Nutritionsnätet för sjuksköterskor. Svensk Förening för Klinisk Nutrition. Stockholm: SWESPEN; 2004;
  30. Layman Young J, Horton MF, Davidhizar R. Nursing attitudes and beliefs in pain assessment and management. Journal of Advanced Nursing. 2006;53(4):412–421
  31. Lincoln Y, Guba E. Naturalistic Inquiry. Newbury Park London: Sage; 1985;
  32. Manias E, Bucknall T, Botti M. Assessment of Patient Pain in the Postoperative Context. Western Journal of Nursing Research. 2004;26(7):751–769
  33. Maylor M, Torrance C. Pressure sore survey. Part 3: locus of control. Journal of Wound Care. 1999;8(3):101–105
  34. McCaffery M, Pasero C. Pain Clinical Manual. second ed.. St, Louis: Mosby; 1999;
  35. Milson-Hawke S, Higgins I. The scope of enrolled nurse practice. A grounded theory study. Contemporary Nurse. 2004;17(1–2):44–62
  36. Moore Z, Price P. Nurses’ attitudes, behaviours and perceived barriers towards pressure ulcer prevention. Journal of Clinical Nursing. 2004;13(8):942–951
  37. Mowe M, Bosaeus I, Rasmussen HH, Kondrup J, Unosson M, Irtun Ö, et al. Nutritional routines and attitudes among doctors and nurses in Scandinavia: A questionnaire based survey. Clinical Nutrition. 2006;25(3):524–532
  38. Mowe M, Bosaeus I, Rasmussen HH, Kondrup J, Unosson M, Rothenberg E, et al. Insufficient nutritional knowledge among health care workers?. Clinical Nutrition. 2008;27(2):196–202
  39. Myers S. Patient-focused care: what mangares should know. Nursing Economics. 1998;16(4):180–189
  40. Olofsson B, Stenvall M, Lundström M, Svensson O, Gustafson Y. Malnutrition in hip fracture patients: an intervention study. Journal of Clinical Nursing. 2007;16(11):2027–2038
  41. Polit DF, Beck CT. Essentials of Nursing Research. Methods, Appraisal, and Utilazation. Philadelphia: Williams &Wilkins; 2006;
  42. Rickards J, Hubbert A. Experiences of expert nurses in caring for patients with postoperative pain. Pain Management Nursing. 2007;8(1):17–24
  43. Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A, McCormack B. What counts as evidence in evidence-based practice. Journal of Advanced Nursing. 2004;47(4):81–90
  44. Sellman D. The importance of being trustworthy. Nursing Etics. 2006;13(2):105–115
  45. Sellman D. Trusting patients, trusting nurses. Nursing Phiosophy. 2007;826:36
  46. SFS, 1995:562, Patientjournallagen. (Government Offices of Sweden. Ministry of Health and Social Affairs) Fritzes, Stockholm.
  47. SFS, 1998:531, Lag om yrkesverksamhet på hälso-och sjukvårdens område. (Government Offices of Sweden. Ministry of Health and Social Affairs) Fritzes, Stockholm.
  48. SFS, 2010:659, Patientsäkerhetslag. (Government Offices of Sweden. Ministry of Health and Social Affairs) Fritzes, Stockholm.
  49. Sharp C, McLaws M-L. Estimating the risk of pressure ulcer development: is it truly evidence based. International Wound Journal. 2006;3(4):344–353
  50. Sjöström B, Dahlgren L-O, Haljamäe H. Stategiers used in post-operative pain assessment and their clinical accuracy. Journal of Clinical Nursing. 2000;9111:118
  51. Sjöström B, Haljamäe H, Dahlgren L-O, Lindström B. Assessment of postoperative pain: impact of clinical experience and professional role. Acta Anaesthesiologica Scandinavica. 1997;41(3):339–344
  52. Sloman R, Ahern M, Wright A, Brown L. Nurses’ knowledge of pain in the elderly. Journal of Pain and Symptom Management. 2001;21(4):317–322
  53. Socialstyrelsen, 2001. Problems of nutrition in health care and human services - prevention and treatment. Available at: <http://www.socialstyrelsen.se/NR/rdonlyres/65296B47-D3C3-49BF-84BC-BDB005555F04/1704/200111014.pdf> (accessed 06-01 2007).
  54. Socialstyrelsen, 2005. Kompetensbeskrivning för legitimerad sjuksköterska. Available at: <http://www.socialstyrelsen.se/NR/rdonlyres/33C8D178-0CDC-420A-B8B4-2AAF01FCDFD9/3113/20051052.pdf> (accessed 09-25 2008).
  55. SOSFS, 2008:14. Socialstyrelsens föreskrifter om informationshantering och journalföring i hälso-och sjukvården. (The National Board of Health and Welfare) Socialstyrelsen, Stockholm.
  56. Spilsbury K, Cullum N, Iglesias C, Nixon J, Mason S. Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives. Journal of Advanced Nursing. 2007;57(5):494–504
  57. Westergren A, Karlsson P, Andersson P, Ohlsson O, Hallberg I. Eating difficulties, need for assisted eating, nutritional status and pressure ulcers in patients admitted for stroke rehabilitation. Journal of Clinical Nursing. 2001;10(2):257–269
  58. Weber K, Kelly J. Health Assessment in Nursing. Philadelphia, PA: Lippincott Williams & Wilkins; 2009;
  59. Widar M, Ahlström G. Disability after a stroke and the influence of long-term pain on everyday life. Scandinavian Journal Caring Sciences. 2002;16(3):302–310
  60. Wilson B. Nurses knowledge in pain. Journal of Clinical Nursing. 2007;16:1012–1020
  61. Vårdhandboken, 2008. Smärtskattning av akut och postoperativ smärta. <www.vardhanboken.se> (accessed 2010-07-01).
  62. Vårdhandboken, 2009 Trycksår. http://www.vardhandboken.se> (accessed 2010-07-01).
  63. Yura H, Walsh MB. The Nursing Process: Assessing, Planning, Implementing, Evaluating. fifth ed.. New York: Appleton & Lange; 1988;

PII: S1878-1241(11)00030-X

doi: 10.1016/j.ijotn.2011.04.001

International Journal of Orthopaedic and Trauma Nursing
Volume 16, Issue 1 , Pages 3-12 , February 2012