Abstract
Background
Nurses play a pivotal role in pain observation in people living with dementia. However,
currently, there is little understanding of the influence culture may have on the
way nurses observe pain experienced by people living with dementia.
Aim
This review explores the influence of culture on nurses... pain observations experienced
by people living with dementia.
Settings
Studies were included regardless of the setting (e.g., acute medical care, long-term
care, community).
Design
An integrative review.
Participants/Subjects
PubMed, Medline, Psychological Information Database, Cochrane Library, Scopus, Web
of Science, Cumulative Index of Nursing and Allied Health Literature, and ProQuest
were included in the search.
Methods
Electronic databases were searched using synonyms for “dementia,” “nurse,” “culture,”
and “pain observation.” The review included ten primary research papers following
the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.
Results
Nurses reported that pain observation in people living with dementia is challenging.
Four themes were identified by data synthesis: (1) using behaviors for pain observation;
(2) information from carers for pain observation; (3) pain assessment tools for pain
observation; and (4) role of knowledge, experience, and intuition in pain observation.
Conclusions
There is a limited understanding of the role of culture on nurses’ pain observations.
However, nurses take a multifaceted approach to observing pain using behaviors, information
from carers, pain assessment tools, and their knowledge, experience, and intuition.
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Article info
Publication history
Published online: March 10, 2023
Accepted:
January 29,
2023
Received in revised form:
January 17,
2023
Received:
June 16,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
