SciELO - Scientific Electronic Library Online

vol.13 issue3Rating Strategies at the Outpatient Level for Coping with Chronic Pain in Persons with CancerEducation, Physical Activity and Obesity among Adults with Type II Diabetes from the Standpoint of Orem's Self-care Theory author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google



Print version ISSN 1657-5997


SUBRAMANIAN, Pathmawathi; ALLCOCK, Nick; JAMES, Veronica  and  LATHLEAN, Judith. The Perception of Nurses and Doctors on a Care Bundle Guideline for Management of Pain in Critical Care. Aquichan [online]. 2013, vol.13, n.3, pp.336-346. ISSN 1657-5997.

Objective: The aim of this study was to explore nurses' and doctors' perception on using a care bundle as a guideline for the management of pain in critical care. Despite the development of evidence-based guidelines and protocols on the management of pain in critical care, pain is still a major problem. The introduction of care bundles in critical care has improved the management of ventilated patients. A care bundle in pain management aims to reduce variations in practice. Method: This study employed a qualitative prospective design using a semi-structured, in-depth interview of 23 nurses and doctors in a critical care unit. Result: Four main themes emerged: 1) suitability to the critical care setting; 2) applicability to the critical care setting; 3) ownership of the Pain Care Bundle; and 4) necessity for current practice. The results showed a poor uptake by the healthcare professionals in managing acute pain among critically ill patients. Conclusion: The study found that nurses and doctors did not perceive the pain care bundle as a useful tool for improving pain managment, with evidence pointing to a gap between pain management practice, as described by the care bundle, and actual practice.

Keywords : Critical care; pain; pain management; nurses; perception; nursing.

        · abstract in Spanish | Portuguese     · text in English     · English ( pdf )