Bernier Carney K, Starkweather A, Lucas R, Ersig AL, Guite JW, Young E. Deconstructing Pain Disability through Concept Analysis.
Pain Manag Nurs 2019;
20:482-488. [PMID:
31279743 DOI:
10.1016/j.pmn.2019.06.001]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Revised: 05/02/2019] [Accepted: 06/01/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVE
Pain disability is a complex and challenging problem that impacts the daily lives of individuals living with persistent pain. Although this concept is measured throughout pain populations, conceptual clarity is needed to identify the defining characteristics and further understand what comprises this experience for clinical translation.
DESIGN
We completed a concept analysis to identify major attributes and provide a broad framework of pain disability for improved recognition throughout the discipline of nursing.
DATA SOURCES
Literature searches in PubMed, CINAHL, PsychINFO, and Scopus identified 39 relevant cross-disciplinary articles published between January 1990 and November 2017.
REVIEW/ANALYSIS METHODS
We implemented Avant and Walker's method of concept analysis to establish the attributes, antecedents, and consequences of pain disability.
RESULTS
Two major attributes of pain disability are discussed, including (1) physical and/or psychological responses leading to a functional loss; and (2) the degree of ability to fulfill role expectations. The antecedent to the development of pain disability is a painful trigger. Three leading consequences are identified as suffering, pain reactivity, and secondary loss.
CONCLUSIONS
Pain disability is a fluid concept that is characterized by the subjective experiences of the individual. A new conceptualization of pain disability is offered as the inability to maintain role expectations due to the result of a painful trigger and subsequent physical and/or psychosocial dysfunction.
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