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Wilson M, De Luca E. Equitable Integrative Pain Care: Are We There Yet? Pain Manag Nurs 2021; 22:681-683. [PMID: 34756522 DOI: 10.1016/j.pmn.2021.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Marian Wilson
- From the Washington State University College of Nursing, Spokane, Washington, USA.
| | - Enrico De Luca
- University 'Sapienza' of Rome, Department of Psychology, Rome, Italy
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De Luca E, Wilson M, Shaw MR, Landis TT. "Permission to Touch": Nurses' Perspectives of Interpersonal Contact during Patient Care. West J Nurs Res 2021; 44:456-465. [PMID: 33764213 DOI: 10.1177/01939459211000087] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The purpose of this study was to describe nurses' perceptions about the use of interpersonal touch in their clinical practice. A qualitative descriptive approach with content analysis method was used to identify common themes. Registered nurses (N = 22) participated in focus groups and individual interviews. Three themes emerged from the analysis: (a) touch and massage as a resource, (b) individualized boundaries, and (c) professional role conflict. While the approach to touch varied, stories about the positive impacts that touch can have on patient care were consistently evident throughout the data. Implications for practice include incorporating areas from the themes into the development of educational programs focusing on how to integrate touch into practice as a comforting resource, while keeping individual's preferences in mind.
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Affiliation(s)
- Enrico De Luca
- Department of Social and Developmental Psychology, 'Sapienza' University of Rome, Rome, Italy
| | - Marian Wilson
- College of Nursing, Washington State University, Spokane, WA, USA
| | - Michele R Shaw
- School of Nursing & Human Physiology, Gonzaga University, Spokane, WA, USA
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Boitor M, Martorella G, Arbour C, Michaud C, Gélinas C. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial. Pain Manag Nurs 2016; 16:354-66. [PMID: 26025795 DOI: 10.1016/j.pmn.2014.08.014] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2014] [Revised: 08/26/2014] [Accepted: 08/26/2014] [Indexed: 11/26/2022]
Abstract
Although many intensive care unit patients experience significant pain, very few studies explored massage to maximize their pain relief. This study aimed to evaluate the preliminary effects of hand massage on pain after cardiac surgery in the adult intensive care unit. A pilot randomized controlled trial was used for this study. The study was conducted in a Canadian medical-surgical intensive care unit. Forty adults who were admitted to the intensive care unit after undergoing elective cardiac surgery in the previous 24 hours participated in the study. They were randomly assigned to the experimental (n = 21) or control (n = 19) group. The experimental group received a 15-minute hand massage, and the control group received a 15-minute hand-holding without massage. In both groups the intervention was followed by a 30-minute rest period. The interventions were offered on 2-3 occasions within 24 hours after surgery. Pain, muscle tension, and vital signs were assessed. Pain intensity and behavioral scores were decreased for the experimental group. Although hand massage decreased muscle tension, fluctuations in vital signs were not significant. This study supports potential benefits of hand massage for intensive care unit postoperative pain management. Although larger randomized controlled trials are necessary, this low-cost nonpharmacologic intervention can be safely administered.
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Affiliation(s)
- Mădălina Boitor
- Ingram School of Nursing, McGill University, Montréal, Québec, Canada
| | - Géraldine Martorella
- Ingram School of Nursing, McGill University, Montréal, Québec, Canada; Quebec Nursing Intervention Research Network (RRISIQ), Montréal, Québec, Canada; Faculty of Nursing, Université de Montréal, Montréal, Québec, Canada
| | - Caroline Arbour
- Ingram School of Nursing, McGill University, Montréal, Québec, Canada; Quebec Nursing Intervention Research Network (RRISIQ), Montréal, Québec, Canada; Alan Edwards Centre for Research on Pain, McGill University, Montréal, Québec, Canada
| | - Cécile Michaud
- Quebec Nursing Intervention Research Network (RRISIQ), Montréal, Québec, Canada; School of Nursing, Univeristé de Sherbrooke, Sherbrooke, Québec, Canada
| | - Céline Gélinas
- Ingram School of Nursing, McGill University, Montréal, Québec, Canada; Centre for Nursing Research and Lady Davis Institute, Jewish General Hospital, Montréal, Québec, Canada; Quebec Nursing Intervention Research Network (RRISIQ), Montréal, Québec, Canada; Alan Edwards Centre for Research on Pain, McGill University, Montréal, Québec, Canada.
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Validation of the Critical-Care Pain Observation Tool and Vital Signs in Relation to the Sensory and Affective Components of Pain During Mediastinal Tube Removal in Postoperative Cardiac Surgery Intensive Care Unit Adults. J Cardiovasc Nurs 2016; 31:425-32. [DOI: 10.1097/jcn.0000000000000250] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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