Relationships among registered nurses’ moral judgment and their perception and judgment of pain, and selected nurse factors

2.50
Hdl Handle:
http://hdl.handle.net/10755/150418
Type:
Presentation
Title:
Relationships among registered nurses’ moral judgment and their perception and judgment of pain, and selected nurse factors
Abstract:
Relationships among registered nurses’ moral judgment and their perception and judgment of pain, and selected nurse factors
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Gerstle, David
P.I. Institution Name:Southern Adventist University
Under-treatment of pain by nurses continues to be a prevalent problem today. Although there has been great advancement in the area of pain management, this problem has not been resolved. One area that has not been explored is the relationship of nurses' moral judgment and their perception and judgment of pain. Nurses are ethically obligated to alleviate pain as part of the profession’s responsibilities to patients. The American Nurses’ Ethical Code for Nurses and current pain management standards express this commitment. Pain management situations are ethical in nature causing the nurse to make value decisions regarding patients' pain. Therefore, nurses must possess adequate moral judgment to effectively provide adequate pain management. Accordingly, moral judgment characteristics of nurses must be examined in relation to nurses’ perception and judgment of pain. Other factors of the nurse have been examined in previous research studies. These factors included the nurses’ age, educational level, personal pain experience, professional experience, goals for pain relief, fear of respiratory depression, and addiction attitudes. The purpose of this study was to examine the relationship of nurses’ moral judgment characteristics and perception and judgment of pain. A secondary purpose was to examine selected demographic nurse factors and their relationships to perception and judgment of pain. The framework guiding this study was King's Interacting Systems Framework focusing on the personal system of the nurse. The research design was a descriptive correlational design. A convenience sample of 101 registered nurses that provided direct care to adult patients in acute pain on hospital units was used. Moral judgment was measured using the Defining Issues Test, Version Two designed by James Rest, a noted moral development researcher and theorist. Nurses’ perception and judgment of pain were measured utilizing an adaptation of a pain vignette tool designed by McCaffery and Ferrell, two well-known nurse pain management experts. The selected nurse factors were collected via the demographic questionnaire. Through correlational analyses, the findings of this study revealed that moral judgment and registered nurses' perception and judgment of pain were not related for the total sample. Moral judgment and perception of pain were related in sub-samples of associate degree nurses and nurses who work in cardiac care. Moral judgment and judgment of pain was related in the sub-sample of nurses who did not believe pain can be relieved. Several relationships among the selected nurse factors, moral judgment, perception, and judgment of pain were also found. Significance of this study points towards the need to gain further knowledge of the relationship of moral judgment and nurses’ perception and judgment of pain as well as the relationships of the selected nurse factors. The most important implication of this study is that it moves us closer to a better approach in addressing undertreatment of pain.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRelationships among registered nurses’ moral judgment and their perception and judgment of pain, and selected nurse factorsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150418-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Relationships among registered nurses&rsquo; moral judgment and their perception and judgment of pain, and selected nurse factors</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gerstle, David</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Southern Adventist University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gerstle@southern.edu</td></tr><tr><td colspan="2" class="item-abstract">Under-treatment of pain by nurses continues to be a prevalent problem today. Although there has been great advancement in the area of pain management, this problem has not been resolved. One area that has not been explored is the relationship of nurses' moral judgment and their perception and judgment of pain. Nurses are ethically obligated to alleviate pain as part of the profession&rsquo;s responsibilities to patients. The American Nurses&rsquo; Ethical Code for Nurses and current pain management standards express this commitment. Pain management situations are ethical in nature causing the nurse to make value decisions regarding patients' pain. Therefore, nurses must possess adequate moral judgment to effectively provide adequate pain management. Accordingly, moral judgment characteristics of nurses must be examined in relation to nurses&rsquo; perception and judgment of pain. Other factors of the nurse have been examined in previous research studies. These factors included the nurses&rsquo; age, educational level, personal pain experience, professional experience, goals for pain relief, fear of respiratory depression, and addiction attitudes. The purpose of this study was to examine the relationship of nurses&rsquo; moral judgment characteristics and perception and judgment of pain. A secondary purpose was to examine selected demographic nurse factors and their relationships to perception and judgment of pain. The framework guiding this study was King's Interacting Systems Framework focusing on the personal system of the nurse. The research design was a descriptive correlational design. A convenience sample of 101 registered nurses that provided direct care to adult patients in acute pain on hospital units was used. Moral judgment was measured using the Defining Issues Test, Version Two designed by James Rest, a noted moral development researcher and theorist. Nurses&rsquo; perception and judgment of pain were measured utilizing an adaptation of a pain vignette tool designed by McCaffery and Ferrell, two well-known nurse pain management experts. The selected nurse factors were collected via the demographic questionnaire. Through correlational analyses, the findings of this study revealed that moral judgment and registered nurses' perception and judgment of pain were not related for the total sample. Moral judgment and perception of pain were related in sub-samples of associate degree nurses and nurses who work in cardiac care. Moral judgment and judgment of pain was related in the sub-sample of nurses who did not believe pain can be relieved. Several relationships among the selected nurse factors, moral judgment, perception, and judgment of pain were also found. Significance of this study points towards the need to gain further knowledge of the relationship of moral judgment and nurses&rsquo; perception and judgment of pain as well as the relationships of the selected nurse factors. The most important implication of this study is that it moves us closer to a better approach in addressing undertreatment of pain.</td></tr></table>en_GB
dc.date.available2011-10-26T10:24:01Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T10:24:01Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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