2.50
Hdl Handle:
http://hdl.handle.net/10755/156341
Type:
Presentation
Title:
Pain in Spinal Cord Injury Patients: Does Hardiness Make a Difference?
Abstract:
Pain in Spinal Cord Injury Patients: Does Hardiness Make a Difference?
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Judkins, Sharon Kay, RN, PhD, CNAA, BC
P.I. Institution Name:The University of Texas at Arlington
Title:Director, nursing administration program and Assistant Professor
Co-Authors:Pamela Willson, RN, PhD, FNP, BC
[Research Presentation] Background: Among spinal cord injury (SCI) patients, prevalence of pain ranges from 46%-90%; a major problem not being adequately addressed by nurses. Persons evidencing high hardiness have greater resilience under stress and more positive coping and health outcomes (Kobasa). High-hardy managers and nurses experience less stress (Judkins; Rich & Rich). Whether synergistic effects exist between hardiness and nurses and their patients had not been studied. Aims: This exploratory pilot study examined associations between levels of hardiness in SCI patients and nurses and perceptions of effective pain management. Method: A descriptive, cross-sectional correlational design was employed. A convenience sample of 31 patients/44 nurses participated in the study. Patients completed the Health Related Hardiness Scale (Pollock); nurses completed the Hardiness Scale (Bartone et al). Patient's subjective estimate [1(worst)-10(best)] of effective pain management was taken at the end of every shift (3)/day, for 5 consecutive days. Medication records were also reviewed for type/amount/frequency of pain medication(s), and response to pain medication given per nurse. Results: The majority (68%) of patients were high-hardy; 15% of nurses were high-hardy. Patient hardiness scores were inversely correlated (p<.05) with length of injury (LOI); nurse hardiness scores were inversely correlated (p<.05) with age; no significant associations were determined for variables of hardiness (patient/nurse) and pain management. Discussion: Although a seemingly appropriate variable, hardiness was not a strong indicator of patient perception of pain management. Among this sample, patients who had their SCI longer were not as hardy as those with shorter LOI. Younger nurses in this sample were hardier than older nurses. Conclusions: SCI patients may find their injury more stressful the longer the LOI. Nurses with mean ages >42 may find working among SCI patients more stressful than those <42 years old. We recommend further research to find stronger predictor variables of stress associated with pain management.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePain in Spinal Cord Injury Patients: Does Hardiness Make a Difference?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/156341-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pain in Spinal Cord Injury Patients: Does Hardiness Make a Difference?</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">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Judkins, Sharon Kay, RN, PhD, CNAA, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Texas at Arlington</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director, nursing administration program and Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">judkins@uta.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Pamela Willson, RN, PhD, FNP, BC</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Background: Among spinal cord injury (SCI) patients, prevalence of pain ranges from 46%-90%; a major problem not being adequately addressed by nurses. Persons evidencing high hardiness have greater resilience under stress and more positive coping and health outcomes (Kobasa). High-hardy managers and nurses experience less stress (Judkins; Rich &amp; Rich). Whether synergistic effects exist between hardiness and nurses and their patients had not been studied. Aims: This exploratory pilot study examined associations between levels of hardiness in SCI patients and nurses and perceptions of effective pain management. Method: A descriptive, cross-sectional correlational design was employed. A convenience sample of 31 patients/44 nurses participated in the study. Patients completed the Health Related Hardiness Scale (Pollock); nurses completed the Hardiness Scale (Bartone et al). Patient's subjective estimate [1(worst)-10(best)] of effective pain management was taken at the end of every shift (3)/day, for 5 consecutive days. Medication records were also reviewed for type/amount/frequency of pain medication(s), and response to pain medication given per nurse. Results: The majority (68%) of patients were high-hardy; 15% of nurses were high-hardy. Patient hardiness scores were inversely correlated (p&lt;.05) with length of injury (LOI); nurse hardiness scores were inversely correlated (p&lt;.05) with age; no significant associations were determined for variables of hardiness (patient/nurse) and pain management. Discussion: Although a seemingly appropriate variable, hardiness was not a strong indicator of patient perception of pain management. Among this sample, patients who had their SCI longer were not as hardy as those with shorter LOI. Younger nurses in this sample were hardier than older nurses. Conclusions: SCI patients may find their injury more stressful the longer the LOI. Nurses with mean ages &gt;42 may find working among SCI patients more stressful than those &lt;42 years old. We recommend further research to find stronger predictor variables of stress associated with pain management.</td></tr></table>en_GB
dc.date.available2011-10-26T14:41:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:41:16Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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