Understanding inadequate pain management in the clinical setting: the value of the sequential explanatory mixed method study

Journal of Clinical Nursing
Eloise C J Carr

Abstract

The purpose of this paper is to critically explore the sequential explanatory mixed method research design and how it can enhance our understanding of pain management. The general prevalence of pain after surgery has not changed significantly over several decades despite the widespread introduction of new pain relieving technologies. The majority of postoperative pain studies use quantitative methods which offer little understanding of the underlying processes of care. Understanding can be illuminated by using an explanatory mixed method research design. Discursive paper. This paper focuses on the methodological considerations when using a mixed method design. Two previously published mixed methods studies illustrate how findings can inform practice. In the first, 85 women undergoing surgery completed questionnaires to measure pain, anxiety and depression. Telephone interviews explored their pain experiences. The second study considered frequency and patterns of anxiety in the immediate pre and postoperative period. Semi-structured telephone interviews, identified contributing events/situations amenable to nursing intervention. Reasons for growing popularity, criticisms, paradigmatic considerations and epistemological roots of ...Continue Reading

References

Apr 1, 1979·General Hospital Psychiatry·J S Gans
Jan 1, 1990·Brain and Cognition·R EfronD R Nichols
Jan 1, 1987·Image--the Journal of Nursing Scholarship·M E Duffy
Feb 1, 1973·Annals of Internal Medicine·R M Marks, E J Sachar
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Dec 1, 1994·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·H Merskey
Jan 1, 1994·Annals of Emergency Medicine·T J Krisanda, S O Laucks
Jun 1, 1997·Journal of Advanced Nursing·S V Dunn, B Hansford
Sep 2, 2000·Journal of Evaluation in Clinical Practice·R S Barbour
Oct 6, 2000·Journal of Pain and Symptom Management·I SvenssonH Haljamäe
Oct 6, 2000·Anesthesiology·F M Perkins, H Kehlet
Sep 1, 2001·Journal of Advanced Nursing·M C Wendler
Jan 11, 2002·Journal of Advanced Nursing·Hugh McKenna, Felicity Hasson
Apr 20, 2002·Anesthesiology·Christopher L WuLee A Fleisher
Sep 26, 2002·European Journal of Cancer Care·K McPherson, G Leydon
Apr 12, 2003·Journal of Advanced Nursing·Beth SeymourNorrie Sutherland
Mar 1, 1959·Psychological Bulletin·D T CAMPBELL, D W FISKE
Jan 28, 2004·Archives of Internal Medicine·Chad T WhelanDavid Meltzer
Feb 11, 2004·Qualitative Health Research·P Lynne Johnstone
Mar 23, 2004·British Journal of Anaesthesia·A E PowellW A Macrae
Oct 27, 2004·Journal of Advanced Nursing·Gerard A Tobin, Cecily M Begley
Jan 5, 2005·European Journal of Pain : EJP·Marco VisentinRoberto de Marco
Mar 25, 2005·Journal of Advanced Nursing·Sarah WinchDebra Creedy
Apr 2, 2005·Qualitative Health Research·Janice M Morse
Aug 2, 2005·Journal of Health Services Research & Policy·Ray PawsonKieran Walshe
Oct 1, 2005·Quality & Safety in Health Care·D M Berwick
Feb 2, 2006·Journal of Advanced Nursing·Kathryn Weaver, Joanne K Olson
Feb 10, 2006·Journal of Clinical Nursing·Eloise CarrPaul Strike
Jul 26, 2006·Contemporary Nurse·Anthony Schoenwald, Cath Rogers Clark
Feb 1, 2002·Quality & Quantity·Joanna E M SaleKevin Brazil

❮ Previous
Next ❯

Citations

Sep 10, 2011·The Clinical Journal of Pain·Maxine DukeSusan Hunter
Aug 6, 2013·Issues in Mental Health Nursing·Lilas AliIngela Skärsäter
Nov 16, 2010·Journal of Clinical Nursing·Emily A ElstadSharon L Tennstedt
Jan 8, 2013·Physiotherapy Theory and Practice·Onutobor Omu, Frances Reynolds
Jun 12, 2010·Nursing Philosophy : an International Journal for Healthcare Professionals·Jason S McCready
Jan 22, 2010·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Alexander B WiltschkoJoshua D Berke
Sep 14, 2017·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Kelly LambertKaren E Charlton

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association
Ann Daly Quinlan-Colwell
Disability and Rehabilitation
Misako NagayoshiKenji Hachisuka
American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Marie N HannaPeter Pronovost
© 2021 Meta ULC. All rights reserved