Concept Analysis of Moral Distress in Pain Management.

Objective: Managing pain continues to be a difficult issue worldwide. Pain management has ethical connotations, with the potential to result in moral distress in nurses. The aim of this concept analysis is to analyze moral distress in pain management.

An integrative review of humanities-based activities in baccalaureate nursing education.

Purpose: The American Association of the Colleges of Nursing has stressed the importance of the liberal arts as a foundation of nursing education that supports the development of clinical reasoning and judgments in their recently updated essentials for professional nursing education. The purpose of this research was to conduct an integrative review of the literature to explore the use of the humanities in baccalaureate nursing programs.

Research Question: Among undergraduate nursing programs, what types of humanities interventions were used in nursing courses and what were the outcomes of these interventions?

Theoretical Framework: This research was guided by the Aesthetic Knowing and Knowledge conceptual model by Chinn and Kramer, which is based on the Fundamental Patterns of Knowing in Nursing by Carper.

The Experience of New Graduate Registered Nurses as Managers of Pain.

Background: Beginning their post-licensure clinical practice can be a challenging time for new registered nurses. Pain management is considered an essential responsibility for nurses, requiring pain management that is prompt, safe and effective. Research is needed to examine the experiences of new registered nurses as they adjust to their new role using what they have already learned about pain and pain management.

Longitudinal differences in pain among older adult Home and Community Based Waiver Program participants in relation to diagnosis of cancer.

Generalized estimating equation analyses models were used to examine the longitudinal association between pain and diagnosis of cancer among older adult, Home and Community Based Waiver Program participants. Daily pain was reported by over half, with 29% experiencing daily pain that was unusually intense. Diagnosis of cancer was a significant predictor of daily pain only as an interaction term with cognitive impairment.

Associations among indicators of depression in Medicaid-eligible community-dwelling older adults.

Purpose: The purpose of this research was to examine associations among 2 separate Minimum Data Set-Home Care (MDS-HC) depression measures (the Depression Rating Scale [DRS] and medical diagnosis of depression) with billed antidepressant medications in Medicaid paid claim files.

Design And Methods: The sample for this cross-sectional research included 3,041 Medicaid-eligible older adult participants in a Home and Community Based Waiver Program and used data from the MDS-HC, Version 1 and Medicaid Paid Claim Files. Sensitivity and specificity analyses, receiver operating characteristic (ROC) curve analysis, and t tests were utilized.

The effects of mastery on pain and fatigue resolution.

Purpose/objectives: To determine whether mastery, the personal control felt over occurrences perceived to have an important effect on one's life, influences the resolution of pain and fatigue severity.

Design: Secondary data analysis of two randomized clinical trials.

Setting: Accrual from two comprehensive cancer centers, one community oncology program, and six hospital-affiliated ambulatory oncology centers.