Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorMcCreaddie, Mayen_UK
dc.contributor.authorLyons, Imogenen_UK
dc.contributor.authorWatt, Debbieen_UK
dc.contributor.authorEwing, Elspethen_UK
dc.contributor.authorCroft, Jeanetteen_UK
dc.contributor.authorSmith, Marionen_UK
dc.contributor.authorTocher, Jenniferen_UK
dc.description.abstractAim. This study reviewed the perceptions and strategies of drug users and nurses with regard to pain management in acute care settings. Background. Drug users present unique challenges in acute care settings with pain management noted to be at best suboptimal, at worst non-existent. Little is known about why and specifically how therapeutic effectiveness is compromised. 4 Design. Method. A constructivist grounded theory approach incorporating a constant comparative method of data collection and analysis was applied. The data corpus comprised interviews with drug users (n = 11) and five focus groups (n = 22) of nurses and recovering drug users. Results. Moral relativism as the core category both represents the phenomenon and explains the basic social process. Nurses and drug users struggle with moral relativism when addressing the issue of pain management in the acute care setting. Drug users lay claim to expectations of compassionate care and moralise via narration. Paradoxically, nurses report that the caring ideal and mutuality of caring are diminished. Drug users’ individual sensitivities, anxieties and felt stigma in conjunction with opioid-induced hyperalgesia complicate the processes. Nurses’ and hospitals’ organisational routines challenge drug user rituals and vice versa leading both protagonists to become disaffected. Consequently, key clinical issues such as preventing withdrawal and managing pain are left unaddressed and therapeutic effectiveness is compromised. Conclusion. This study provides a robust account of nurses’ and drug users’ struggle with pain management in the acute care setting. Quick technological fixes such as urine screens, checklists or the transient effects of (cognitive-based) education (or training) are not the answer. This study highlights the need for nurses to meaningfully engage with this perceptibly ‘difficult’ group of patients. Relevance to clinical practice. The key aspects likely to contribute to problematic interactions with this patient cohort are outlined so that they can be prevented and, or addressed.en_UK
dc.relationMcCreaddie M, Lyons I, Watt D, Ewing E, Croft J, Smith M & Tocher J (2010) Routines and rituals: a grounded theory of the pain management of drug users in acute care settings. Journal of Clinical Nursing, 19 (19 - 20), pp. 2730-2740.;
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectpain managementen_UK
dc.subjectgrounded theoryen_UK
dc.subjectdrug usersen_UK
dc.subjectacute painen_UK
dc.subjectacute care settingsen_UK
dc.subjectdrug misuseen_UK
dc.subjectdrug useen_UK
dc.subjectPain Treatmenten_UK
dc.subjectDrug addictsen_UK
dc.subjectCommunication in nursingen_UK
dc.subjectIntensive care nursingen_UK
dc.subjectNurse and patienten_UK
dc.titleRoutines and rituals: a grounded theory of the pain management of drug users in acute care settingsen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[jocn_3284.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.rights.embargoreason[McCreaddie et al 2010.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleJournal of Clinical Nursingen_UK
dc.citation.issue19 - 20en_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationUniversity College Dublin (UCD)en_UK
dc.contributor.affiliationWestern General Hospitalen_UK
dc.contributor.affiliationSt John's Hospital (NHS Lothian)en_UK
dc.contributor.affiliationRoyal Infirmary of Edinburghen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorMcCreaddie, May|en_UK
local.rioxx.authorLyons, Imogen|en_UK
local.rioxx.authorWatt, Debbie|en_UK
local.rioxx.authorEwing, Elspeth|en_UK
local.rioxx.authorCroft, Jeanette|en_UK
local.rioxx.authorSmith, Marion|en_UK
local.rioxx.authorTocher, Jennifer|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameMcCreaddie et al 2010.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
jocn_3284.pdfFulltext - Accepted Version470.1 kBAdobe PDFUnder Embargo until 2999-12-16    Request a copy
McCreaddie et al 2010.pdfFulltext - Accepted Version111.98 kBAdobe PDFUnder Embargo until 2999-12-16    Request a copy

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.