Secondary Logo

Institutional members access full text with Ovid®

Decision Making in Pain Management Using the Model of Sequential Trials

KENEFICK, AMY LAUFER PHD, APRN, BC; SCHULMAN-GREEN, DENA PHD; MCCORKLE, RUTH MSN, PHD, FAAN

FEATURE TOPIC: HEARING AND HEALING THE HURTS OF DEMENTIA, PART II
Buy

This article describes the use of nursing art to solve problems related to the management of pain in cognitively impaired persons who live in nursing homes. The result of naturalistic inquiry, the Model of Sequential Trials arose from a qualitative study of the beliefs, experiences, and behaviors of nurses managing pain in this context. The model illustrates a strategic process of evaluation, trials, reevaluation, and repeated trials that demonstrates the rationale and process underlying nursing management of pain. Future research is needed to evaluate the model's usefulness in other practice settings and in teaching clinical decision making.

Amy Laufer Kenefick, PhD, APRN, BC, is Associate Professor at the University of Connecticut School of Nursing, and Assistant Professor at the University of Connecticut School of Medicine, Storrs, Conn.

Dena Schulman-Green, PhD, is an Associate Research Scientist at the Yale School of Nursing, New Haven, Conn.

Ruth McCorkle, MSN, PhD, FAAN, is Professor of Nursing and Director of the Center for Excellence in Chronic Illness Care at the Yale School of Nursing, New Haven, Conn.

Address correspondence to: Amy Laufer Kenefick, PhD, APRN, BC, University of Connecticut School of Nursing, 231 Glenbrook Rd, Unit 2026, Storrs, CT 06269. E-mail: amy.kenefick@uconn.edu.

This research was supported by the US Army Medical Research and Materiel Command under grants #DAMD-17-00-1-0509 (Ruth McCorkle, principal investigator) and #W81XWH-04-1-0528 (Amy Kenefick, principal investigator).

©2006Lippincott Williams & Wilkins, Inc.