Critical nursing situations - Research Paper Example

Research paper critique Interpretation of result The research article aimed to present gaps regarding the assessment of pain in the critical nursing situations. Particularly, it aimed to identify indicators of pain in persons who suffered speech alteration because of a medical condition. Other goals included non-pharmacological and pharmacological medications for pain management for the category of patients. Even though the research addressed principal concerns regarding pain management in critical care, the researchers never incorporated some significant aspects like nurse’s roles, the validity of the health records, the criticality of the patients and other medical interventions.

Therefore, it is somehow evident that the results were insufficient to address the health challenge. Particularly, mechanical ventilation for 52 patients with 183 pain episodes contradicted the pain assessment procedure (Gélinas, Fortier, Viens, Fillion, & Puntillo, 2004). Discussion of finding The research entailed the analysis of medical files from two care centers in Quebec City. The researchers analyzed cases of 52 patients with 183 pain cases. Out of this, they recorded 97% of the observable features and 29% of self-pain.

The research mainly considered the non-pharmacological processes in an environment that used pharmacological interventions for most of the cases. The absence of a medical pain assessment tool created space for incomplete entries, for instance, the pain, was not reassessed in over 40% of the reviewed cases, and only 8% of self-reports were recorded (Gélinas, Fortier, Viens, Fillion, & Puntillo, 2004). The figures do not portray the real medical cases. Hence, it prudent to develop relevant equipment to assess pain in the severely ill intubated sick persons.

Study limitation The study had several limitations regarding the sample population, tools, availability of data, and the role of nurses in pain identification and assessment. First, the study reviewed medical documents from two medical centers with specified care in Quebec City. The study also considered only 52 patients and 183 pain cases. The statistics indicate that the study had a narrow coverage that did not offer an ultimate sample population. Second, the research used reviewed secondary data from the two clinics.

It is possible that this clinic lacked proper documentation procedures. Thus, the availed documents had irregularities that result to wrong interpretation of the results. Third, the use of secondary data is an indication that the medical field lacks appropriate tools for conducting pain assessment for patients in this category of care. Thus, inadequacy or lack of the tools might have resulted in wrong data and misinterpretations. Finally, the research focused on non-pharmacological procedures in clinics that used pharmacological procedures (Gélinas, Fortier, Viens, Fillion, & Puntillo, 2004).

The differences were sources of faults and wrong data. It also failed to incorporate the nursing roles and ideas of assessing pain. Overall, the reliance on medical documentation to identify the best practices for pain assessment created room for wrong entries and findings. The highlighted are the main limitations of this study. Implication for practice In the absence of non-pharmacological equipment for assessing pain in the critical care units, the sector should empower nurses by conducting preemptive education plans.

The programs shall enhance attitudes of the caregivers and their assessment methods in an ethical and professional manner. In addition, the pain assessments and management should entail the use of opioids, for instance, the hydromorphone, morphine, and fentanyl. Nonetheless, exceptional consideration should encompass the interventions pharmacodynamics and pharmacokinetic elements (Golianu, Krane, Galloway & Yaster, 2000). References Gélinas, C., Fortier, M., Viens, C., Fillion, L., & Puntillo, K. (2004). Pain assessment and management in critically ill intubated patients: a retrospective study.

American Journal of Critical Care, 13(2), 126-136. Golianu, B., Krane, E. J., Galloway, K. S., & Yaster, M. (2000). Pediatric acute pain management. Pediatric Clinics of North America, 47(3), 559-587.