e-book
Advancing nursing practice in pain management
Advancing Nursing Practice in Pain Management provides an important resource
for all nurses seeking to develop their practice and move towards the pinnacle of
the clinical career pathway in nursing. This book provides a wealth of insights and
practice expertise with regard to caring for people in pain that will be of value to the
individual generalist and specialist practitioner, the nurse working within the context
of the inter-disciplinary team, and across a range of different patient pathways where
pain management is a cross-cutting theme. More generally, it provides interesting and
valuable learning for nurses working with innovation and who are interested in the
processes of entrepreneurship because of the models it describes for introducing and
sustaining entrepreneurial practice in pain services.
The book illustrates a continuum of examples of nurses challenging boundaries
and barriers. These range from pushing the boundaries of everyday nursing practice
in acute hospital and primary health settings; maintaining patient safety; developing
nurse-led clinics and whole programmes of pain management; through ensuring that
organisational and service systems sustain quality care across organisational boundaries
within and across hospital, community, private and public sectors.
The management of pain is one of the most central and essential aspects of nursing
practice. Although the primary aim is about relieving suffering, this aim is also a prerequisite
for achieving a range of other positive health and social outcomes. Skilled
pain management has great potential for enabling patients to feel positively different
but also enables them, as a consequence, to get on with their everyday activities. This
in turn impacts on how they experience the quality of their life. The consequence of
not getting this right results in a burden not just for the individual and those important
to them, but also for the society.
Pain management has come a long way in the last two decades and nursing has been
at the fore of many of these developments. The contributors to this book are drawn
from this ilk.
It is good to see that developments in pain management are not just translated into
practice but also into education curricula – as it is through education programmes
that best practice can be promoted and sustained. Whilst there is always a need for
systematic, rigorous and continuous evaluation of nursing practice, where innovation
and development are concerned, then this need is particularly important if innovations
and practical strategies that work are to be disseminated quickly. Many of the
chapters therefore focus on evaluation and audit. Expertise in evaluation is essential
if measurable difference to the patient’s experience of pain and related outcomes are
to be established. Innovation needs to be judged in relation to not just evidence-based
standards and competences but also key criteria and indicators linked to the standards
that patients and users can expect.
The ability to evaluate innovations in practice and to implement findings in an
ongoing way is the hallmark of nurses who are operating at the top of their clinical
career ladder. Such nurses have expertise not just in providing person-centred, safe
and effective care but also in developing systems that sustain this. The focus on nurse
entrepreneurship in the book enables the reader to benefit from expertise in this area –
a number of tools such as business cases and evaluation strategies are provided to this
end. Regardless of whether readers wish to establish businesses themselves, the expertise
shared in this area will help readers understand the business context in which we
work and the arguments that will need to be made for nurse-led initiatives in any setting.
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