The influence of context on pain practices in the NICU: Perceptions of health care professionals

Bonnie Stevens; Shirine Riahi; Roberta Cardoso; Marilyn Ballantyne; Janet Yamada; Joseph Beyene; Lynn Breau; Carol Camfield; G. Allen Finley; Linda Franck; Sharyn Gibbins; Alexandra Howlett; Patrick J. McGrath; Patricia McKeever; Karel O'Brien; Arne Ohlsson

doi:10.1177/1049732311400628

The influence of context on pain practices in the NICU: Perceptions of health care professionals

Bonnie Stevens, Shirine Riahi, Roberta Cardoso, Marilyn Ballantyne, Janet Yamada, Joseph Beyene, Lynn Breau, Carol Camfield, G. Allen Finley, Linda Franck, Sharyn Gibbins, Alexandra Howlett, Patrick J. McGrath, Patricia McKeever, Karel O'Brien, Arne Ohlsson

Research output: Contribution to journal › Article › peer-review

56 Citations (Scopus)

Abstract

In this qualitative descriptive study, we explored health care professionals' perceptions of the influence of context (i.e., organizational culture, structure, resources, capabilities/competencies, and politics) on evidence-based pain practices. A total of 16 focus groups with 147 health care professionals were conducted in three neonatal intensive care units (NICUs) in central and eastern Canada. Three overarching themes emerged from the data, which captured influences on optimal pain practices in the NICU, including (a) a culture of collaboration and support for evidence-based practice, (b) threats to autonomous decision making, and (c) complexities in care delivery. These results were consistent with theoretical conceptualizations of how context influences practice, as well as recent empirical research findings. This study supports the importance of context in shaping evidence-based practices by health care professionals in the management of pain in the NICU.

Original language	English
Pages (from-to)	757-770
Number of pages	14
Journal	Qualitative Health Research
Volume	21
Issue number	6
DOIs	https://doi.org/10.1177/1049732311400628
Publication status	Published - Jun 2011
Externally published	Yes

ASJC Scopus Subject Areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Stevens, B., Riahi, S., Cardoso, R., Ballantyne, M., Yamada, J., Beyene, J., Breau, L., Camfield, C., Finley, G. A., Franck, L., Gibbins, S., Howlett, A., McGrath, P. J., McKeever, P., O'Brien, K., & Ohlsson, A. (2011). The influence of context on pain practices in the NICU: Perceptions of health care professionals. Qualitative Health Research, 21(6), 757-770. https://doi.org/10.1177/1049732311400628

Stevens, B, Riahi, S, Cardoso, R, Ballantyne, M, Yamada, J, Beyene, J, Breau, L, Camfield, C, Finley, GA, Franck, L, Gibbins, S, Howlett, A, McGrath, PJ, McKeever, P, O'Brien, K & Ohlsson, A 2011, 'The influence of context on pain practices in the NICU: Perceptions of health care professionals', Qualitative Health Research, vol. 21, no. 6, pp. 757-770. https://doi.org/10.1177/1049732311400628

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abstract = "In this qualitative descriptive study, we explored health care professionals' perceptions of the influence of context (i.e., organizational culture, structure, resources, capabilities/competencies, and politics) on evidence-based pain practices. A total of 16 focus groups with 147 health care professionals were conducted in three neonatal intensive care units (NICUs) in central and eastern Canada. Three overarching themes emerged from the data, which captured influences on optimal pain practices in the NICU, including (a) a culture of collaboration and support for evidence-based practice, (b) threats to autonomous decision making, and (c) complexities in care delivery. These results were consistent with theoretical conceptualizations of how context influences practice, as well as recent empirical research findings. This study supports the importance of context in shaping evidence-based practices by health care professionals in the management of pain in the NICU.",

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AU - Breau, Lynn

AU - Camfield, Carol

AU - Finley, G. Allen

AU - Franck, Linda

AU - Gibbins, Sharyn

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AU - McGrath, Patrick J.

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The influence of context on pain practices in the NICU: Perceptions of health care professionals

Abstract

ASJC Scopus Subject Areas

UN SDGs

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