Factors affecting hospital staff judgments about sickle cell disease pain

2.50
Hdl Handle:
http://hdl.handle.net/10545/192716
Title:
Factors affecting hospital staff judgments about sickle cell disease pain
Authors:
Elander, James ( 0000-0001-7665-5482 ) ; Marczewska, Malgorzata; Amos, Roger; Thomas, Aldine; Tangayi, Sekayi
Abstract:
Judgments about people with pain are influenced by contextual factors that can lead to stigmatization of patients who present in certain ways. Misplaced staff perceptions of addiction may contribute to this, because certain pain behaviors superficially resemble symptoms of analgesic addiction. We used a vignette study to examine hospital staff judgments about patients with genuine symptoms of analgesic addiction and those with pain behaviors that merely resemble those symptoms. Nurses and doctors at hospitals in London, UK, judged the level of pain, the likelihood of addiction, and the analgesic needs of fictitious sickle cell disease patients. The patient descriptions included systematic variations to test the effects of genuine addiction, pain behaviors resembling addiction, and disputes with staff, which all significantly increased estimates of addiction likelihood and significantly decreased estimates of analgesic needs. Participants differentiated genuine addiction from pain behaviors resembling addiction when making judgments about addiction likelihood but not when making judgments about analgesic needs. The treatment by staff of certain pain behaviors as symptoms of analgesic addiction is therefore a likely contributory cause of inadequate or problematic hospital pain management. The findings also show what a complex task it is for hospital staff to make sensitive judgments that incorporate multiple aspects of patients and their pain. There are implications for staff training, patient education, and further research.
Affiliation:
University of Derby
Citation:
Factors Affecting Hospital Staff Judgments About Sickle Cell Disease Pain 2006, 29 (2):203 Journal of Behavioral Medicine
Journal:
Journal of Behavioral Medicine
Issue Date:
2006
URI:
http://hdl.handle.net/10545/192716
DOI:
10.1007/s10865-005-9042-3
Additional Links:
http://www.springerlink.com/index/10.1007/s10865-005-9042-3
Type:
Article
Description:
A study of how people with sickle cell disease pain are perceived by hospital staff
ISSN:
0160-7715; 1573-3521
Appears in Collections:
Centre for Psychological Research

Full metadata record

DC FieldValue Language
dc.contributor.authorElander, Jamesen
dc.contributor.authorMarczewska, Malgorzataen
dc.contributor.authorAmos, Rogeren
dc.contributor.authorThomas, Aldineen
dc.contributor.authorTangayi, Sekayien
dc.date.accessioned2011-12-01T09:29:39Z-
dc.date.available2011-12-01T09:29:39Z-
dc.date.issued2006-
dc.identifier.citationFactors Affecting Hospital Staff Judgments About Sickle Cell Disease Pain 2006, 29 (2):203 Journal of Behavioral Medicineen
dc.identifier.issn0160-7715-
dc.identifier.issn1573-3521-
dc.identifier.doi10.1007/s10865-005-9042-3-
dc.identifier.urihttp://hdl.handle.net/10545/192716-
dc.descriptionA study of how people with sickle cell disease pain are perceived by hospital staffen
dc.description.abstractJudgments about people with pain are influenced by contextual factors that can lead to stigmatization of patients who present in certain ways. Misplaced staff perceptions of addiction may contribute to this, because certain pain behaviors superficially resemble symptoms of analgesic addiction. We used a vignette study to examine hospital staff judgments about patients with genuine symptoms of analgesic addiction and those with pain behaviors that merely resemble those symptoms. Nurses and doctors at hospitals in London, UK, judged the level of pain, the likelihood of addiction, and the analgesic needs of fictitious sickle cell disease patients. The patient descriptions included systematic variations to test the effects of genuine addiction, pain behaviors resembling addiction, and disputes with staff, which all significantly increased estimates of addiction likelihood and significantly decreased estimates of analgesic needs. Participants differentiated genuine addiction from pain behaviors resembling addiction when making judgments about addiction likelihood but not when making judgments about analgesic needs. The treatment by staff of certain pain behaviors as symptoms of analgesic addiction is therefore a likely contributory cause of inadequate or problematic hospital pain management. The findings also show what a complex task it is for hospital staff to make sensitive judgments that incorporate multiple aspects of patients and their pain. There are implications for staff training, patient education, and further research.en
dc.relation.urlhttp://www.springerlink.com/index/10.1007/s10865-005-9042-3en
dc.subjectPainen
dc.subjectJudgementsen
dc.subjectSickle cell diseaseen
dc.titleFactors affecting hospital staff judgments about sickle cell disease pain-
dc.typeArticleen
dc.contributor.departmentUniversity of Derbyen
dc.identifier.journalJournal of Behavioral Medicineen
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