Table 2 Items identified by the nursing team as impacting on person-centred pain management practices/patient care.
Elements of the PARIHS framework | Action cycles identified by ward nursing staff | Themes arising from reflective strategies. | Themes merged through reflexivity and reflection on data. |
|---|---|---|---|
Evidence (1) | Communication (7) | Lack of support (10) | Â |
Context (2) Sub elements Culture (3) Leadership (4) Evaluation (5) | Interruptions to nursing practice (8) | Value of nurses/nursing (11) Threat (12) | PSYCHOLOGICAL SAFETY |
Facilitation (6) | Pain assessment practices (9) | Respect (13) Trust (14) | Â |
| Â | Â | Time (15) | Â |
| Â | Â | Oppression (16) | Â |
| Â | Â | Power (17) | Â |
| Â | Â | Distorted perceptions (18) | Â |
| Â | Â | 'Blame,' 'accusation' and 'criticism' (19) | HORIZONTAL VIOLENCE |
| Â | Â | Autonomy (20) | Â |