Sjuksköterskans syn på smärtbehandling med opioider : En litteraturstudie

Sammanfattning: Background: Opioids have been used in pain management for thousands of years but are associated with many adverse effects. Today, nurses play a key role in pain management. They frequently administer opioids to patients and their views of opioids can affect their actions. Objective: Describe nurses’ views of pain management with opioids and how these views affect pain management. Design: Literature review with a systematic approach. Methods: Databases PubMed and CINAHL were searched. In total, 333 unique titles were retrieved. Ten of these met the criteria for inclusion and were analysed using content analysis. Results: Two themes were identified: Opioids are necessary and superior for severe pain and Pain management with opioids can be challenging. Within these themes, many different views among nurses were described. Nurses saw themselves as responsible for pain management and saw opioids as both necessary and superior to other analgesics. Several challenges were described by nurses, including communication with doctors and patients, as well as nurses’ fear of the risks associated with opioids.   Conclusions: Nurses’ views of pain management with opioids comprise many different aspects of good pain management as well as challenges associated with pain management.