CREATING A VOICE FOR PSYCHOLOGICAL PAIN IN THE HEALTHCARE SETTINGS: IMPLICATIONS FOR NURSING
Article Sidebar
Main Article Content
Abstract
This article attempts to lay down current knowledge and approaches to psychological pain in the context of nursing. Nurses, being the frontliners in several healthcare settings, can have a major role in formulating future interventions and innovations to address psychological pain and mental health challenges, as a whole. In addition to quantifying psychological pain, this paper also aims to provide a picture of what psychological pain can look and feel like and how it impacts the individual’s overall health status and the healthcare system in general. A proposed model of nursing care that outlines direct, indirect and collaborative nursing approaches as well as a proposed assessment interview questions utilizing physiological pain assessment tools are presented in this article. To further understand pain, cases based on real-life situations are included. Reasons why a bold focus is recommended and needed toward psychological pain is presented. Finally, challenges and future directions for nursing education, research, and practice are discussed.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
P. Medeiros et al., “Physical, emotional, and social pain during COVID-19 pandemic-related
social isolation,” Trends in Psychology, Mar. 01, 2022. http://dx.doi.org/10.1007/s43076-022-00149-8 (accessed Mar. 16, 2023).
X. Li et al., “A longitudinal study testing the role of psychache in the association between
emotional abuse and suicidal ideation,” Journal of Clinical Psychology, vol. 75, no. 12, pp. 2284–2292, Aug. 2019, doi: 10.1002/jclp.22847.
H. Comtesse, V. Ertl, S. M. C. Hengst, R. Rosner, and G. E. Smid, “Ecological grief as a
response to environmental change: A mental health risk or functional response?,” International Journal of Environmental Research and Public Health, vol. 18, no. 2, p. 734, Jan. 2021, doi: 10.3390/ijerph18020734.
L. Cordier, X. Fuchs, S. Herpertz, J. Trojan, and M. Diers, “Synchronous stimulation with light
and heat induces body ownership and reduces pain perception,” The Journal of Pain, vol. 21, no. 5–6, pp. 700–707, May 2020, doi: 10.1016/j.jpain.2019.10.009.
M. Galbally et al., “Maternal perinatal depression, circulating oxytocin levels and childhood
emotional disorders at 4 years of age: The importance of psychosocial context,” Journal of Psychiatric Research, Nov. 2020. http://dx.doi.org/10.1016/j.jpsychires.2020.07.010 (accessed Mar. 16, 2023).
C. Wang et al., “Immediate psychological responses and associated factors during the initial
stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in china,” International Journal of Environmental Research and Public Health, vol. 17, no. 5, Mar. 2020, doi: 10.3390/ijerph17051729.
L. Yang et al., “Analysis of psychological state and clinical psychological intervention model of
patients with COVID-19,” Cold Spring Harbor Laboratory, Mar. 2020. Accessed: Mar. 16, 2023. [Online]. Available: http://dx.doi.org/10.1101/2020.03.22.20040899
D. Ducasse et al., “Psychological pain in suicidality: A meta-analysis,” The Journal of Clinical
Psychiatry, vol. 78, no. 3, Aug. 2017, doi: 10.4088/JCP.16r10732.
J. L. Ordóñez-Carrasco, I. C. Guirado, and A. J. Rojas-Tejada, “Entrapment and psychological
pain as proximal variables of suicidal ideation: Study of moderation,” unknown, Oct. 18, 2020. https://www.researchgate.net/publication/344728716_Entrapment_and_Psychological_Pain_as_Proximal_Variables_of_Suicidal_Ideation_Study_of_Moderation
K. C. Lewis, E. W. Good, J. G. Tillman, and C. J. Hopwood, “Assessment of psychological pain
in clinical and non-clinical samples: A preliminary investigation using the psychic pain scale,” Archives of Suicide Research, vol. 25, no. 3, pp. 552–569, Feb. 2020, doi: 10.1080/13811118.2020.1729914.
J. Yager, “Addressing patients’ psychic pain,” American Psychiatric Publishing, Oct. 01, 2015.
https://www.researchgate.net/publication/282425693_Addressing_Patients%27_Psychic_Pain
E. L. Meerwijk and S. J. Weiss, “Utility of a time frame in assessing psychological pain and
suicide ideation,” unknown, Jun. 22, 2017. https://www.researchgate.net/publication/317818776_Utility_of_a_time_frame_in_assessing_psychological_pain_and_suicide_ideation
A. Tk and S. Chandran, Callista roy: Adaptation theory. Jaypee Brothers Medical Publishers (P)
Ltd., 2017, pp. 108–108. Accessed: Mar. 16, 2023. [Online]. Available: http://dx.doi.org/10.5005/jp/books/13072_12
B. Basavanthappa, Orem’s self-care theory. Jaypee Brothers Medical Publishers (P) Ltd., 2007,
pp. 72–72. Accessed: Mar. 16, 2023. [Online]. Available: http://dx.doi.org/10.5005/jp/books/10558_5
A. Younas, “A foundational analysis of dorothea orem’s self-care theory and evaluation of its
significance for nursing practice and research,” Creative Nursing, vol. 23, no. 1, pp. 13–23, 2017, doi: 10.1891/1078-4535.23.1.13.
Overview of watson’s theory (10 caritas processes®). New York, NY: Springer Publishing
Company, 2018. Accessed: Mar. 16, 2023. [Online]. Available: http://dx.doi.org/10.1891/9780826135568.0002
L. Thornton, “A brief history and overview of holistic nursing,” Integrative Medicine: A
Clinician’s Journal, vol. 18, no. 4, Aug. 2019.
N. C. Frisch and D. Rabinowitsch, “What’s in a definition? Holistic nursing, integrative health
care, and integrative nursing: Report of an integrated literature review - PubMed,” Journal of holistic nursing : official journal of the American Holistic Nurses’ Association, vol. 37, no. 3, Sep. 2019, doi: 10.1177/0898010119860685.
Florence Nightingale and her Times (1820–1910). Routledge, 2017, pp. 1–23. Accessed: Mar.
, 2023. [Online]. Available: http://dx.doi.org/10.4324/9781315255194-1
J. O. Prochaska and C. C. DiClemente, The Transtheoretical Approach. Oxford University Press,
, pp. 161–183. Accessed: Mar. 17, 2023. [Online]. Available: http://dx.doi.org/10.1093/med-psych/9780190690465.003.0008
S. J. Racal, B. Hengnalen, and O. Ketphan, “Transtheoretical Model (Stages of Change) and Its
Potential Applications to Psychiatric and Mental Health Nursing Practice,” International Journal of Public Health and Health Sciences, vol. 4, no. 2, pp. 1–8, Jun. 2022, doi: https://he01.tci-thaijo.org/index.php/ijphs/article/view/255223/173294.
A. M. Dydyk and S. Grandhe, “Pain assessment,” NCBI Bookshelf, Jan. 29, 2023.
https://www.ncbi.nlm.nih.gov/books/NBK556098/
C. He, “The challenge of ‘holding space’ while holding the pager,” Current Psychiatry, vol. 20,
no. 7, Jul. 2021, doi: 10.12788/cp.0150.
S. P. Rasheed, A. Younas, and A. Sundus, “Self‐awareness in nursing: A scoping review,”
Journal of Clinical Nursing, vol. 28, no. 5–6, pp. 762–774, Oct. 2018, doi: 10.1111/jocn.14708.
“American holistic nurses association,” American Holistic Nurses Association, 2023.
https://www.ahna.org/American-Holistic-Nurses-Association/gclid/CjwKCAjw_MqgBhAGEiwAnYOAejgANe-mPG9qs9_0tx6DYhHCICGT4dDij7B3seI-oSseWseiSe0HhhoCfjgQAvD_BwE (accessed Mar. 16, 2023).
C. E. Horne and J. Paul, “Pain support for adults with a diabetes-related lower limb amputation:
An empirical phenomenology study,” Pain Management Nursing, vol. 20, no. 3, pp. 270–275, Jun. 2019, doi: 10.1016/j.pmn.2018.09.007.
D. E. Burgers and E. F. Muther, Mindfulness-Based interventions for chronic pain. Routledge,
, pp. 70–88. Accessed: Mar. 16, 2023. [Online]. Available: http://dx.doi.org/10.4324/9781351164047-5
J. Chen et al., “The effect of self-management online modules plus nurse-led support on pain and
quality of life among young adults with irritable bowel syndrome: A randomized controlled trial,” International Journal of Nursing Studies, Aug. 2022. http://dx.doi.org/10.1016/j.ijnurstu.2022.104278 (accessed Mar. 16, 2023).