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) | |
| 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) | |
| Time (15) | |||
| Oppression (16) | |||
| Power (17) | |||
| Distorted perceptions (18) | |||
| 'Blame,' 'accusation' and 'criticism' (19) | HORIZONTAL VIOLENCE | ||
| Autonomy (20) | |||