{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:22:53Z","timestamp":1771028573199,"version":"3.50.1"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2001,12,25]],"date-time":"2001-12-25T00:00:00Z","timestamp":1009238400000},"content-version":"vor","delay-in-days":603,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2000,5]]},"abstract":"<jats:p> <jats:bold>Factors affecting the administration of analgesia to patients following repair of a fractured hip<\/jats:bold> <\/jats:p><jats:p>Fracture of the neck of femur, or hip, has become common in older females and the resulting pain is often a factor in inhibiting early mobilization following surgical repair. Since the administration of analgesia is dependant upon decision\u2010making of the nurse, this study concentrated on what influences nurses in the administration of analgesia to patients following surgical repair of a fractured hip. A review of the literature identifies the main influencing factors as nurses\u2019 lack of knowledge and the drug prescription, and suggests that education is the key enabler. However, much of this research is limited to controlled situations outside the clinical setting with a focus on the internal processes of decision\u2010making. This ethnographic multiple\u2010case study aimed to analyse factors which influence nurses\u2019 decision\u2010making in the clinical setting and define behaviours in context. Following periods of participant observation and observation of documentation, semi\u2010structured interviews were conducted to explore further the rationale behind nurses\u2019 decisions. Factors found to influence decision\u2010making were: time, organization of care, influence of shift worked, impact of the multidisciplinary team (MDT), concerns over the use of opioid analgesia, and information giving and collection. These influences were found to be dependant on location (ward), and shift, with the factor of <jats:italic>time<\/jats:italic> providing a tension between all influences. The study findings suggest that education alone will not improve the administration of analgesia. It recommends that the voice of patients is heard more clearly, that the administration of analgesia is separated from the routine drug round, that attention is paid to how decision\u2010making by nurses is supported in clinical settings, and that education be organized on a multidisciplinary basis. In addition, further research should be carried out in the clinical setting.<\/jats:p>","DOI":"10.1046\/j.1365-2648.2000.01425.x","type":"journal-article","created":{"date-parts":[[2003,3,12]],"date-time":"2003-03-12T03:46:30Z","timestamp":1047440790000},"page":"1145-1154","source":"Crossref","is-referenced-by-count":47,"title":["Factors affecting the administration of analgesia to patients following repair of a fractured hip"],"prefix":"10.1111","volume":"31","author":[{"given":"Heather","family":"Willson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2001,12,25]]},"reference":[{"key":"e_1_2_7_2_2","unstructured":"Audit Commission(1995)United They Stand: Co\u2010Ordinating Care for Elderly Patients with Hip Fracture. 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