{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T21:14:40Z","timestamp":1764018880802,"version":"3.37.3"},"reference-count":46,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,7,27]],"date-time":"2018-07-27T00:00:00Z","timestamp":1532649600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100009230","name":"Landstinget i Uppsala l\u00e4n","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009230","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2013:1992"],"award-info":[{"award-number":["2013:1992"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore and describe the impact of the organizational culture on and the patient\u2013practitioner patterns of actions that contributes to or detract from successful pain management for the patient with acute abdominal pain (AAP) across the acute care pathway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Although pain management is a recognized human right, unmanaged pain continues to cause suffering and prolong hospital care. Unanswered questions about how to successfully manage pain relate to both organizational culture and individual practitioners\u2019 performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Focused ethnography, applying the Developmental Research Sequence and the Fundamentals of Care framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participant observation and informal interviews (92\u00a0hr) were performed at one emergency department (ED) and two surgical wards at a University Hospital during April\u2013November 2015. Data include 261 interactions between patients, aged \u226518\u00a0years seeking care for AAP at the ED and admitted to a surgical ward (<jats:italic>N<\/jats:italic>\u00a0=\u00a031; aged 20\u201390\u00a0years; 14 men, 17 women; 9 with communicative disabilities) and healthcare practitioners (<jats:italic>N<\/jats:italic>\u00a0=\u00a0198).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The observations revealed an organizational culture with considerable impact on how well pain was managed. Well\u2010managed pain presupposed the patient and practitioners to connect in a holistic pain management including a trustful relationship, communication to share knowledge and individualized analgesics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Person\u2010centred pain management requires an organization where patients and practitioners share their knowledge of pain and pain management as true partners. Leaders and practitioners should make small behavioural changes to enable the crucial positive experience of pain management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.13739","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T09:31:24Z","timestamp":1528795884000},"page":"2596-2609","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Person\u2010centred pain management for the patient with acute abdominal pain: An ethnography informed by the Fundamentals of Care framework"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9222-7736","authenticated-orcid":false,"given":"Therese","family":"Avallin","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7221-2876","authenticated-orcid":false,"given":"\u00c5sa","family":"Muntlin Athlin","sequence":"additional","affiliation":[{"name":"Department of Emergency Care and Internal Medicine Uppsala University Hospital Uppsala Sweden"},{"name":"Department of Medical Sciences Uppsala University Uppsala Sweden"},{"name":"Department of Public Health and Caring Sciences\/Health Services Research Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6293-0447","authenticated-orcid":false,"given":"Erik","family":"Elgaard S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Clinical Nursing Research Unit Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Clinical Medicine Aalborg University Aalborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Kitson","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences Flinders University Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Bj\u00f6rck","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6888-3792","authenticated-orcid":false,"given":"Eva","family":"Jangland","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,7,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2016-005567"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.08.004"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/017084069401500205"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000268145.52345.55"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnw222"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12050"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2016.09.10"},{"key":"e_1_2_10_9_1","unstructured":"2016 Elsevier Australia T. 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