Use of distraction by nursing students to care patients’ pain: A focus-group study
Year 2022,
Volume: 9 Issue: 3, 272 - 279, 01.09.2022
Gülay Yazıcı
,
Dilek Aktaş
,
Sema Koçaşlı
,
Hülya Bulut
,
Kübra Yılmaz
Abstract
Aim: Pain is an important stimulus to the body. Both pharmacological and non-pharmacological methods are
used in pain management. The aim of this study is to determine the methods used by nursing students while
using the “distraction techniques” method in pain management and the ways of applying these methods, and to
determine what problems they encounter during the application process. Method: The focus-group interview,
one of the qualitative methods, was used in this study. The sample of the research consisted of first, second,
third and fourth year students who had experienced clinical practice and who volunteered to participate in the
study. The data for the study were collected using a semi-structured questionnaire form which consisted of
six questions regarding their approach to pain. Qualitative data obtained from the interviews were recorded.
Seven focus group interviews were held with 69 nursing students. The recorded interviews were transcribed
and interpreted. The data were analyzed by the two researchers. In terms of the qualitative data analysis, three
themes and 16 sub themes emerged. Result: The nursing students (N=69) defined a “distraction” as “ensuring
someone forgets about the pain” and their techniques included chatting, watching TV, activities enjoyed by
the patient, visualizations, breathing exercises, games, mobilization and hot and cold applications. The most
common difficulty that students experience in using these methods is the high number of patients. Conclusion:
The study showed that students often preferred to use distraction in pain management during clinical practice.
It is thought that the reason why students often use this method is because they have an independent role in
the application and the method is easy. It was determined that students frequently used cognitive-behavioral
techniques and physical techniques to distraction. Nursing students believe that distraction is effective in
reducing the pain of the patient.
References
- Akbaş, M., & Tosunöz, İ.K. (2019). Knowledge and approaches of nurses about pain related interventions. Cukurova Medical Journal 44 (1), 136-143
- Akmeşe, Z.B., & Oran, N.T. (2014). Effects of progressive muscle relaxation exercises accompanied by music on low back pain and quality of life during pregnancy. J Midwifery Womens Health 59 (5), 503-509
- Al-Khawaldeh, O.A., Al-Hussami, M., & Darawad, M. (2013). Knowledge and attitudes regarding pain management among Jordanian nursing students. Nurse Education Today 33 (4), 339–345
- Aghabati, N., Mohammadi, E., Pour, & Esmaiel, Z. (2010). The effect of therapeutic touch on pain and fatigue of cancer patients undergoing chemotherapy. Evidence-Based Complementary Alternative and Medicine 7 (3), 375-381.
- Baldemir, R., Akçaboy, E.Y., Çelik, Ş., Noyan, Ö., Akçaboy, Z.N., & Baydar, M. (2019). Doktorların opioid kullanımı ve opiofobiye yaklaşımlarının değerlendirilmesi: Bir eğitim ve araştırma hastanesinden anket sonuçları. Agri 31 (1), 23–31.
- Berman, A., Snyder, S.J., & Frandsen, G. (2016). Pain management. Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice. 10th ed. New Jersey: Pearson Edication, pp.1099-1119.
- Caraceni A., Hanks G., Kaasa S., Bennett M.I., Brunelli C., Cherny N., et al. G.; European Palliative Care Research Collaborative (EPCRC); European Association for Palliative Care (EAPC). (2012). Use of opioid analgesics in the treatment of cancer pain: evidencebased recommendations from the EAPC. Lancet Oncology 13 (2), e58–68. https://doi.org/10.1016/S1470-2045(12)70040-2
- Chan, J.C.Y. & Hamamura, T. (2016). Emotional intelligence, pain knowledge, and attitudes of nursing students in hong kong. Pain Management Nursing 17 (2), 159-168.
- Çelik, S., Baş, B.K., Korkmaz, Z.N., Karaşahin, H., &Yıldırım, S. (2018). Hemşirelerin Ağrı Yönetimi Hakkındaki Bilgi ve Davranışlarının Belirlenmesi. Bakırköy Tıp Dergisi 14, 17-23
- Demir, Y., Yıldırım, U.Y., İnce, Y., Türken, K.,& Kaya, M. (2012). Hemşirelerin ağrı yönetimi ile ilgili bilgi davranış ve klinik karar verme durumunun belirlenmesi. Çağdaş Türk Dergisi 2 (3), 162-172.
- Ebert, M.H., &Kerns, R.D. (2010). Behavioral and Psychopharmacologic Pain Management (ebook). 1st ed. New York: Cambridge University Press, pp.3.
- Erickson, J.M., Brashers, V., Owen, J., Marks, J.R., & Thomas, S.M. (2016). Effectiveness of an interprofessional workshop on pain management for medical and nursing students. Journal of Interprofessional Care 30 (4), 466-474.
- Eti-Aslan, F. (2014). Ağrı Doğası ve Kontrolü. 2. Baskı. Ankara: Akademisyen Tıp Kitabevi, pp.161-74.
- Evans, C.B., & Mixon, D.K. (2015). The Evaluation of Undergraduate Nursing Students' Knowledge of Post-op Pain Management after Participation in Simulation. Pain Management Nursing 16 (6), 930-937.
- Gadallah, M.A., Hassan, A.M., & Shargawy, S.A. (2017). Undergraduate nursing students’ knowledge and attitude regarding pain management of children in Upper Egypt. Journal of Nursing Education and Practice 7 (6), 100-107.
- Gümüs, K., Musuroglu, S., Ozlu, Z.K., & Tasci, O. (2020). Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study. Journal of PeriAnesthesia Nursing. https://doi.org/10.1016/j.jopan.2019.04.011
- Gretarsdottir, E., Zoega, S., Tomasson, G., Sveinsdottir, H., & Gunnarsdottir, S. (2017). Determinants of knowledge and attitudes regarding pain among nurses in a unıversity hospital: a cross-sectional study. Pain Management Nursing 18 (3), 144-152.
- Hudson, B.F., Ogden, J., & Whiteley, M.S. (2015). Randomized controlled trial to compare the effect of simple distraction interventions on pain and anxiety experienced during conscious surgery.European Journal of Pain 19 (10), 1447-1455.
- IASP. Terminology/Pain Terms/Pain. Retrieved May, 3, 2022 from https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698#Pain
- Ibitoye, B.M., Oyewale, T.M., Olubiyi, K.S., & Onasoga, O.A. (2019). The use of distraction as a pain management technique among nurses in a North-central city in Nigeria. International Journal of Africa Nursing Sciences 11, 100158.
- Karaman, E., Doğru, B.V., & Yıldırım, Y. (2019). Knowledge and attitudes of nursing students about pain management. Agri 31 (2), 70-78.
- Keefe, G., & Wharrad, H.J. (2012). Using e-learning to enhance nursing students’ pain management education. Nurse Education Today 32 (8), 66-72.
- Khalil, N.S. (2018). Critical care nurses' use of non-pharmacological pain management methods in Egypt . Applied Nursing Research 44, 33-38.
- Kocaman, G. (1994). Ağrı-hemşirelik yaklaşımları. Saray Medikal Yayıncılık, İzmir, 29.
- Kuenzang, Pokhrel H.P., & Sherpa, P.L. (2018). Knowledge and Attitude on Pain Management among Final Year Nursing and Midwifery Students of Khesar Gyalpo University of Medical Sciences of Bhutan. International Journal of Innovative Research in Medical Science 3 (12), 2332-2335
- Kwekkeboom, K.L., Bumpus, M., Wanta, B., & Serlin, R.C. (2008). Oncology Nurses’ Use of Nondrug Pain Interventions in Practice. Journal of Pain and Symptom Management 35 (1), 83-94.
- Latchman, J. (2014). Improving pain management at the nursing education level: evaluating knowledge and attitudes. Journal of the Advanced Practitioner in Onkology 5 (1), 10-16.
- Lewis, M.J.M., Kohtz, C., Emmerling, S., Fisher, M., & McGarvey, J. (2018). Pain control and nonpharmacologic interventions. Nursing 48 (9), 65-68.
- Liu, Y., & Petrini, M.A. (2015). Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complementary Therapies in Medicine 23 (5), 714-718.
- Manyanga, T., Froese, M., Zarychanski, R., AbouSetta, A., Friesen, C., Tennenhouse, M, & Shay, B.L. (2014). Pain management with acupuncture in osteoarthritis: a systematic review and metaanalysis. BMC Complementary and Alternative Medicine 14 (1), 312.
- Özer, S., Akyürek, B., & Başbakkal, Z. (2006). Hemşirelerin ağrı ile ilgili bilgi, davranış ve klinik karar verme yeteneklerinin incelenmesi. Ağrı 18 (4), 36-43.
- Özveren, H., Faydalı, S., Gülnar, E. & Dokuz, H.F. (2018). Hemşirelerin ağrı değerlendirmesine ilişkin tutum ve uygulamaları. Journal of Contemporary Medicine. 8 (1), 60-66.
- Özveren, H., & Uçar, H. (2009). Öğrenci Hemşirelerin Ağrı Kontrolünde Kullanılan Farmakolojik Olmayan Bazı yöntemlere ilişkin bilgileri. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi, 59-72.
- Paice, J.A., & Ferrel, B. (2011). The management of cancer pain. CA: A Cancer Journal for Clinicians 61,157–82. https://doi.org/10.3322/caac.20112
- Plaisance, L., & Logan, C. (2006). Nursing Students’ Knowledge and Attitudes Regarding Pain. Pain Management Nursing 7 (4), 167-175.
- Santos, A.F., Machado, R.R., Nunes Ribeiro, C.J., Mendes Neto, J.M., Oliveira Ribeiro, C.M., & Virgens Menezes, M.G. (2018). Nursing students’ knowledge about pain assessment. British Journal of Pain 1 (4), 325-330.
- Smeland, A.H., Twycross, A., Lundeberg, S., & Rustøen, T. (2018). Nurses’ knowledge, attitudes and clinical practice in pediatric postoperative pain management. Pain Management Nursing 19 (6), 585-598.
- Tel, H. (2010). Ağrı, ağrıya yönelik uygulamalar ve hasta bakımı, Edt: Sabuncu N., Ay F.A., Klinik Beceriler, Sağlığın Değerlendirilmesi, Hasta Bakım ve Takibi. Nobel Matbaacılık, İstanbul, p.p. 652-674.
- Tracy, M.R., Lindquist, R., Savik, K., Watanuki, S., Sendelbach, S., Kreitzer, M.J., & Berman, B. (2005). Use of complementary and alternative therapies: A national survey of critical care nurses. American Journal of Critical Care 14, 404–415.
- Uman, L.S., Birnie, K.A., Noel, M., Parker, J.A., Chambers, C.T., McGrath, P.J., & Kisely, S.R. (2013). Psychological interventions for needlerelated procedural pain and distress in children and adolescents. Cochrane Database Systematic Reviews 10 (10), CD005179. doi: 10.1002/14651858.CD005179.pub3
- Ung, A., Salamonson, Y., Hu, W., & Gallego, G. (2016). Assessing knowledge, perceptions and attitudes to pain management among medical and nursing students: a review of the literature. British Journal of Pain 10 (1), 8–21.
- Ünver, S., Kızılcık, Özkan, Z., Avcıbaşı, İ.M, & Babacan Dığın, F. (2016). Hemşirelik Öğrencilerinin Ameliyat Sonrası Ağrı Yönetimine İlişkin Girişimlerinin Değerlendirilmesi. Hemşirelikte Eğitim ve Araştırma Dergisi 13 (2), 146-150.
- van Dijk, J.F., van Wijck, A.J., Kappen, T.H., Peelen, L.M., Kalkman, C.J., & Schuurmans, M.J. (2015). The effect of a preoperative educational film on patients’ postoperative pain in relation to their request for opioids. Pain Management Nursing 16 (2), 137- 145.
- Wilson, B. (2007). Nurses knowledge of pain. Journal of Clinical Nursing 16 (6), 1020–1012.
- Yıldırım, Y.K. (2006).Kanser Ağrısının Nonfarmakolojik Yöntemlerle Kontrolü, Edt: Uyar M, Uslu R, Yıldırım YK. Kanser ve Palyatif Bakım. Meta Press Matbaacılık, İzmir, p.p. 97-126.
Yılmaz, F, & Atay, S. (2014). Hemşirelik Öğrencilerinin Klinik Ağrı Yönetimi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 32–41.
Hemşirelik öğrencileri tarafından ağrılı hastaya bakımda dikkati başka yöne çekme yönteminin kullanılması: Odak grup çalışması
Year 2022,
Volume: 9 Issue: 3, 272 - 279, 01.09.2022
Gülay Yazıcı
,
Dilek Aktaş
,
Sema Koçaşlı
,
Hülya Bulut
,
Kübra Yılmaz
Abstract
Amaç: Ağrı vücut için önemli bir uyarandır. Ağrı tedavisinde hem farmakolojik hem de farmakolojik olmayan yöntemler kullanılmaktadır. Araştırma, hemşirelik öğrencilerinin ağrı yönetimi için hangi dikkat dağıtma tekniklerini kullandıklarını belirlemek amacıyla yapılmıştır.
Yöntem: Görüşmelerden elde edilen nitel veriler kayıt altına alınmıştır. Bu çalışmanın analiz birimleri kelimeler veya kavramlar, temalar ve aynı kavramları veya temaları tanımlayan konu sayısıdır.
Sonuç: Hemşirelik öğrencileri (N=69) Öğrenciler "dikkati başka yöne çekme" yöntemini "ağrının unutulmasını sağlama" olarak tanımlarken, yöntemi uygulama şeklini; sohbet etme, televizyon izletme, sevdiği aktiviteleri yaptırma (müzik dinletme gibi), hayal kurdurma, solunum egzersizi yaptırma, oyun oynatma, mobilize etme ve sıcak-soğuk uygulama yaptırma olarak ifade etmişlerdir. Öğrencilerin bu yöntemleri kullanırken yaşadıkları en yaygın zorluk hasta sayısının fazla olmasıdır.
Sonuç: Çalışma, öğrencilerin klinik uygulamalar sırasında ağrı yönetiminde sıklıkla dikkat dağıtmayı tercih ettiklerini göstermiştir. Hastanın ağrısını etkili bir şekilde yönetmek önemlidir.Bu nedenle öğrencilerin eğitimleri süresince ağrı yönetimine ilişkin bilgi ve uygulamalarını geliştirecek planlamaların yapılması gereklidir.
References
- Akbaş, M., & Tosunöz, İ.K. (2019). Knowledge and approaches of nurses about pain related interventions. Cukurova Medical Journal 44 (1), 136-143
- Akmeşe, Z.B., & Oran, N.T. (2014). Effects of progressive muscle relaxation exercises accompanied by music on low back pain and quality of life during pregnancy. J Midwifery Womens Health 59 (5), 503-509
- Al-Khawaldeh, O.A., Al-Hussami, M., & Darawad, M. (2013). Knowledge and attitudes regarding pain management among Jordanian nursing students. Nurse Education Today 33 (4), 339–345
- Aghabati, N., Mohammadi, E., Pour, & Esmaiel, Z. (2010). The effect of therapeutic touch on pain and fatigue of cancer patients undergoing chemotherapy. Evidence-Based Complementary Alternative and Medicine 7 (3), 375-381.
- Baldemir, R., Akçaboy, E.Y., Çelik, Ş., Noyan, Ö., Akçaboy, Z.N., & Baydar, M. (2019). Doktorların opioid kullanımı ve opiofobiye yaklaşımlarının değerlendirilmesi: Bir eğitim ve araştırma hastanesinden anket sonuçları. Agri 31 (1), 23–31.
- Berman, A., Snyder, S.J., & Frandsen, G. (2016). Pain management. Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice. 10th ed. New Jersey: Pearson Edication, pp.1099-1119.
- Caraceni A., Hanks G., Kaasa S., Bennett M.I., Brunelli C., Cherny N., et al. G.; European Palliative Care Research Collaborative (EPCRC); European Association for Palliative Care (EAPC). (2012). Use of opioid analgesics in the treatment of cancer pain: evidencebased recommendations from the EAPC. Lancet Oncology 13 (2), e58–68. https://doi.org/10.1016/S1470-2045(12)70040-2
- Chan, J.C.Y. & Hamamura, T. (2016). Emotional intelligence, pain knowledge, and attitudes of nursing students in hong kong. Pain Management Nursing 17 (2), 159-168.
- Çelik, S., Baş, B.K., Korkmaz, Z.N., Karaşahin, H., &Yıldırım, S. (2018). Hemşirelerin Ağrı Yönetimi Hakkındaki Bilgi ve Davranışlarının Belirlenmesi. Bakırköy Tıp Dergisi 14, 17-23
- Demir, Y., Yıldırım, U.Y., İnce, Y., Türken, K.,& Kaya, M. (2012). Hemşirelerin ağrı yönetimi ile ilgili bilgi davranış ve klinik karar verme durumunun belirlenmesi. Çağdaş Türk Dergisi 2 (3), 162-172.
- Ebert, M.H., &Kerns, R.D. (2010). Behavioral and Psychopharmacologic Pain Management (ebook). 1st ed. New York: Cambridge University Press, pp.3.
- Erickson, J.M., Brashers, V., Owen, J., Marks, J.R., & Thomas, S.M. (2016). Effectiveness of an interprofessional workshop on pain management for medical and nursing students. Journal of Interprofessional Care 30 (4), 466-474.
- Eti-Aslan, F. (2014). Ağrı Doğası ve Kontrolü. 2. Baskı. Ankara: Akademisyen Tıp Kitabevi, pp.161-74.
- Evans, C.B., & Mixon, D.K. (2015). The Evaluation of Undergraduate Nursing Students' Knowledge of Post-op Pain Management after Participation in Simulation. Pain Management Nursing 16 (6), 930-937.
- Gadallah, M.A., Hassan, A.M., & Shargawy, S.A. (2017). Undergraduate nursing students’ knowledge and attitude regarding pain management of children in Upper Egypt. Journal of Nursing Education and Practice 7 (6), 100-107.
- Gümüs, K., Musuroglu, S., Ozlu, Z.K., & Tasci, O. (2020). Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study. Journal of PeriAnesthesia Nursing. https://doi.org/10.1016/j.jopan.2019.04.011
- Gretarsdottir, E., Zoega, S., Tomasson, G., Sveinsdottir, H., & Gunnarsdottir, S. (2017). Determinants of knowledge and attitudes regarding pain among nurses in a unıversity hospital: a cross-sectional study. Pain Management Nursing 18 (3), 144-152.
- Hudson, B.F., Ogden, J., & Whiteley, M.S. (2015). Randomized controlled trial to compare the effect of simple distraction interventions on pain and anxiety experienced during conscious surgery.European Journal of Pain 19 (10), 1447-1455.
- IASP. Terminology/Pain Terms/Pain. Retrieved May, 3, 2022 from https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698#Pain
- Ibitoye, B.M., Oyewale, T.M., Olubiyi, K.S., & Onasoga, O.A. (2019). The use of distraction as a pain management technique among nurses in a North-central city in Nigeria. International Journal of Africa Nursing Sciences 11, 100158.
- Karaman, E., Doğru, B.V., & Yıldırım, Y. (2019). Knowledge and attitudes of nursing students about pain management. Agri 31 (2), 70-78.
- Keefe, G., & Wharrad, H.J. (2012). Using e-learning to enhance nursing students’ pain management education. Nurse Education Today 32 (8), 66-72.
- Khalil, N.S. (2018). Critical care nurses' use of non-pharmacological pain management methods in Egypt . Applied Nursing Research 44, 33-38.
- Kocaman, G. (1994). Ağrı-hemşirelik yaklaşımları. Saray Medikal Yayıncılık, İzmir, 29.
- Kuenzang, Pokhrel H.P., & Sherpa, P.L. (2018). Knowledge and Attitude on Pain Management among Final Year Nursing and Midwifery Students of Khesar Gyalpo University of Medical Sciences of Bhutan. International Journal of Innovative Research in Medical Science 3 (12), 2332-2335
- Kwekkeboom, K.L., Bumpus, M., Wanta, B., & Serlin, R.C. (2008). Oncology Nurses’ Use of Nondrug Pain Interventions in Practice. Journal of Pain and Symptom Management 35 (1), 83-94.
- Latchman, J. (2014). Improving pain management at the nursing education level: evaluating knowledge and attitudes. Journal of the Advanced Practitioner in Onkology 5 (1), 10-16.
- Lewis, M.J.M., Kohtz, C., Emmerling, S., Fisher, M., & McGarvey, J. (2018). Pain control and nonpharmacologic interventions. Nursing 48 (9), 65-68.
- Liu, Y., & Petrini, M.A. (2015). Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complementary Therapies in Medicine 23 (5), 714-718.
- Manyanga, T., Froese, M., Zarychanski, R., AbouSetta, A., Friesen, C., Tennenhouse, M, & Shay, B.L. (2014). Pain management with acupuncture in osteoarthritis: a systematic review and metaanalysis. BMC Complementary and Alternative Medicine 14 (1), 312.
- Özer, S., Akyürek, B., & Başbakkal, Z. (2006). Hemşirelerin ağrı ile ilgili bilgi, davranış ve klinik karar verme yeteneklerinin incelenmesi. Ağrı 18 (4), 36-43.
- Özveren, H., Faydalı, S., Gülnar, E. & Dokuz, H.F. (2018). Hemşirelerin ağrı değerlendirmesine ilişkin tutum ve uygulamaları. Journal of Contemporary Medicine. 8 (1), 60-66.
- Özveren, H., & Uçar, H. (2009). Öğrenci Hemşirelerin Ağrı Kontrolünde Kullanılan Farmakolojik Olmayan Bazı yöntemlere ilişkin bilgileri. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi, 59-72.
- Paice, J.A., & Ferrel, B. (2011). The management of cancer pain. CA: A Cancer Journal for Clinicians 61,157–82. https://doi.org/10.3322/caac.20112
- Plaisance, L., & Logan, C. (2006). Nursing Students’ Knowledge and Attitudes Regarding Pain. Pain Management Nursing 7 (4), 167-175.
- Santos, A.F., Machado, R.R., Nunes Ribeiro, C.J., Mendes Neto, J.M., Oliveira Ribeiro, C.M., & Virgens Menezes, M.G. (2018). Nursing students’ knowledge about pain assessment. British Journal of Pain 1 (4), 325-330.
- Smeland, A.H., Twycross, A., Lundeberg, S., & Rustøen, T. (2018). Nurses’ knowledge, attitudes and clinical practice in pediatric postoperative pain management. Pain Management Nursing 19 (6), 585-598.
- Tel, H. (2010). Ağrı, ağrıya yönelik uygulamalar ve hasta bakımı, Edt: Sabuncu N., Ay F.A., Klinik Beceriler, Sağlığın Değerlendirilmesi, Hasta Bakım ve Takibi. Nobel Matbaacılık, İstanbul, p.p. 652-674.
- Tracy, M.R., Lindquist, R., Savik, K., Watanuki, S., Sendelbach, S., Kreitzer, M.J., & Berman, B. (2005). Use of complementary and alternative therapies: A national survey of critical care nurses. American Journal of Critical Care 14, 404–415.
- Uman, L.S., Birnie, K.A., Noel, M., Parker, J.A., Chambers, C.T., McGrath, P.J., & Kisely, S.R. (2013). Psychological interventions for needlerelated procedural pain and distress in children and adolescents. Cochrane Database Systematic Reviews 10 (10), CD005179. doi: 10.1002/14651858.CD005179.pub3
- Ung, A., Salamonson, Y., Hu, W., & Gallego, G. (2016). Assessing knowledge, perceptions and attitudes to pain management among medical and nursing students: a review of the literature. British Journal of Pain 10 (1), 8–21.
- Ünver, S., Kızılcık, Özkan, Z., Avcıbaşı, İ.M, & Babacan Dığın, F. (2016). Hemşirelik Öğrencilerinin Ameliyat Sonrası Ağrı Yönetimine İlişkin Girişimlerinin Değerlendirilmesi. Hemşirelikte Eğitim ve Araştırma Dergisi 13 (2), 146-150.
- van Dijk, J.F., van Wijck, A.J., Kappen, T.H., Peelen, L.M., Kalkman, C.J., & Schuurmans, M.J. (2015). The effect of a preoperative educational film on patients’ postoperative pain in relation to their request for opioids. Pain Management Nursing 16 (2), 137- 145.
- Wilson, B. (2007). Nurses knowledge of pain. Journal of Clinical Nursing 16 (6), 1020–1012.
- Yıldırım, Y.K. (2006).Kanser Ağrısının Nonfarmakolojik Yöntemlerle Kontrolü, Edt: Uyar M, Uslu R, Yıldırım YK. Kanser ve Palyatif Bakım. Meta Press Matbaacılık, İzmir, p.p. 97-126.
Yılmaz, F, & Atay, S. (2014). Hemşirelik Öğrencilerinin Klinik Ağrı Yönetimi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 32–41.