Registered Nurses’ Perception of Pain

  • Justin Oluwasegun Rojaye Department of Health Sciences, University of South Africa, South Africa
Keywords: Long-term care home, nurses, pain, perception, practices, long-term care home, nurses, pain, perception, practices


Pain is the most common medical issue that older people face in a long-term care facility. Nurses have a critical role in helping residents manage their pain. This research looked at registered nurses’ perception of pain practices in long-term care facilities. The site for this research was a chosen long-term care facility in Ontario, Canada, a 160-bed nursing home for the elderly that provides various nursing and medical care services.  A qualitative research technique was applied in this study. Semi-structured focus group interviews lasting about an hour were done. This study's population consisted of 45 nurses. The researcher chose a sample of 25 nurses using a purposive sampling strategy. The data was reviewed using qualitative data analysis to detect recurring concerns. This research revealed the necessity of identifying and overcoming registered nurses’ perception of pain practices in long-term care homes are necessary to manage pain. This study demonstrated the importance of registered nurses’ perception of pain to effectively manage pain and reinforce good practices in long-term care homes. Therefore, improved registered nurses’ perception of pain practices is required to manage pain in a long-term care home effectively. The overall benefits of registered nurses’ perception of pain practices in long-term care homes expand nurses' clinical knowledge in the care of residents living in nursing homes.


Abidin, Z., Yunita, R., & Rachmad, S. A. T. (2022). The Relationship between Anxiety Levels and Pain Degrees in Postoperative Caesarean Patients at Pasirian Hospital. Nursing and Health Sciences Journal (NHSJ), 2(2),159–166. doi: 10.53713/nhs.v2i2.125

Almost, J., Gifford, W., Doran, D., Ogilvie, L., Miller, C., Rose, D., & Squires, M. (2013). Correctional nursing: a study protocol to develop an educational to optimize nursing practice in a unique context. Implementation Science, 8(1), 1-14. doi: 10.1186/1748-5908-8-71

American Geriatrics Society. (2014). AGS clinical practice guideline: Pharmacological management of persistent pain in older persons. American Geriatrics Society, 5(2), 1-12. doi: 10.1111/j.1532-5415.2009.02376.x

Aziato, L., & Adejumo, O. (2015). Developing a context appropriate clinical guideline for post-operative pain management in Ghana: A participatory approach. Journal of Africa Nursing Sciences, 2, 1-33.

Babbie, E., & Mouton, J. (2012). The practice of social research (14 ed.). Oxford University Press.

Baybutt, M., & Chemlal, K. (2016). Health-promoting prisons: Theory to practice (1 ed.). (23, Ed.) Global Health Promotion.

Bendelow, G. (2013). Chronic Pain Patients and the Biomedical Model of Pain. Virtual Mentor, 15(5), 455-459. doi:10.1001/virtualmentor.2013.15.5.msoc1-1305.

Berben, S., Meijs, T., Van Grunsven, P., Schoonhoven, L., & Van Achterberg, T. (2013). Facilitators and barriers in pain management for trauma residents in the chain of emergency care. Injury, 43(9), 1397-1402.

Birchenall, P., & Adams, N. (2014). The Nursing Companion. Palgrave Macmillan.

Booker, S., & Haedtke, C. (2016). Assessing pain in verbal older adults. Nursing, 46(2), 65-68. doi: 10.1097/01.NURSE.0000473408.89671.52

Brink, H., Van der Walt, C., & Van Rensburg, G. (2014). Fundamentals of research methodology for healthcare professionals.

Busby, C., & Robson, W. (2013). Managing the cost of healthcare for an aging population. Nova Scotia's Healthcare Glacier, 1-15. doi:10.11575/SPPP.V5I0.42401

Chatchumni, M., Namvongprom, A., Eriksson, H., & Mazaheri, M. (2016). Thai Nurses' experiences of post-operative pain assessment and its' influence on pain management decisions. BMC Nursing, 5(1), 1-14.

Cottrell, R. (2014). Health promotion and education research methods using the five-chapter thesis/dissertation model (6 ed.). Jones & Bartlett.

Fleckenstein, J. (2013). International association for study of pain. Deutsche Seitschrift Fur Akupunktur, 56(1), 52-53.

Grove, K., Gray, R., & Burns, N. (2015). Understanding nursing research: building an evidence-based practice (6 ed.). Elsevier.

Hogan, M. (2014). Nursing fundations. Pearson.

Kaasalainen, S., Brazil, K., Akhtar-Danesh, N., Coker, E., Ploeg, J., & Donald, F. (2013). The Evaluation of an Interdisciplinary Pain Protocol in Long Term Care. Journal of The American Medical Directors Association, 13(7), 664-668.

Kocasli, S., Oner Karaveli, E., & Bal, E. (2023). The Effect of Postoperative Pain on Sleep Quality in Patients with Brain Tumor Surgery. Nursing and Health Sciences Journal (NHSJ), 3(3), 227-237.

Kosier, B., Berman, A., & Snyder, S. (2013). Kosiers & Erb's Fundamentals of Nursing: Concepts, Process and Practice. Pearson Ltd.

Laranjeira, C., & Quintao, C. (2014). EPA-0774 - Improving the quality of care through pain assessment and management. European Psychiary, 29(1).

Lee Meyers, S. (2016). Improving Knowledge and Attitudes Regarding Pain Management among Registered Nurses. Pain Management Nursing, 17(2), 104-110. doi:

Lichtner, V., Dowding, D., Allcock, N., Keady, J., Sampson, E., Briggs, M., & Closs, S. (2016). The assessment and management of pain in patients with dementia in hospital settings: a multi-case exploratory study from a decision-making perspective. BMC Health Services Research, 16(1), 427-435. Doi:

LoBiondo-Wood, G., & Haber, J. (2016). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice. Journal of Nursing Regulation, 5(1), 60-72. DOI:

McPhee, S., Papadakis, M., & Rabow, M. (2014). Current medical diagnosis & treatment.

Mehta, A., Cohen, S., Ezer, H., Carnevale, F., & Ducharme, F. (2013). Striving to Respond to Palliative Care Residents' Pain at Home: A Puzzle for Family Caregivers. Oncology Nursing Forum, 38(1), 1-12. DOI: 10.1188/11.ONF.E37-E45

Pasero, C., & McCaffery, M. (2014). Pain Assessment and Pharmacologic Management. Elsevier/Mosby.

Polit, D., Beck, C., & Polit, D. (2016). Resource Manual for Nursing research, generating and assessing evidence for nursing practice (10 ed.). Wolters Kluwer.

Prem, V., Karvannan, H., Chakravarthy, R., Binukumar, B., Jaykumar, S., & Kumar, S. (2017). Attitudes and Beliefs About Chronic Pain among Nurses-Biomedical or Behavioral? A Cross-Sectional Survey. Indian Journal of Palliative Care, 17(3), 227-234. DOI: 10.4103/0973-1075.92341

Raman, J. (2015). Improved health in ethnically/culturally diverse patients through enhanced cultural competency in nurse wellness outcomes educators. Online Journal of Cultural Competence in Nursing and Healthcare, 5(1), 1-23. DOI:10.9730/

Rasmi Issa, M., Awaje, H., & Khraisat, F. (2017). Knowledge and Attitude about pain and pain management among critical care nurses in a tertiary hospital. Journal of Intensive and Critical Care, 3(1), 1-124. DOI:10.21767/2471-8505.100071

Reade, M. (2018). Cultural influences on the rates, acceptability and utility of advance care directives. Anaesthesia Critical Care & Pain Medicine, 37(2), 101-103. DOI: 10.1016/j.accpm.2018.02.004

Registered Nurses Association of Ontario (RNAO). (2013). Assessment and management of pain (3 ed.). Registered Nurses Association of Ontario.

Saldana, J. (2014). Fundamentals of qualitative research. Oxford University Press.

Silverman, D. (2015). Interpreting qualitative data: A guide to the principles of qualitative research.

Statistics Canada. (2013). Canadians in context-Aging population. Statistics Canada.

Stewart, M., & Cox-Davenport, R. (2015). Comparative Analysis of Registered Nurses' and Nursing Students' Attitudes and Use of Nonpharmacologic Methods of Pain Management. Pain Management Nursing, 16(4), 499-502. DOI: 10.1016/j.pmn.2014.09.010

Swakhalen, S., Hamers, J., Peijnenburg, R., & Berger, M. (2017). Nursing staff knowledge and beliefs about pain in elderly nursing home residents with dementia. Pain Research and Management, 12(3), 177-184. doi: 10.1155/2007/518484

Terre Blanche, M., Durrheim, K., & Painter, D. (2014). Research in Practice. University of Cape Town Press.

Tracy, S. (2013). Qualitative research methods. Wiley-Blackwell.

Undari-Schwarts, S. (2017). Purposeful pain assessment in older adults with delirium can improve outcomes. Pain Management Nursing, 18(2), 64. DOI:

Urden, L., Stacy, K., & Lough, M. (2013). Critical care nursing. Elsevier.

Veal, F., Williams, M., Bereznicki, L., Cummings, E., Thompson, A., Peterson, G., & Winzenberg, T. (2018). Barriers to Optimal Pain Management in Aged Care Facilities: An Australian Qualitative Study. Pain Management Nursing, 19(2), 177-185. DOI: 10.1016/j.pmn.2017.10.002

Yennurajalingam, S. (2018). Cultural Issues in Palliative Care. Oxford Medicine Online, 2(2), 1-15. DOI:

Zaslansky, R., Rothaug, J., Chapman, C., Backstrom, R., & Fletcher, D. (2014). PAIN OUT: The making of an international acute pain registry. European Journal of Pain, 19(4), 490-502. DOI: 10.1002/ejp.571

Zwakhalen, S., Hamers, J., Peijnenburg, R., & Berger, M. (2017). Nursing Staff Knowledge and Beliefs about Pain in Elderly Nursing Home Residents with Dementia. Pain Research and Management, 12(3), 177-184. doi: 10.1155/2007/518484

How to Cite
Rojaye JO. Registered Nurses’ Perception of Pain. NHSJ [Internet]. 2024Mar.4 [cited 2024May18];4(1):76-2. Available from: