Intensive Care Nurses' Pain Management Experiences within the Framework of the Biopsychosocial-Spiritual Model in Türkiye: A Qualitative Approach.

Abstract

Pain, which includes biological, psychological, social and spiritual factors, is a common symptom experienced by patients in intensive care. This study aimed to uncover intensive care nurses' perspectives on pain management strategies, employing the biopsychosocial-spiritual model as the guiding framework. This research employed a descriptive qualitative method, engaging participants from diverse locations across five provinces and eight different institutions. The study involved 16 intensive care nurses and utilized semi-structured online Zoom interviews. Data analysis was conducted using Braun and Clarke's six stages, and reporting followed the consolidated criteria for qualitative studies. The answers of the nurses were grouped under four themes and six subthemes: (1) biological interventions, (2) psychological interventions, (3) social interventions: involving families in the process and (4) spiritual interventions: support religious activities. This study shows that intensive care nurses benefit from many practices in pain management. These interventions included medication management and ensuring physical comfort in the biological factor, distracting activities and being with the patient in the psychological factor, involving the family in care in the social factor and providing an environment that supports the patient's religious needs under the spiritual factor.