Abstract
An exemplar case in clinical practice is explored by a joint-chair of clinical nursing (clinical professor). The complexity of the pain case is unravelled utilising a patient-centered framework. The meaning of the patient story is narrated through the lens of the clinical professor who is also an advanced practice nursing practitioner with prescriptive authority in pain medicine. The capabilities expected of a clinical professor in practice are put to the test as the case unfolds. The outcome hopefully will provoke conversation among advanced practice nursing practitioners/aspirants on the enablers that nurses bring to the bedside in the context of ‘what matter most to the patient as an individual’ is ‘what matters most to the nurse’. Nurses are clinically committed to help their patients, and this help entails curative efforts to alleviate patient suffering, as well as looking after their well-being in a concerned attitude of care that is quintessential to the clinical encounter (Kottow 2001, p. 60).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Barratt J, Thomas N. Nurse practitioner consultations in primary health care: an observational interaction analysis of social interactions and consultation outcomes. Prim Health Care Res Dev. 2018;6:1. https://doi.org/10.1017/S1463423618000427. https://www.cambridge.org/phc.
Benner P. From novice to expert: excellence and power in clinical nursing practice. Menlo-Park, CA: Addison-Wesley; 1984.
Benner P, Tanner C, Chesla C. Expertise in nursing practice: caring, clinical judgement and ethics. New York, NY: Springer Publishing Company; 1996.
Bond M, Breivik H, Jensen TS, Scholten W, Soyannwo O, Treede RD. Pain associated with neurological disorders. In: Aarli JA, Dua T, Janca A, Muscetta A, editors. Neurological disorders: public health challenges. Geneva: WHO Press; 2006. p. 127–39.
Bonica J. The management of pain. Philadelphia, PA: Lea & Febiger; 1953.
Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10:87.
Darbyshire P. Joint or clinical chairs in nursing: from cup of plenty to poisoned chalice? J Adv Nurs. 2010;66:2592–9.
Diers D. Clinical scholarship. J Prof Nurs. 1995;11:24–30.
Dominick C, Blyth F, Nicholas M. Unpacking the burden: understanding the relationships between chronic pain and comorbidity in the general population. Pain. 2012;153:293–304.
Fillingham R. Individual differences in pain: understanding the mosaic that makes pain personal. Pain. 2017;158:S11–8.
Gatchel R, Peng Y, Peters M, Fuchs P, Turk D. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull. 2007;133:581–624.
Goldberg D, Summer J. Pain as a global public health priority. BMC Public Health. 2011;11:770.
Gore M, Sadosky A, Stacey B, Tai K, Leslie D. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine. 2012;37:e668–77.
Greene S, Tuzzio L, Cherkin D. A framework for making patient-centered care front and center. Perm J. 2012;16:49–53.
Gureje O, Von Korff M, Kola L, Demyttenaere K, He Y, Posada-Villa J, Lepine JP, Angermeyer MC, Levinson D, de Girolamo G, Iwata N, Karam A, Guimaraes Borges GL, de Graaf R, Browne MO, Stein DJ, Haro JM, Bromet EJ, Kessler RC, Alonso J. The relation between multiple pains and mental disorders: results from the World Mental Health Surveys. Pain. 2008;135:82–91.
Hobbs J. A dimensional analysis of patient-centered care. Nurs Res. 2009;58:52–62.
Hudon C, Fortin M, Haggerty J, Loignon C, Lambert M, Poitras M. Patient-centered care in chronic disease management: a thematic analysis of the literature in family medicine. Patient Educ Couns. 2012;88:170–6.
Illingworth R. What does patient-centered mean in relation to the consultation? Clin Teach. 2010;7:116–20.
Institute of Medicine (IOM). Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Washington, DC: The National Academies Press; 2011.
Jenny J, Logan J. Knowing the patient: one aspect of clinical knowledge. Image. 1992;24:254–8.
Kirsh K. Differentiating and managing common psychiatric comorbidities seen in chronic pain patients. J Pain Palliat Care Pharmacother. 2010;24:39–47.
Kottow M. Between curing and caring. Nurs Philos. 2001;2:53–61.
Kreber C. Teaching excellence, teaching expertise, and the scholarship of teaching. Innov High Educ. 2002;27:5–23.
Martinsen K. Care and vulnerability. Oslo: Akribe; 2006.
Martinsen E. Care for nurses only: medicine and the perceiving eye. Health Care Annal. 2011;19:115–27.
Mead N, Bower P. Patient-centeredness: a conceptual framework and review of the empirical literature. Soc Sci Med. 2000;31:1087–110.
Merskey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Washington, DC: International Association for the Study of Pain, IASP; 1994.
Nicholas M, Vlaeyen J, Pliel W, Barke A, Aziz Q, Bienoliel R, Cohen M, et al. The IASP classification of chronic pain for ICD-11: chronic primary pain. Pain. 2019;160:28–37.
O’Connor L. Critical care nurses’ judgement of pain status: a case study design. Intensive Crit Care Nurs. 2012;28:215–23.
Page M, Fortier M, Ware M, Choiniere M. As if one pain problem was not enough: prevalence and patterns of co-existing chronic pain conditions and their impact on treatment outcomes. J Pain Res. 2018;11:237–54.
Pellegrino E, Thomasma D. Virtues in medical practice. New York, NY: Oxford University Press; 1993.
Pizzo P, Clarke N. Alleviating suffering 101-pain relief in United States. N Engl J Med. 2012;366:197–9.
Pyles S, Stern P. Discovery of nursing gestalt in critical care nursing: the importance of the gray gorilla syndrome. Image. 1983;XV:51–7.
Rolfe G. Beyond expertise: theory, practice and the reflexive practitioner. J Clin Nurs. 1997;6:93–7.
Schon D. The reflective practitioner. London: Temple Smith; 1983.
Schopflocker D, Taenzer P, Jovey R. The prevalence of chronic pain in Canada. Pain Res Manag. 2011;16:445–50.
Tanenbaum S. What is patient-centered care? A typology of models and missions. Health Care Anal. 2013;23:272–87.
Tanner C, Benner P, Chesla C, Gordon D. The phenomenology of knowing the patient. Image. 1993;25:273–80.
Thomas M, Fothergill-Bourbonnais F. Clinical judgements about endotracheal suctioning: what cues do expert paediatric critical care nurses consider? Crit Care Nurs Clin North Am. 2005;17:329–40.
Treede R, Pliel W, Barke A, Aziz Q, Bennett M, Benioliel R, Cohen M, Evers S, et al. A classification of chronic pain. Pain. 2015;156:1003–7.
Van Hecke O, Torrance N, Smith B. Chronic pain epidemiology and its clinical relevance. Br J Anaseth. 2013;111:13–8.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
O’Connor, L. (2019). Reflections of a ‘Joint Clinical Chair-Advanced Practice Nursing Practitioner’ on Finding Meaning in a Patient’s Story Allied with Clinical Scholarship. In: The Nature of Scholarship, a Career Legacy Map and Advanced Practice. Advanced Practice in Nursing. Springer, Cham. https://doi.org/10.1007/978-3-319-91695-8_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-91695-8_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-91694-1
Online ISBN: 978-3-319-91695-8
eBook Packages: MedicineMedicine (R0)