Araştırma Makalesi
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Nursing Students' Perceptions Of Pain: A Metaphor Analysis

Yıl 2025, Cilt: 6 Sayı: 1, 77 - 88, 21.03.2025

Öz

Aim: This study was conducted to determine the metaphors of nursing students about pain.
Metod: In this study, the phenomenology method, which is one of the qualitative research designs, was used. The research was carried out with the nursing students with the online survey method created through Google Forms. The students were asked to complete the sentence “Pain is like … because …”. Descriptive and content analysis methods were used in the evaluation of qualitative data.
Results: The data of a total of 249 students were included in the study. In this research, in line with the answers given by the participants, the categories of signs/stimulus, guilt, captive, learn one’s lesson/take a lesson, struggle, enemy, torture, inevitable end, tangle, riddle, intimidation, threat/danger, balance/scale and infinite space were created.
Conclusions: The students explained pain from different aspects. Some students mentioned its benefits for the body and stated that it gives a warning to the body. Others focused on the reason, stated that it was punishment, and talked about feelings of guilt. Some students focused on the severe symptoms they experienced while experiencing pain and stated that these symptoms tortured them. Some students likened this tormenting experience to the enemy and described the situation in between as a struggle. It is possible to see the complex and multidimensional structure of pain from the expressions of the students.

Kaynakça

  • Cohen M, Quintner J, Van Rysewyk S. Reconsidering the International Association for the Study of Pain definition of pain. Pain Reports 2018; 3(2): e634. https://doi.org/10.1097/PR9.0000000000000634
  • Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised IASP definition of pain: Concepts, challenges, and compromises. Pain 2020; 161(9): 1976. https://doi.org/10.1097/j.pain.0000000000001939
  • Rogers AH, Farris SG. A meta‐analysis of the associations of elements of the fear‐avoidance model of chronic pain with negative affect, depression, anxiety, pain‐related disability and pain intensity. European Journal of Pain 2022; 26(8): 1611-1635. https://doi.org/10.1002/ejp.1994
  • Berman AT, Snyder S, Frandsen G. Kozier & Erb's Fundamentals of Nursing. Pearson Higher Ed, 2021.
  • Malik NA. Revised definition of pain by ‘International Association for the Study of Pain’: Concepts, challenges and compromises. Anaesthesia, Pain & Intensive Care 2020; 24(5): 481-483. https://doi.org/10.1097/j.pain.0000000000001939
  • Atabek Aşti T, Karadağ A. Hemşirelik Esasları. İstanbul: Akademi Basın ve Yayıncılık, 2019.
  • Kara Kaşıkcı M, Akın E. Temel Hemşirelik Esaslar, Kavramlar, İlkeler ve Uygulamalar. 1. Baskı, İstanbul Tıp Kitabevleri. İstanbul, 2021
  • Cousins M, Lane-Krebs K, Matthews J, Johnston-Devin C. Student nurses' pain knowledge and attitudes towards pain management over the last 20 years: A systematic review. Nurse Education Today 2022; 108: 105169.
  • Chow KM, Chan JC. Pain knowledge and attitudes of nursing students: A literature review. Nurse Education Today 2015; 35(2): 366-372.
  • Genovesi C. Metaphor and what is meant: Metaphorical content, what is said, and contextualism. Journal of Pragmatics 2020; 157: 17-38.
  • Başaçık F. On philosophical metaphor. 2014. Accessed: https://acikerisim.erbakan.edu.tr/xmlui/bitstream/handle/20.500.12452/2674/FELSEF%c3%8e%20METAFOR%20%c3%9cZER%c4%b0NE.pdf?sequence=1&isAllowed=y
  • Kilic M, Oztunc G. Methods used in pain control and the role of the nurse. Fırat Journal of Health Services 2012; 7: 36-51.
  • Shorey S, Ng ED. Examining characteristics of descriptive phenomenological nursing studies: A scoping review. Journal of Advanced Nursing 2022; 78(7): 1968-1979. https://doi.org/10.1111/jan.15244
  • Creswell JW, Poth CN. Qualitative inquiry and research design: Choosing among five approaches. Sage publications, 2016.
  • Saban A. Metaphors about school. Kuram ve Uygulamada Eğitim Yönetimi 2008; 55(55): 459-496.
  • Internet: https://wordart.com/
  • Miles MB, Huberan AM. Qualitative Data Analysis: An Expanded Sourcebook. (2nd Edition). U.S.A.: SAGE Publications, 1994.
  • Cohen SP, Vase L, Hooten WM. Chronic pain: An update on burden, best practices, and new advances. The Lancet 2021; 397(10289): 2082-2097.
  • Dueñas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. Journal of Pain Research 2016; 9: 457-467. https://doi.org/10.2147/JPR.S105892
  • Leake HB, Moseley GL, Stanton TR, O'Hagan ET, Heathcote LC. What do patients value learning about pain? A mixed-methods survey on the relevance of target concepts after pain science education. Pain 2021; 162(10): 2558-2568.
  • Bullo S, Hearn JH. Parallel worlds and personified pain: A mixed‐methods analysis of pain metaphor use by women with endometriosis. British Journal of Health Psychology 2021; 26(2): 271-288.
  • Ahmadi M, Yalfani A. Do patellofemoral pain patients have higher loading rate compared to healthy indivalues? A systematic review and meta-analysis. Physical Treatments 2022; 12(1): 13-22. http://dx.doi.org/10.32598/ptj.12.1.442.2
  • Turan N, Özkan B. Pain management and nursing in İntensive care units: A phenomenological study. Turkish Journal of Medical & Surgical Intensive Care Medicine 2017; 8(3): 65-70. https://doi.org/10.5152/dcbybd.2018.1446
  • Birge AÖ, Mollaoğlu M. Pain beliefs of patients and the nonpharmacological methods they use to manage the pain. Pain 2018; 30(2): 84-92.
  • Munday I, Newton‐John T, Kneebone I. ‘Barbed wire wrapped around my feet’: Metaphor use in chronic pain. British Journal of Health Psychology 2020; 25(3): 814-830. https://doi.org/10.1111/bjhp.12432
  • Öztürk H. Historical background of “pain”. Lokman Hekim Journal 2013; Supplement(Special Issue): 26-27.
  • Çınar D, Yıldırım Y, Aykar FŞ. Nursing care of patient with cancer diagnosis according to Merle Mishel’s Theory of uncertainty in illness: A case report. Acıbadem University Health Sciences Journal 2020; 11(3): 553-559. https://doi.org/10.31067/0.2020.306
  • Bailey Jr DE, Zhang Y. Merle Mishel: Uncertainty in Illness Theory. Nursing Theorists and Their Work E-Book, 445, 2021.
  • Özcan ÇB, Keskin AY. Evaluation of fear of pain. International Congress of Science Culture and Education, 2019.
  • Cimpean A, David D. The mechanisms of pain tolerance and pain-related anxiety in acute pain. Health Psychology Open 2019; 6(2): 2055102919865161. https://doi.org/10.1177/2055102919865161
  • Wang X, Baeken C, Fang M, Qiu J, Chen H, Wu GR. Predicting trait-like individual differences in fear of pain in the healthy state using gray matter volume. Brain Imaging and Behavior 2018; 13(5): 1468-1473. https://doi.org/10.1007/s11682-018-9960-7
  • Pandya AK, Kathuria T. Death anxiety, religiosity and culture: Implications for therapeutic process and future research. Religions 2021; 12(1): 61. https://doi.org/10.3390/rel12010061

HEMŞİRELİK ÖĞRENCİLERİNİN AĞRI ALGILARI: BİR METAFOR ANALİZİ ÇALIŞMASI

Yıl 2025, Cilt: 6 Sayı: 1, 77 - 88, 21.03.2025

Öz

Amaç: Bu çalışma hemşirelik öğrencilerinin ağrıya ilişkin metaforlarını belirlemek amacıyla yapılmıştır.
Metod: Bu çalışmada nitel araştırma desenlerinden biri olan olgu bilim yöntemi kullanılmıştır. Araştırma hemşirelik öğrencileri ile Google Forms üzerinden oluşturulan online anket yöntemi ile gerçekleştirilmiştir. Öğrencilerden "Ağrı ... gibidir, çünkü ..." cümlesini tamamlamaları istenmiştir. Nitel verilerin değerlendirilmesinde betimsel ve içerik analizi yöntemleri kullanılmıştır.
Bulgular: Araştırmaya toplam 249 öğrencinin verileri dahil edilmiştir. Araştırmada katılımcıların verdikleri cevaplar doğrultusunda işaret/uyarı, suçluluk, tutsak, dersini almak/ders çıkarmak, mücadele, düşman, işkence, kaçınılmaz son, arapsaçı, bilmece, gözdağı, tehdit/tehlike, denge/terazi ve sonsuz boşluk kategorileri oluşturulmuştur.
Sonuçlar: Öğrenciler ağrıyı farklı açılardan açıklamışlardır. Bazı öğrenciler vücuda faydalarından bahsetmiş ve vücuda uyarı verdiğini belirtmiştir. Diğerleri ise nedenine odaklanmış, ceza olduğunu belirtmiş ve suçluluk duygusundan bahsetmiştir. Bazı öğrenciler ise ağrı deneyimlerken yaşadıkları şiddetli semptomlara odaklanmış ve bu semptomların kendilerine işkence ettiğini belirtmiştir. Bazı öğrenciler bu eziyet verici deneyimi düşmana benzetmiştir ve aradaki durumu bir mücadele olarak tanımlamışlardır. Öğrencilerin ifadelerinden acının karmaşık ve çok boyutlu yapısını görmek mümkündür.

Etik Beyan

Ethics committee approval from the Erciyes University (116/2023)

Destekleyen Kurum

-

Teşekkür

-

Kaynakça

  • Cohen M, Quintner J, Van Rysewyk S. Reconsidering the International Association for the Study of Pain definition of pain. Pain Reports 2018; 3(2): e634. https://doi.org/10.1097/PR9.0000000000000634
  • Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised IASP definition of pain: Concepts, challenges, and compromises. Pain 2020; 161(9): 1976. https://doi.org/10.1097/j.pain.0000000000001939
  • Rogers AH, Farris SG. A meta‐analysis of the associations of elements of the fear‐avoidance model of chronic pain with negative affect, depression, anxiety, pain‐related disability and pain intensity. European Journal of Pain 2022; 26(8): 1611-1635. https://doi.org/10.1002/ejp.1994
  • Berman AT, Snyder S, Frandsen G. Kozier & Erb's Fundamentals of Nursing. Pearson Higher Ed, 2021.
  • Malik NA. Revised definition of pain by ‘International Association for the Study of Pain’: Concepts, challenges and compromises. Anaesthesia, Pain & Intensive Care 2020; 24(5): 481-483. https://doi.org/10.1097/j.pain.0000000000001939
  • Atabek Aşti T, Karadağ A. Hemşirelik Esasları. İstanbul: Akademi Basın ve Yayıncılık, 2019.
  • Kara Kaşıkcı M, Akın E. Temel Hemşirelik Esaslar, Kavramlar, İlkeler ve Uygulamalar. 1. Baskı, İstanbul Tıp Kitabevleri. İstanbul, 2021
  • Cousins M, Lane-Krebs K, Matthews J, Johnston-Devin C. Student nurses' pain knowledge and attitudes towards pain management over the last 20 years: A systematic review. Nurse Education Today 2022; 108: 105169.
  • Chow KM, Chan JC. Pain knowledge and attitudes of nursing students: A literature review. Nurse Education Today 2015; 35(2): 366-372.
  • Genovesi C. Metaphor and what is meant: Metaphorical content, what is said, and contextualism. Journal of Pragmatics 2020; 157: 17-38.
  • Başaçık F. On philosophical metaphor. 2014. Accessed: https://acikerisim.erbakan.edu.tr/xmlui/bitstream/handle/20.500.12452/2674/FELSEF%c3%8e%20METAFOR%20%c3%9cZER%c4%b0NE.pdf?sequence=1&isAllowed=y
  • Kilic M, Oztunc G. Methods used in pain control and the role of the nurse. Fırat Journal of Health Services 2012; 7: 36-51.
  • Shorey S, Ng ED. Examining characteristics of descriptive phenomenological nursing studies: A scoping review. Journal of Advanced Nursing 2022; 78(7): 1968-1979. https://doi.org/10.1111/jan.15244
  • Creswell JW, Poth CN. Qualitative inquiry and research design: Choosing among five approaches. Sage publications, 2016.
  • Saban A. Metaphors about school. Kuram ve Uygulamada Eğitim Yönetimi 2008; 55(55): 459-496.
  • Internet: https://wordart.com/
  • Miles MB, Huberan AM. Qualitative Data Analysis: An Expanded Sourcebook. (2nd Edition). U.S.A.: SAGE Publications, 1994.
  • Cohen SP, Vase L, Hooten WM. Chronic pain: An update on burden, best practices, and new advances. The Lancet 2021; 397(10289): 2082-2097.
  • Dueñas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. Journal of Pain Research 2016; 9: 457-467. https://doi.org/10.2147/JPR.S105892
  • Leake HB, Moseley GL, Stanton TR, O'Hagan ET, Heathcote LC. What do patients value learning about pain? A mixed-methods survey on the relevance of target concepts after pain science education. Pain 2021; 162(10): 2558-2568.
  • Bullo S, Hearn JH. Parallel worlds and personified pain: A mixed‐methods analysis of pain metaphor use by women with endometriosis. British Journal of Health Psychology 2021; 26(2): 271-288.
  • Ahmadi M, Yalfani A. Do patellofemoral pain patients have higher loading rate compared to healthy indivalues? A systematic review and meta-analysis. Physical Treatments 2022; 12(1): 13-22. http://dx.doi.org/10.32598/ptj.12.1.442.2
  • Turan N, Özkan B. Pain management and nursing in İntensive care units: A phenomenological study. Turkish Journal of Medical & Surgical Intensive Care Medicine 2017; 8(3): 65-70. https://doi.org/10.5152/dcbybd.2018.1446
  • Birge AÖ, Mollaoğlu M. Pain beliefs of patients and the nonpharmacological methods they use to manage the pain. Pain 2018; 30(2): 84-92.
  • Munday I, Newton‐John T, Kneebone I. ‘Barbed wire wrapped around my feet’: Metaphor use in chronic pain. British Journal of Health Psychology 2020; 25(3): 814-830. https://doi.org/10.1111/bjhp.12432
  • Öztürk H. Historical background of “pain”. Lokman Hekim Journal 2013; Supplement(Special Issue): 26-27.
  • Çınar D, Yıldırım Y, Aykar FŞ. Nursing care of patient with cancer diagnosis according to Merle Mishel’s Theory of uncertainty in illness: A case report. Acıbadem University Health Sciences Journal 2020; 11(3): 553-559. https://doi.org/10.31067/0.2020.306
  • Bailey Jr DE, Zhang Y. Merle Mishel: Uncertainty in Illness Theory. Nursing Theorists and Their Work E-Book, 445, 2021.
  • Özcan ÇB, Keskin AY. Evaluation of fear of pain. International Congress of Science Culture and Education, 2019.
  • Cimpean A, David D. The mechanisms of pain tolerance and pain-related anxiety in acute pain. Health Psychology Open 2019; 6(2): 2055102919865161. https://doi.org/10.1177/2055102919865161
  • Wang X, Baeken C, Fang M, Qiu J, Chen H, Wu GR. Predicting trait-like individual differences in fear of pain in the healthy state using gray matter volume. Brain Imaging and Behavior 2018; 13(5): 1468-1473. https://doi.org/10.1007/s11682-018-9960-7
  • Pandya AK, Kathuria T. Death anxiety, religiosity and culture: Implications for therapeutic process and future research. Religions 2021; 12(1): 61. https://doi.org/10.3390/rel12010061
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik Esasları
Bölüm Araştırma Makaleleri
Yazarlar

Sevda Korkut 0000-0002-5841-691X

Türkan Ülker 0000-0002-7756-5021

Yayımlanma Tarihi 21 Mart 2025
Gönderilme Tarihi 3 Kasım 2023
Kabul Tarihi 29 Ekim 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 6 Sayı: 1

Kaynak Göster

APA Korkut, S., & Ülker, T. (2025). Nursing Students’ Perceptions Of Pain: A Metaphor Analysis. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, 6(1), 77-88.
AMA Korkut S, Ülker T. Nursing Students’ Perceptions Of Pain: A Metaphor Analysis. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. Mart 2025;6(1):77-88.
Chicago Korkut, Sevda, ve Türkan Ülker. “Nursing Students’ Perceptions Of Pain: A Metaphor Analysis”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 6, sy. 1 (Mart 2025): 77-88.
EndNote Korkut S, Ülker T (01 Mart 2025) Nursing Students’ Perceptions Of Pain: A Metaphor Analysis. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 6 1 77–88.
IEEE S. Korkut ve T. Ülker, “Nursing Students’ Perceptions Of Pain: A Metaphor Analysis”, YOBÜ Sağlık Bilimleri Fakültesi Dergisi, c. 6, sy. 1, ss. 77–88, 2025.
ISNAD Korkut, Sevda - Ülker, Türkan. “Nursing Students’ Perceptions Of Pain: A Metaphor Analysis”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 6/1 (Mart 2025), 77-88.
JAMA Korkut S, Ülker T. Nursing Students’ Perceptions Of Pain: A Metaphor Analysis. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. 2025;6:77–88.
MLA Korkut, Sevda ve Türkan Ülker. “Nursing Students’ Perceptions Of Pain: A Metaphor Analysis”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, c. 6, sy. 1, 2025, ss. 77-88.
Vancouver Korkut S, Ülker T. Nursing Students’ Perceptions Of Pain: A Metaphor Analysis. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. 2025;6(1):77-88.