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Journal of Research in Nursing, Vol. 10, No. 4, 403-423 (2005)
DOI: 10.1177/174498710501000404

A multinational study of pain management among Hispanics

An evidence-based approach

Gwen Sherwood, PhD, RN, FAAN

The University of Texas Houston School of Nursing

Jeanette A. McNeill, DrPH, NP-C, AOCN

The University of Texas Health Science Center

Lesbia Hernandez, Pharm D, MPH

University of Puerto Rico

Isabel Penarrieta, PhD, MS

Universdad Autonoma de Tamaulipas, Faculty of Nursing Tampico, Mexico

Jeannie M. Petersen, BBA, BS

University of Texas School of Nursing at Houston

A multinational project involving pain research teams from three countries examined pain management outcomes in Hispanics. The limited research on pain management outcomes in Hispanics are primarily from the USA, lacking the distinct multinational cultural influences. This article compares the descriptive analysis of the post-operative pain experience of Hispanics in the USA, Puerto Rico and Mexico and tests the reliability of a new Spanish language instrument, the Cuestionario de Houston Sobre el Dolor (Houston Pain Outcome Instrument, HPOI).

There were similarities in expectations related to pain relief, proportion of patients reporting worst pain, usual pain and pain-related interference with function. Significant differences were found on adequacy of pain management. Participants reported high use of non-pharmacologic approaches, particularly prayer and family support. The newly developed instrument indicated acceptable reliability in all settings, Chronbach’s Alpha > 0.75, with some variability by study site. Further cross-ethnic and multinational research are needed to provide culturally relevant evidence-based practice models to overcome barriers and reduce disparity.

Key Words: Hispanic • pain management outcomes • multinational pain research


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