Decision making in pain management using the model of sequential trials

Amy Laufer Kenefick, Dena Schulman-Green, Ruth McCorkle

Research output: Contribution to journalArticlepeer-review


This article describes the use of nursing art to solve problems related to the management of pain in cognitively impaired persons who live in nursing homes. The result of naturalistic inquiry, the Model of Sequential Trials arose from a qualitative study of the beliefs, experiences, and behaviors of nurses managing pain in this context. The model illustrates a strategic process of evaluation, trials, reevaluation, and repeated trials that demonstrates the rationale and process underlying nursing management of pain. Future research is needed to evaluate the model's usefulness in other practice settings and in teaching clinical decision making.

Original languageEnglish (US)
Pages (from-to)175-184
Number of pages10
JournalAlzheimer's Care Quarterly
Issue number3
StatePublished - Jul 2006


  • Clinical decision making
  • Cognitive impairment
  • Nursing art
  • Pain

ASJC Scopus subject areas

  • General Neuroscience
  • Neuropsychology and Physiological Psychology
  • Gerontology
  • Geriatrics and Gerontology


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