Critical care nurses' use of non-pharmacological pain management methods in Egypt

Khalil, Nahla Shaaban

doi:10.1016/j.apnr.2018.09.001

Cited by 26 publications

(48 citation statements)

References 22 publications

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“…pain management methods This finding is similar with research done in Egypt [21]. This similarity indicates that even the educational level of nurses has been increased, their practice on non-pharmacological pain management methods is low rather their attitude matters for their implementation.…”

Section: Plos Onesupporting

confidence: 86%

Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

2021

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Background Pain is an unpleasant sensory and emotional experience associated with or resembling that actual or potential tissue damage. Different study findings show that about 55% to 78.6% of inpatients experience moderate-to-severe pain. Nurses are one of the health professional who may hear of pain suffered by the patients and who can manage patient suffering by themselves. Therefore, their correct skill is very important in non- pharmacology and pharmacology pain management methods. Objective To assess non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia. Methods Data were collected using structured observational check list with interviewer administered questionnaires that measure nurses’ practice on non-pharmacological pain management. Data were entered using Epi Data version 3.1 and analyzed using SPSS (Stastical Package for Social Sciences) version 23. Bivariable and multivariable analysis were conducted to examine the association between independent and outcome variables. Results A total of 169 nurses participated in the study, with a response rate of 100%. Among the study participants 94 (55.6%) were females, and the mean age of nurses were 34.9(SD = 5.7) years. Only 44(26%) of nurses had good practice on non- pharmacology pain management methods. About 130(77.55%), 125(74.0%), and 123(72.8%) of nurses reported that inadequate cooperation of physicians, multiple responsibilities of nurses and insufficient number of nurses per patient ratio as barriers for practice of non -pharmacology pain management respectively. Conclusion Majority of nurses didn’t apply non-pharmacological pain management practices for their patients in pain and the overall practice level of nurses was very poor. The major identified obstacle factors for the poor practice of non–pharmacological pain management methods were nurses’ fatigue, inadequate cooperation of physicians, heavy workload, multiple responsibilities of nurses, and insufficient number of nurses per patient ratio and unfavorable attitude of nurse on non-pharmacology pain management. Even if nurses experiences different challenges, they shall use non‐pharmacological pain management methods complementary to pharmacological treatment of pain as they are low cost and safe. And also boosting nurse’s attitude towards the effect of non–pharmacological pain management methods is crucial.

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Section: Plos Onesupporting

confidence: 86%

Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

2021

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“…Khalil asked 60 critical care nurses working in the ICU in Cairo Egypt about what nonpharmacological interventions they applied during daily care for their patients (Khalil, ). The nurses answered based on a 16‐item premade list.…”

Section: Resultsmentioning

confidence: 99%

“…Emotional support, also suggested by Gelinas et al (), was defined as providing attention and information to patients and was used as a control by Patterson et al, as a parallel arm to hypnosis. Therapies from the categories of “help with daily activities” or “creating a comfortable environment” were only mentioned in one interview study by Khalil (). A reason for limited use can be that while nurses may integrate this in their care, they do not do so specifically to alleviate pain.…”

Section: Discussionmentioning

confidence: 99%

Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review

Sandvik

Olsen

Rygh

et al. 2020

Journal of Clinical Nursing

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Aims and Objectives: To describe what is known from the existing literature on nonpharmacological interventions targeting pain in patients admitted to the ICU. Background: Patients receiving intensive care nursing are exposed to a wide range of pain provoking tissue damage, diseases, surgery and other medical procedures in addition to the pain caused by nursing care procedures. The present shift to light sedation to improve patient outcomes and comfort underscores the need for effective pain management. Opioids are the mainstay for treating pain in the ICUs, whereas nonpharmacological treatments are understudied and possibly under-used. Method: A scoping review was undertaken using five of the six steps in the Arksey and O´Malley framework: (a) identification of the research question, (b) identification of relevant studies, (c) study selection, (d) charting the data and (e) collating, summarising and reporting the results. CINAHL, MEDLINE, PubMed, BMJ Best Practice, British Nursing Index and AMED databases were searched using relevant keywords to capture extensive evidence. Data were analysed using the six-step criteria for scoping reviews suggested by Arksey and O´Malley for data extraction. To ensure quality and transparency, we enclosed the relevant Equator checklist PRISMA. Results: Our search yielded 10,985 articles of which 12 studies were included. Tools for pain assessments were VAS, NRS, ESAS and BPS. Interventions explored were hypnosis, simple massage, distraction, relaxation, spiritual care, harp music, music therapy, listening to natural sounds, passive exercise, acupuncture, ice packs and emotional support. Reduction in pain intensity was conferred for hypnosis, acupuncture and natural sounds. Conclusion: The findings support further investigations of acupuncture, hypnosis and listening to natural sounds. Relevance to Clinical Practice: The main finding suggests the use of comprehensive multimodal interventions to investigate the effects of nonpharmacological treatment protocols on pain intensity, pain proportion and the impact on opioid consumption and sedation requirements. | 1489 SANDVIK et Al.

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“…Terapi yang diberikan oleh peneliti pada kelompok perlakuan tergolong dalam terapi hipnosis. Terapi hipnosis adalah kondisi yang memfokuskan kesadaran pada hal spesifik yang dicapai sendiri atau dipandu oleh hipnoterapis (Khalil, 2018 Sistem saraf otonom terdiri sendiri terdiri dari sistem saraf simpatis dan sistem saraf parasimpatis. Sistem saraf simpatetis bekerja untuk meningkatkan rangsangan atau memacu organ-organ tubuh, memacu meningkatnya denyut jantung dan pernafasan, menimbulkan penyempitan pembuluh darah tepi dan pembesaran pembuluh darah pusat, menurunkan temperatur kulit dan daya tahan kulit, serta akan menghambat proses digestif dan seksual.…”

Section: Tekanan Darah Sistolikunclassified

Vital Sign Status by Five Fingers Auditori Hypnosis

Wahyudi

Hidayati

Bakar

2019

CMSNJ

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Introduction: Five-finger hypnosis is a relaxation technique that can provide a relaxing and calming effect by recalling pleasant experiences that have been experienced so that they can have a positive effect on the vital-sign of respondents with fractures. The purpose of this study was to determine the effect of the influence of five-finger hypnosis auditory on vital signs: blood pressure, pulse frequency, respiratory frequency, and pain in clients with limb fractures. Method: This research uses quasi-experiment with post test only non-equivalent control group design. The total population is 57 patients and 54 respondents were obtained with consecutive sampling. The independent variable is a five-finger hypnosis auditory intervention and the dependent variable is systolic blood pressure, diastolic, frequency of frequency, respiratory frequency, and pain. Data were obtained from the Numeric Rating Scale (NRS) and observation sheets. Then the data were analyzed by the Mann-Whitney U Test. Result: There were differences between the treatment and control groups on systolic (p=0.002), diastolic (p=0.003), pulse frequency (p=0.003), respiratory frequency (p=0.000) and pain (p=0.001). Discussion: So the hypnosis auditory as a relaxation technique can have a positive influence on the respondent's vital sign which includes systolic blood pressure, diastolic, pulse frequency, respiratory frequency, and pain. It is expected that nurses can apply this therapy as a non-pharmacological therapy to patients with extremity fractures and other researchers can apply to patients with all types of fractures as well as the development of cultural cultures.

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Critical care nurses' use of non-pharmacological pain management methods in Egypt

Cited by 26 publications

References 22 publications

Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

Non-pharmacological pain management practice and barriers among nurses working in Debre Tabor Comprehensive Specialized Hospital, Ethiopia

Pain relief from nonpharmacological interventions in the intensive care unit: A scoping review

Vital Sign Status by Five Fingers Auditori Hypnosis

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