Implementation and evaluation of a pain management core competency education program for surgical nurses

Abstract

Objective To investigate the effect of a pain management core competency education program on surgical nurses’ pain knowledge and pain management nursing practice behaviors. Methods An 8-h education program focused on pain management core competency was provided twice in two weeks including the multidimensional nature of pain, pain assessment, pharmacological and non-pharmacological management, and knowledge application was developed and implemented for surgical nurses by a multidisciplinary team. Multimodal teaching approaches such as didactic teaching and vignettes of cases for nurses to discuss were used. The Clinical Pain Knowledge Test (CPKT) was completed by 135 and 107 nurses from 17 surgical wards pre and post-program, respectively. Two hundred and three patients’ medical records were randomly sampled according to the number of operations in each ward one week before and in the fifth week after the intervention, respectively. Documentation of patients’ postoperative pain management nursing practice behaviors and pain intensity scores were collected. Results After the intervention, the CPKT scores of nurses significantly increased from 45.6% ± 12.3% to 54.2% ± 10.2% ( t = 5.786, P < 0.001). Nurses’ postoperative pain management nursing practice improved, with proportion of pain assessment documentation increased from 59.6% (121/203) to 74.9% (152/203) ( χ 2 = 10.746, P = 0.001), those using pain intensity assessment tools increased from 81.8% (99/121) to 95.4% (145/152) ( χ 2 = 13.079, P < 0.001), and intramuscular injection of nonopioids decreased from 12.6% (13/103) to 2.7% (3/111) ( χ 2 = 7.598, P = 0.006). Patients’ average worst pain score on the operation day significantly decreased ( Z = −2.486, P = 0.013), and scores from the first to the third postoperative day also decreased ( Z = −2.172, P = 0.030). Conclusions Implementation of a pain management core competency education program for surgical nurses can increase their knowledge of core competencies of pain management, improve selected pain management practices, and decrease patients’ postoperative pain intensity.

The Effective of Pain Resource Nurse Program on Knowledge toward Pain Management of Nurses at Hai Duong Provincial General Hospital, Vietnam

“…The results showed that nurse's knowledge in the intervention group increase 11% (p=0,009) compared to the time before the intervention [25] . In addition, other semi-empirical studies were conducted in China also found that nurses who had received pain management education had significantly higher mean knowledge scores than before intervention (45.6% ± 12.3% to 54 .2% ± 10.2% ((t = 5.786, p < 0.001) [26] .…”

Effect of comprehensive nursing intervention on wound pain and wound complications in patients with tonsillectomy: A meta‐analysis

“…Many tonsillectomy patients are reluctant to eat or eat less after surgery due to pain, which affects their nutritional intake, and insufficient nutritional intake not only affects the patient's recovery and increases the probability of complications, but also prolongs the patient's hospitalisation time and increases hospitalisation costs 6 . With the development of nursing, the role of nursing in the management of postoperative pain has gradually gained clinical recognition 31 . Although conventional postoperative nursing care can help patients recover after surgery, it still fails to achieve satisfactory results in relieving postoperative pain, improving nursing satisfaction and shortening the total length of hospital stay 32 .…”

“…6 With the development of nursing, the role of nursing in the management of postoperative pain has gradually gained clinical recognition. 31 Although conventional postoperative nursing care can help patients recover after surgery, it still fails to achieve satisfactory results in relieving postoperative pain, improving nursing satisfaction and shortening the total length of hospital stay. 32 As the comprehensive postoperative nursing is more targeted to the patient's care service, it makes up for the shortcomings of conventional care.…”

Wireless Pressure Sensor Assisted Orthopedic Nursing Effectiveness Evaluation

“…It can not only observe tissue edema and vessel diameter, but also dynamically observe arterial pulsation and fascial tissue elasticity changes. Related scholars have studied the pulsed phase-locked loop ultrasound instrument to observe the fascia displacement waveform of the arterial blood pressure pulse to estimate the pressure of the osteofascial compartment [8]. The correlation between the degree of fascia displacement in the osteofascial compartment and the perfusion pressure was confirmed by the researchers through noninvasive ultrasound.…”