Nurses’ Knowledge, Practice, And Associated Factors Towards Postoperative Pediatric Pain Management in Selected Public Hospitals, Addis Ababa, Ethiopia, 2022. Cross-Sectional Study

Abstract

Background: Pain is a leading cause for an individual to visit health care. Among pain, post-operative pediatric pain is a highly reported pain with poor outcomes among pediatric populations. For these poor outcomes, the contribution of nurses is significant as they are frontline in its management. So, this study aimed to determine nurses’ knowledge and practice toward postoperative pediatric pain management. Methods: An Institutional based cross-sectional study was conducted on february15-March 15 and a purposive sampling technique was applied. A total of 245 nurses were involved from selected public hospitals. Data was collected by using self –administered structured questionnaire and after data collection, it was coded and then entered into the Epi Data Version 4.6 software and exported to the statistical product and service solutions (SPSS) Version 25 software for analysis. Bivariate and multivariate logistic regressions were done to identify factors that are associated with knowledge, and practice of postoperative pediatric pain management of nurses. Results: The study showed that 42.5% of all the nurses had an overall good knowledge of postoperative pediatrics pain management while 38.1% had good practice of postoperative pediatrics pain management.It was found that, educational level; Diploma (AOR=0.04 [95% CI, 0.008-0.22]), BSc (AOR=0.107 [95% CI, 0.03-0.38]), year of nursing services; less than five years (AOR=0.009 [95% CI, 0.001-0.11]), pediatric pain management contents included in nursing curriculum (AOR= 5.96 [95% CI, 2.45-14.51]) and training (AOR=7.16 [95% CI, 2.33-22.04]) had significantly associated with nurses’ knowledge and practice towards postoperative pain management at < 0.05 p-value. Conclusions: This study emphasized the importance of improved educational levels and on-site/ off-site training for nurses as it ensures improved pain management.

Knowledge of Evidence-Based Practice and Associated Factors Among Nurses Working in Public Hospitals of Eastern Ethiopia

“…Males were 3.26 instances much more likely to have good knowledge of evidence-based practice compared to ladies. It became comparable with other studies performed in southern Ethiopia (5), that said lady nurses were less in all likelihood to be informed than men [5]. This might be related to much less involvement of females in training and positions in developing international nations.…”

“…The sample was calculated through the usage of the single population proportion method. The subsequent assumptions were taken into consideration; 95% confidence level, 54.7% proportion of knowledge about evidence-based practice, and 5% marginal error as follows [5].…”

“…Each question has four scales (o (zero) for none, 1 for low, 2 for medium, and three for high). Then, individual scores become computed, recoded, and in the end, classified as good knowledge (if scored mean and above) or poor knowledge (if scored underneath mean) [5].…”

“…statistics was collected through the use of an established, pretested, and self-administered that changed into tailored and changed from preceding research [1,5,7,11]. The reliability took a look at the usage of Cronbach's Alpha test and it was 0.886.…”

“…Researchers have argued that everyday practice in nursing care is motivated more by culture, instinct, and revel in and less through scientific research. Research revealed that nurses` knowledge of evidence-based practice was low [1,[5][6][7][8].…”