Nurses Knowledge Regarding Post-operative Pain Management

Zeb, Aurang; Farhana,; Jewewria,; Marym,; Bi, Uzma Nadra Bi

doi:10.4172/2472-1654.100151

Cited by 9 publications

(10 citation statements)

References 11 publications

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“…In the current study, one of the most incorrectly answered question by most respondents 255 (64.6%) was the item which states “most accurate judge of the intensity of the patient’s pain”. This is in contrast to a study conducted in Pakistan29 in which most of the respondents (78.3%) correctly respond patents’ own statements should be accepted as the single most reliable indicator of the presence and intensity of pain. This might be due to in their study, respondents involved in workshops related to postoperative pain management which has a positive impact on their knowledge of how to judge patients' pain.…”

Section: Discussioncontrasting

confidence: 99%

<p>Knowledge and Attitudes of Ethiopian Nursing Staff Regarding Post-Operative Pain Management: A Cross-Sectional Multicenter Study</p>

Dessie

Asichale

Belayneh

et al. 2019

PROM

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Background: Pain management is one part of management in the postoperative period. The prevalence of moderate to severe postoperative pain and its functional interference is high in Ethiopian patients. In this study we aimed (1) to assess nurses' knowledge and attitudes regarding post-operative pain management; (2) to identify the factors of nurses' knowledge and attitudes. Method: A cross-sectional multicenter study was conducted. All nurses working in Amhara region referral hospitals were involved in the study. The Nurses' Knowledge and Attitudes Survey Regarding Pain (NKASRP) was used to measure the nurses' pain management knowledge and attitudes. Bivariable and multivariable logistic regression was used to identify factors associated with knowledge and attitude. Results: A total of 433 nurses were included. Of the total respondents, 90.6% of them had a bachelor's degree with work experience of between 1 to 5 years (58.5%). Only 76 (19.2%) participants got access to read journals and 66 (16.7%) had taken training regarding postoperative pain management. The results showed that 56.5% [95% CI= (51.6-61.3)] respondents had adequate knowledge and 8.9% [95% CI= (6.1-11.6)] of them had positive attitudes towards POP management. Higher level of education [AOR=8.2; CI= (2.51-26.83)], getting access to read journals [AOR =1.83; CI= (1.01-3.30)], and taking POP management training [AOR=8.63; CI= (3.67-20.28)] were statistically associated with adequate knowledge. Similarly, positive attitude towards postoperative pain management was associated with taking POP management training, available of pain management course in the curriculum, and getting access to read. Conclusion: Although more than half of nurses in the study area had adequate knowledge towards POP management, only a small number had a positive attitude. Taking POP management training and getting access to read journals were significantly associated with good knowledge and attitude towards POP management; therefore, regular in-service training and getting accessing reading materials (such as journals or articles) are recommended to enhance quality service to patients.

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Section: Discussioncontrasting

confidence: 99%

<p>Knowledge and Attitudes of Ethiopian Nursing Staff Regarding Post-Operative Pain Management: A Cross-Sectional Multicenter Study</p>

Dessie

Asichale

Belayneh

et al. 2019

PROM

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“…e study aimed at evaluating nurses' knowledge, practices, and barriers to paediatric pain management at the largest In this study, the majority of the nurses demonstrated good knowledge with regard to paediatric pain management. Several studies have corroborated our findings where the majority of the nurses in their respective studies reported good knowledge in paediatric pain management [18][19][20] in Bangladesh, the United Kingdom, and Pakistan, respectively. Despite the overall good knowledge score in the current study, the majority of the nurses demonstrated poor knowledge with regard to pain assessment and the use of analgesics in pain management among children.…”

Section: Discussionsupporting

confidence: 85%

Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study

Wuni

Salia

Ibrahim

et al. 2020

Pain Research and Management

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Background. Pain is a major source of distress for children on admission, parents, and clinician. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse’s role. Adequate knowledge and positive practices of nurses regarding pain management among children are key if optimal pain management is to be achieved among paediatric cases. However, there is a paucity of published data on paediatric management among nurses in the northern part of Ghana. Aim. The current study, therefore, evaluated nurse’s knowledge and practices and identified the barriers to paediatric pain management in the Tamale Teaching Hospital, Ghana. Methodology. This was a descriptive cross-sectional facility-based study that employed a quantitative approach to data collection. A total of 180 nurses were selected conveniently from 10 selected wards of the hospital for the study. Data were collected using a questionnaire. The data were subsequently analyzed using the Statistical Package for Social Sciences version 23.0. Logistic regression analysis was done to determine the association between the dependent and independent variables of interest. Results. The findings revealed that the majority (61.1%) of all the nurses had an overall good knowledge of paediatric pain management while 57.8% demonstrated good practices of pain management. From the study, the most reported barriers to paediatric pain management by the nurses were insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate staffing (72.2%). In further analysis, critical care nurses were 5.87 times more likely to engage in good practices of paediatric pain management than paediatric nurses (OR = 5.87 (95% CI : 1.07–32.00), p = 0.041 ). Conclusion. The majority (61.1%) of all the respondents showed good knowledge of pain management and 57.8% demonstrated good pain management practices. Despite the high knowledge and practice, factors such as insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate nurse staffing (72.2%) affect effective pain management. Paediatric pain management should be treated as a priority, and hence more efforts should be put in place to curtail the barriers that hinder its practice.

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“…Percentage scores in these categories were: poor (0%); average (6.7%); good (71.7%); and excellent (21.7%). [17] These two studies are in agreement with the fact that there is overall fairly good knowledge among nurses about postoperative pain management, but an ideal situation is yet to be achieved.…”

Section: Discussionsupporting

confidence: 70%

“…An adapted version of the Knowledge and Attitudes Survey Regarding Pain (KASRP) instrument was used to test the knowledge of nurses, and found that 64% nurses had adequate knowledge on postoperative pain management, but suggested that the knowledge level need to be improved upon. [16] In the same year, a study [17] was carried out on nurses' knowledge regarding postoperative pain management in a hospital in Peshawar, Pakistan. The study included nurses working at the bedside in postoperative units of the hospital.…”

Section: Discussionmentioning

confidence: 99%

Effect of a teaching programme on knowledge of postoperative pain management among nurses at Lagos University Teaching Hospital, Nigeria

Olawale

Olorunfemi

Oyewole

et al. 2020

AJHPE

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Postoperative pain is a common, predictable and expected experience following surgery, and if not adequately managed leads to delayed postoperative recovery, poor prognosis, increased mortality and morbidity and increased risk for pain becoming chronic. [1] This can lead to a decline in the patient's functionality and productivity, and consequently have a negative effect on their quality of life. [2] The relief of pain has been and remains one of the major campaigns in the health sector, but regardless of this, studies continue to reveal poor and ineffective postoperative pain management by healthcare providers. [3] This problem has been identified in underdeveloped, developing and developed countries: it is a global challenge. The Institute of Medicine in 2010 described quality in healthcare as 'the degree of healthcare provided to patient populations sufficient to improve their desired health outcomes'. [4] They identified six basic steps to high-quality healthcare: care must be effective; safe and reliable; patient-centred; efficient; timely; and equitable. Adequate pain management has consequently been described as: conducting a detailed clinical assessment of pain, periodically reassessing the patient's responses to pain treatment, and developing a modality of care that is safe, involves the patient and his or her family members and is culturally consistent and developmentally appropriate. [5] Quality pain management training is important in ensuring effective patient care, and this can be achieved by empowering nurses with adequate knowledge and skills needed for the provision of quality postoperative pain management. [6] The drive to improve postoperative pain management has been in place for some time, but nurses continue to experience challenges in this area of practice. [7] Accreditation of healthcare organisations in 2000 specifically demands pain assessment and documentation, staff education in pain management and competency assessments, adequate pain control to allow functional rehabilitation, and education of patients and families on pain and symptom management. [7,8] The fact, however, remains that most professions have neglected the concept of pain in their curriculum at undergraduate level and even during clinical practice. [9] The reported undermanaged postoperative pain in different studies has affected institutions adversely, and contributes to decreased patient satisfaction and longer impaired mobility and hospital stay, increased morbidity and mortality and, consequently, poorer quality of life. [10-12] Poor management of postoperative acute pain can contribute to medical complications including pneumonia, deep vein thrombosis, infection and delayed healing, as well as the development of chronic pain. It is therefore important that all patients undergoing surgery should receive adequate pain management. However, evidence suggests this is not currently the case: between 10% and 50% of patients develop complications related to Background. Postoperative pain management is a way of reducing or e...

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Nurses Knowledge Regarding Post-operative Pain Management

Cited by 9 publications

References 11 publications

<p>Knowledge and Attitudes of Ethiopian Nursing Staff Regarding Post-Operative Pain Management: A Cross-Sectional Multicenter Study</p>

<p>Knowledge and Attitudes of Ethiopian Nursing Staff Regarding Post-Operative Pain Management: A Cross-Sectional Multicenter Study</p>

Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study

Effect of a teaching programme on knowledge of postoperative pain management among nurses at Lagos University Teaching Hospital, Nigeria

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