Pain Knowledge and Attitudes of Healthcare Providers: Practice Characteristic Differences

Lebovits, Allen H.; Florence, Isaiah; Bathina, Ramesh; Hunko, Veronica; Fox, Mary; Bramble, Celia Y.

doi:10.1097/00002508-199709000-00009

Cited by 118 publications

(116 citation statements)

References 24 publications

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“…In healthcare teams, cognitive diversity may be reflected in differences between members regarding knowledge of the patient or clinical situation, as well as experience of potential solutions to clinical problems. For example, in a study of knowledge related to pain, researchers found consistent and significant differences between healthcare professionals relating to indicators of pain as well as effects of subsequent drug administration and addiction risk (Lebovits et al, 1997). These knowledge differences are likely to generate dissimilar perceptions related to, for example, preferred solutions, which engender discussion of associated suggestions and motivate members to justify their own viewpoint and argue against those of others.…”

Section: Cognitive Diversity and Debate In Multidisciplinary Teamsmentioning

confidence: 99%

Balancing cognitive diversity and mutual understanding in multidisciplinary teams

Mitchell

Boyle

O’Brien

et al. 2017

Health Care Manage Rev

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Background: Interprofessional health care teams are increasingly utilized in health care organizations. Although there is support for their capacity to solve complex problems, there is also evidence that such teams are not always successful. In an effort to understand the capacity of interprofessional teams to innovate successfully, we investigate the role of cognitive diversity to establish whether and how knowledge differences lead to innovation. Purposes: The aim of this study was to construct and investigate a model of team innovation predicted by cognitive diversity. In addition to investigating the direct impact of cognitive diversity in interprofessional health care teams, we develop a model incorporating mediated and moderated effects. In this study, we explore the role of debate as a mediating factor capable of explaining the impact of cognitive diversity on innovation. We further propose that the link between cognitive diversity and innovation through debate is contingent upon trans-specialist knowledge, knowledge shared by health care professionals, spanning specialist divides and enabling mutual understanding. Methodology: The hypotheses were investigated using a cross-sectional, correlational design. Survey data received from 75 interprofessional teams employed in an acute care setting, representing a 36% response rate, were used to investigate our model. Findings: Analysis supports a significant relationship between cognitive diversity and debate, which is stronger when teams rate highly for trans-specialist knowledge. Results also support a positive relationship between debate and innovation and our full moderated mediated pathway. Practice Implications: A range of strategies are indicated by our results to increase innovation in interprofessional teams. In particular, interventions such as interprofessional education and training, which have been shown to facilitate the development of shared language and meaning, are recommended by our findings.

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Section: Cognitive Diversity and Debate In Multidisciplinary Teamsmentioning

confidence: 99%

Balancing cognitive diversity and mutual understanding in multidisciplinary teams

Mitchell

Boyle

O’Brien

et al. 2017

Health Care Manage Rev

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“…These includes: attention given to and assessment of pain (Items 1, 4,6,11,12,13,15,16,21); Opioid related issues (Items 2, 5,8,10,17,18,19,20); General principles of pain management (Items 3,4,7,16,22); Pain management issues in children (Items 8 and 9); and Non-pharmacologic aspect of pain management (Item 14). As it is vividly seen some of the items are multidimensional assessing more than one domain of pain and its management.…”

Section: Study Toolsmentioning

confidence: 99%

“…The fact that pain management is one of the most important aspects of patient care and is most relevant to all nurses emphasize that the responsibility that rest on the shoulders of nurses for the comfort of patients far greater than that of other medical staffs (5).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, nurses should have a solid foundation of knowledge about pain management and develop a positive attitude towards it to assess patients' condition and to deliver individualized care to each one so as to reduce discomfort and enhance the quality of life Several studies in both developed (5,(8)(9)(10)(11)(12)(13)(14)(15)(16) and developing (17) countries that assessed the knowledge of nurses regarding pain and its management demonstrated deficiency has been noted in the area of attention given to and assessment of pain, opioid related issues, general principles of pain management, pain management in children; and non-pharmacologic aspect of pain management.…”

Section: Introductionmentioning

confidence: 99%

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Pain knowledge and attitude: a survey among nurses in 23 health institutions in Western Ethiopia

Woldehaimanot¹,

Saketa²,

Zeleke³

et al. 2014

Gaziantep Med J

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Effective pain management requires a sound knowledge of pain and its treatment. Researches indicated that inadequate knowledge and inappropriate attitudes of nurses regarding pain management have a significant impact of treatment and patient care. The aim of this study was to assess the level of knowledge and attitude among health care professionals in Anfillo Woreda health centers and private small clinics in West Ethiopia. A cross-sectional survey was used to self-administer four Likert scales validated and adopted 22 pain related items by 89 nurses of three health centers and twenty small clinics. Descriptive data analyses were used. Itemtotal correlation and Cronbach's alpha were computed. The overall mean correct answer for all the 22 items was 49.8%; meaning health care providers were able to correctly answer 49.8% of items on average. Besides, only 3.8% of them scored above the passing score of 70%. The widespread pain related misconceptions identified is of concern demanding continuing education for nurses and pain management quality improvement initiatives so as to alleviate the consequences of poor knowledge and inappropriate attitude towards pain management. Keywords: Attitudes; knowledge; nurse; pain management Özet Etkili ağrı yönetimi, sağlam bir ağrı bilgisi ve tedavisini gerektirir. Araştırmalar, ağrı yönetimi konusunda yetersiz bilginin ve hemşirelerin uygunsuz yaklaşımların, tedavi ve hasta bakımında önemli bir etkiye sahip olduğunu göstermiştir. Bu çalışmanın amacı, Batı Etiyopya'da bulunan özel, küçük kliniklerde ve Anfillo Woreda sağlık merkezlerinde sağlık bakımı profesyonellerin arasında bilgi ve yaklaşım seviyesini değerlendirmektir. Kesitsel ankette, 3 sağlık merkezi ile 20 küçük kliniğin 89 hemşiresi tarafından onaylanan ve benimsenen 22 ağrı ile ilgili maddeleri içeren kendi kendine uygulanan 4 Likert skalası kullanıldı. Tanımlayıcı data analizleri kullanıldı. Madde toplam korelasyon ve Cronbach alfa hesaplandı. Tüm 22 madde için doğru cevabın genel ortalaması %49.8 idi; yani ortalama olarak maddelerin %49.8'ini sağlık bakımı sağlayıcıları doğru olarak cevaplandırdı. Ayrıca, bunların sadece %3.8'i, geçme skoru olan %70'in yukarısında skor almıştır. Yaygın ağrı ile ilgili saptanmış yanlış kavramlar, ağrı yönetimine karşı uygunsuz yaklaşım ve yetersiz bilginin sonuçlarını hafifletmek için ağrı yönetimi kalite iyileştirme girişimleri ve hemşireler için sürekli eğitim talebini önemli hale getirmiştir.

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“…For one reason it is not mandatory to include any education on pain in pre-registration training and education. There have been numerous studies highlighting the inadequacies of pain content in the nursing curricula (Coulling 2005, McCaffery & Ferrell 1997, as well as other health professionals including medicine pharmacy (Lebovitz et al 1997), occupational therapy (Strong et al 1999) and physiotherapy (Scudds & Solomon 1995) across a variety of countries. A review of 50 nursing textbooks concluded that pain content was limited (Ferrell et al 2000).…”

Section: What Usually Happensmentioning

confidence: 99%

Barriers to Effective Pain Management

Carr

2007

Journal of Perioperative Practice

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Key Messagesr Patients often have poor understanding regarding pain management, which results in low expectations of pain relief and satisfaction with inadequate pain control.r The experience of pain has long been accepted as an inevitable part of surgical intervention, but new understanding reveals a dynamic and complex nervous system which can change in response to unrelieved pain, potentially leaving permanent damage and chronic pain.r Health care professionals often lack appropriate knowledge, attitudes and skills to effectively manage pain due to inadequate education.r Local hospital regulations and policies may inadvertently inhibit the effective management of pain by causing unnecessary delays to the timely administration of analgesics.r Globally, many people are denied good pain relief due to some countries' inability to effectively import and distribute morphine for medical reasons.

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Pain Knowledge and Attitudes of Healthcare Providers: Practice Characteristic Differences

Cited by 118 publications

References 24 publications

Balancing cognitive diversity and mutual understanding in multidisciplinary teams

Balancing cognitive diversity and mutual understanding in multidisciplinary teams

Pain knowledge and attitude: a survey among nurses in 23 health institutions in Western Ethiopia

Barriers to Effective Pain Management

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