The effect of pain management training in workshop on the knowledge, attitude and self-efficacy of pediatric nurses

Abstract

Background and Aims: Pain is the fifth vital sign, and pediatric nurses plays a key role in the process of pediatric pain management. The present study aimed to determine the effect of pain management training on the knowledge, attitude and self-efficacy of pediatric nurses. Methods: This is a quasi-experimental study including two groups of test and control. The experimental group received a workshop method with a content including (ethical aspect, physiology, assessment tools, and pharmaceutical and non-pharmacological pain management) and was not given in the control group. The PNKAS self-efficacy questionnaires was completed by the participants before and one month after the beginning of the study. The data were analyzed using descriptive statistics and independent T-test, Fisher exact, and Chi-square tests using SPSS version 20 software. Results: The mean pre-test scores of knowledge and attitude in the control and experimental groups was 50.79-47.14, and after one month was 47.46-53.09, respectively, showed that, training was significantly effective in the knowledge and attitude of the experimental group ( P value = 0.01). The mean pre-test score of self-efficacy in the control and experimental groups was (17.01-18.06), and one month later was 20.36-21.03 respectively. Although the self-efficacy score increased in both groups, training significantly increased the self-efficacy of pediatric nurses in the experimental group ( P value <0.001). Conclusion: Pain management training is required due to the poor knowledge of pediatric nurses and the importance of pain management in improving the quality of nursing care and the satisfaction of patients with the In addition, feeling high self-efficacy without sufficient knowledge of pain management can disrupt pediatric pain management.

Self‐efficacy in the context of nursing education and transition to practice as a registered practitioner: A systematic review

“…There was significant heterogeneity in the tools ( n = 47 individual tools) used to measure self‐efficacy within the included studies (see Appendix S4 ). These measures included short scales that were composed of eight items or less such as the modified self‐learning efficacy scale (Chang et al, 2020 ; n = 8 items), self‐efficacy in pain management scale (Parvizy et al, 2020 ; n = 6 items), academic self‐efficacy scale (Fertelli & Tuncay, 2020 ; n = 7 items) and self‐efficacy regarding sexual media literacy education scale (Baek et al, 2019 ; n = 5 items). The lengthiest scale was the self‐efficacy scale (SES), with 138 items based on Bandura's ( 1977 ) writings and a revised version used for the PRONTO pilot study (Walker et al, 2014 ).…”

“…to improve nurses' perceived self-efficacy (Dehghani et al, 2020), and the training in pain management, which incorporates lectures, group discussions, and case studies was found to be effective in improving paediatric nurses' self-efficacy (Parvizy et al, 2020) 100% of these studies were effective in achieving their primary outcomes (Appendix S3). The duration ranged from 20 min to 5 weeks (Franklin et al, 2015;Said et al, 2021).…”

“…Of the 47 studies, 44.7% ( n = 21) were didactic‐based interventions; 20 of these studies (20/21, 95.2%) showed statistically significant higher means for the post‐test vs. the pre‐test groups with a range of different teaching strategies/resources for improving self‐efficacy such as in a sexual education programme (SEP) context, posters and graphics promoting self‐efficacy (Baek et al, 2019 ), and lectures and didactic presentations (Kim et al, 2018 ). In addition, palliative care training that includes lectures and workshops has been shown to improve nurses' perceived self‐efficacy (Dehghani et al, 2020 ), and the training in pain management, which incorporates lectures, group discussions, and case studies was found to be effective in improving paediatric nurses' self‐efficacy (Parvizy et al, 2020 ) (see Appendix S3 ).…”

Child and adolescent psychiatry staff’s knowledge on pain management

“…Participating in further training is a key element to improve the knowledge and pain management of staff in hospitals (Bormann & Hansen, 1997; Dessie et al, 2019). Current studies have also shown that nurses and physicians benefit from further clinical education to acquire pain-therapeutic knowledge (Parvizy et al, 2020; Stocki et al, 2018). There may be benefits from curricular training methods for acquiring knowledge and clinical skills.…”

Development of pain management nursing care program for children with cancer

“…Smeland et al [2] study indicated that despite pain management guidelines, nurses do not function adequately according to evidence; hence, it is vital to strengthen nurses' awareness and performance in pain management by continuing education [2]. Previous studies also demonstrated that nurses inadequately manage pain, and the priority of care is on cancer treatment and control of the invasive nature of the disease [5][6][7][8]. Further, it is required to frequently focus on pain management as a missed nursing diagnosis in the health system.…”