Factors influencing postoperative pain management among nurses in selected district hospitals in Ghana

2021 ◽  
pp. 175045892110640
Author(s):  
Awube Menlah ◽  
Evans OseiAppiah ◽  
Isabella Garti ◽  
Dorcas Frempomaa Agyare

Background: Poorly managed postoperative pain is linked to numerous postoperative complications worldwide and in Ghana. This is due to the myriad of physical and psychological problems, such as lifelong chronic pain syndromes, impaired functionality and death. Purpose: The aim of this study was to assess the barriers and factors influencing postoperative pain management by Ghanaian nurses working in four hospitals. Methods: A quantitative descriptive cross-sectional design was employed for this study. Participants were recruited using a multistage sampling technique by which 146 returned their questionnaires out of 194 participants. The statistical analysis of data was done with the Statistical Package of Social Sciences (SPSS) 20.0 version. Results: Findings revealed that some verbal and non-verbal cues from patients such as facial grimacing, restlessness, irritability and distress, lack of concentration and moaning or crying (verbalisation) influenced how nurses controlled postoperative pain with analgesia. The participants also identified several barriers to influence postoperative pain management by nurses. Conclusion: In conclusion, postoperative pain control by nurses is influenced by several factors, and hence, nurses need to manage patients’ pain effectively in Ghana and abroad using multiple approaches.

2016 ◽  
Vol 6 (1) ◽  
pp. 37-45
Author(s):  
Auwalu Muhammed ◽  
Ernestina Donkor ◽  
Florence Naab

Women in Moriki delivered at home without skilled attendants. The study was to identify the factors influencing patronage of supervised delivery among women who had given birth in Moriki, Nigeria. A quantitative, cross-sectional design was used. A sample of 350 women was recruited using a multistage sampling technique. Structured questionnaires were administered. The 342 completed questionnaires were analyzed using SPSS Version 20. Women who were younger, educated, have few children, earning higher income, and whose husbands were educated were more likely to patronize supervised delivery. Therefore, midwives should liaise with the other health workers to design a program targeting women with high parity, uneducated women, and older women informing them about the relevance of supervised delivery.


2020 ◽  
Author(s):  
Betiel Yihdego Kidanemariam ◽  
Traudl Elsholz ◽  
Laban L. Simel ◽  
Eyasu H. Tesfamariam ◽  
Yonatan Mehari Andemeskel

Abstract Background: Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals.Methods: This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05.Results: The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p=0.013), level of education (p=0.012), work experience (p=0.001) and place of work (p=0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p<0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified.Conclusion: The use of non-pharmacological methods in the studied hospitals varied greatly on the knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Shamsu-Deen Mahama Adams ◽  
Shokoh Varaei ◽  
Fatemeh Jalalinia

Background. Pain management is a very important aspect of nursing care among postoperative patients. Deficit in the knowledge and bad attitude towards pain management among nurses remain a problem in Ghana. In order to manage pain better in the surgical wards, nurses should be well equipped with knowledge of pain assessment and management. Purpose. The purpose of the study was to determine nurse’s knowledge and attitude towards pain management among postoperative patients in surgical units in Ghana. Methodology. This study used the quantitative study approach with a descriptive cross-sectional study design. A sample of 211 nurses was recruited using the convenience sampling method. Data were collected using a questionnaire regarding postoperative pain management. Descriptive statistics, Pearson’s correlation coefficient, and the chi-squared test were used to analyze the data using SPSS version 16.0. Results. The mean age of the nurses was 29.77, with the youngest nurse being 23 years and oldest being 39 years. Majority (72.5%) of nurses had moderate knowledge, and 89.6% of the nurses had negative attitude towards pain management. There was no significant relationship between nurse’s knowledge and years of experience as a nurse (r = −0.03, p=0.64), as well as no significant relationship between knowledge and number of years working in the surgical ward (r = 0.06, p=0.36). Also, there was no significant relationship between nurses’ knowledge and nurses’ attitude (r = 0.06, p=0.36). Conclusion and recommendation. The level of knowledge and attitude towards postoperative management were generally inadequate among nurses. Therefore, there is the need to implement in-service training on pain management for nurses working in the surgical units frequently.


2020 ◽  
Vol 2 (2) ◽  
pp. 37-47
Author(s):  
Sana Widianti ◽  
Rita Patriasih ◽  
Cica Yulia

Abstract Underweight is a health disorder which is caused imbalance of nutrient needed for growth. The direct factor of underweight are food intake and infectious diseases. Foods consumed by toddlers will become a habit and form eating habit for toddlers. Caused of underweight are still a problem in west java, one of which is in Puskesmas Ciumbuleuit. The research was aimed to find eating habit toddlers recorded in Puskesmas Ciumbuleuit. The method was quantitative descriptive with cross-sectional design. The population of was 70 mother who have of toddlers underweight status. The sampling technique used was purposive in consideration of toddlers underweight status of was 4 to 5 years old already active consumers therefore the sample of the research was 20 people. The result of research that 55% of toddlers was only eating and snacking twice a day,77,5% of toddlers feeding schedule was irreguler, the quantity of toddler eating did not  meet daily nutrition needs since the average intakes of staple food 177,9 gram, 48,4 gram of animal protein 9,75 gram of vegetables protein, 32,7 gram of vegetable, 11,6 gram of fruit, 32,8 gram of milk, the quality of 85% of toddler feeding was energy deficit, 70% of them were protein deficit, 95% was fat deficit,77,5% of toddler eating variation was not varied. Recommendations for related institutions are expected to provide knowledge and mentoring to the eating habit in toddlers underweight status, for mother of toddlers pay attention to food consumed by children so that it will produce a good eating habit. Keywords: eating habits, toddler, underweight status. Abstrak Gizi kurang adalah gangguan kesehatan ketidakseimbangan zat gizi yang diperlukan untuk pertumbuhan. Faktor langsung penyebab gizi kurang adalah asupan makanan dan penyakit infeksi. Makanan yang dikonsumsi balita akan menjadi kebiasaan dan terbentuklah pola makan pada balita. Kasus gizi kurang masih menjadi masalah di Jawa Barat, salah satunya di puskesmas Ciumbuleuit. Tujuan pemelitian ini untuk mengetahui pola makan anak balita status gizi kurang yang tercatat di puskesmas Ciumbuleuit Bandung. Metode yang digunakan deskriptif kuantitatif dengan desain cross-sectional. Populasi sebanyak 70 orang ibu yang memiliki balita status gizi kurang. Teknik pengambilan sampel adalah purposive dengan pertimbangan anak balita yang memiliki status gizi kurang berusia 4-5 tahun sudah menjadi konsumen aktif. Sampel penelitian ini adalah 20 orang ibu balita gizi kurang. Penelitian diperoleh mengenai frekuensi makan dalam sehari lebih dari setengahnya (55%) balita makan hanya dua kali dalam sehari dan mengkonsumsi snack dua kali. Jadwal makan anak balita sebagian besar (77%) tidak teratur. kuantitas makan balita seluruhnya masih belum sesuai dengan yang dianjurkan. Rata-rata konsumsi makanan pokok 177,9 gram, lauk hewani 48,4 gram, lauk nabati 9,75 gram, sayuran 32,7 gram, buah 11,6 gram, susu 32,8 gram. Kualitas makan balita sebagian besar(85%) defisit energi, lebih dari setengahnya (70%) defisit protein, sebagian besar (95%) defisit lemak, lebih dari setengahnya (75%) defisit karbohidrat, dan variasi makanan balita sebagian besar (77,5%) tidak bervariasi. Rekomendasi bagi lembaga terkait diharapkan untuk memberikan pengetahuan dan pendampingan untuk pola makan pada balita status gizi kurang, bagi ibu balita memperhatikan makanan yang dikonsumsi oleh anak sehingga akan menghasilkan pola makan yang baik.  Kata-kata kunci: anak bawah lima tahun, pola makan, status gizi kurang


2019 ◽  
Vol 4 (2) ◽  
pp. 20-24
Author(s):  
Emdat Suprayitno1

ABSTRACT Hypertension is a health problem in the world, especially in developing countries. Hypertension is often called a silent killer (silent killer) because it is included in a deadly disease without accompanied by symptoms first as a warning for victims. The problem of high hypertension, especially in the elderly with concomitant decline in organ function. This type of research is quantitative descriptive using non-analytic cross sectional design. The sampling technique used was total sampling with a sample size of 32 people. The instrument used in the form of a tensimeter and blood pressure observation sheet. The results showed that the majority of respondents aged 55-60 years were 10 people (31.25%), the majority of respondents were male as many as 18 people (56.25%). Blood pressure status in patients with hypertension in Karanganyar village is systolic blood pressure 140-159 mmHg, diastolic blood pressure 90-99 mmHg as many as 18 people (56.25%) It can be concluded that the majority of blood pressure status of hypertension sufferers in Gadung Hamlet, Karanganyar Village, Kalianget Subdistrict are in the category of Hypertension.   Keywords: Blood Pressure, Hypertension


2018 ◽  
Vol 11 (2) ◽  
pp. 130
Author(s):  
Sopiati Alimah ◽  
Keksi Girindra Swasti

<p class="jkshead1">ABSTRACT</p><p><em>Burnout is physical, emotional, and mental fatigue due to long-term involvement in situations full of emotional demands. Nursing students may be at risk for burnout due to the many tasks and routines of lif</em><em>e.</em><em> </em><em>This research aimed to describe burnout in students of nursing department and burnout level difference between two periods of intake. This research used quantitative descriptive study with the type of cross sectional design. The sampling technique used total sampling technique. The sample size was 156 respondents</em><em>.</em><em> Data were analyzed by using frequency distribution and percentage, as well as Kolmogorov-Smirnov.<strong> </strong>The majority of respondents were female (80,8%), chose a major that fit their interest (67,9%), very satisfactory GPA (62,8%), and from Central Java (65,4%). The number of respondents in 2013 and 2014 was 77 and 79 students. respectively. The majority of students experiencing moderate level of burnout was (56,4%). Kolmogorov-Smirnov test indicated p-value of 0,170.</em><em> </em><em>The majority of students experienced moderate level of burnout and there was no difference of burnout level between 2013 intake and 2014 intake. </em><em></em></p><p><em> </em></p><p><strong><em>Keywords</em></strong><em>: block system, burnout, nursing student</em></p><p> </p><p class="jkshead1">ABSTRAK</p><p><em>Burnout </em>merupakan kelelahan fisik, emosional, dan mental yang disebabkan keterlibatan jangka panjang dalam situasi yang penuh dengan tuntutan emosional. Mahasiswa keperawatan dapat berisiko mengalami <em>burnout</em> akibat banyaknya tugas dan rutinitas kehidupan yang dilakukan saat menjalani perkuliahan. Penelitian ini bertujuan untuk mengetahui gambaran <em>burnout</em> pada mahasiswa jurusan keperawatan dan perbedaan tingkat <em>burnout</em> antara kedua periode angkatan. Penelitian ini menggunakan metode studi deskriptif kuantitatif dengan desain c<em>ross sectional</em>. Sampel dipilih menggunakan teknik <em>total sampling</em> sejumlah 156 responden. Analisis data menggunakan distribusi frekuensi dan persentase, serta <em>Kolmogorov-Smirnov</em>. Mayoritas responden berjenis kelamin perempuan (80,8%), kuliah sesuai dengan minatnya (67,9%), IPK sangat memuaskan (62,8%), dan berasal dari Jawa Tengah (65,4%). Jumlah responden angkatan 2013 dan 2014 adalah 77 dan 79 orang. Mayoritas mahasiswa mengalami <em>burnout </em>tingkat sedang (56,4%). Uji <em>Kolmogorov-Smirnov</em> menunjukkan <em>p-value</em> 0,170. Mayoritas mahasiswa mengalami <em>burnout </em>tingkat sedang dan tidak ada perbedaan tingkat <em>burnout</em> antara angkatan 2013 dan 2014.</p><p> </p><p><strong>Kata kunci:</strong><strong> </strong><em>burnout</em>, mahasiswa keperawatan, sistem blok.</p>


BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Betiel Yihdego Kidanemariam ◽  
Traudl Elsholz ◽  
Laban L. Simel ◽  
Eyasu H. Tesfamariam ◽  
Yonatan Mehari Andemeskel

Abstract Background Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals. Methods This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses’ utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05. Results The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p = 0.013), level of education (p = 0.012), work experience (p = 0.001) and place of work (p = 0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p < 0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified. Conclusion The use of non-pharmacological methods in the studied hospitals varied greatly due to knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.


2014 ◽  
Vol 26 (1) ◽  
pp. 101-106 ◽  
Author(s):  
Eyitope O. Amu ◽  
James O. Bamidele

Abstract Background: Menstrual disorders are common sources of morbidity among adolescent girls and often cause anxiety for these girls and their families. Objective: This paper aims to determine the patterns of menstruation as well as the prevalence of menstrual disorders and their consequences among adolescent girls in Osogbo, South Western Nigeria. Subjects: Adolescent school girls aged 10–19 years comprised the sample. Methods: The study employed a descriptive cross-sectional design. A pre-tested, self administered, semi-structured questionnaire was used to elicit information from 402 adolescents selected from private secondary schools in the Osogbo Local Government Area (LGA) of Osun State, using a multistage sampling technique. Data were analyzed using SPSS version 15. Results: A total of 391 (97.8%) respondents had heard about menstruation before, with the three most important sources of information being their mothers (81.8%), teachers (7.4%), and peer groups (6.1%). The mean age at menarche was 12.5±1.0 years. Menstrual bleeding lasted between 2–7 days in 81.1% and cycle length lasted for 21–35 days in 81.6% of the respondents. The three most important menstrual disorders they experienced were dysmenorrhea (77.8%), menorrhagia (57.4%) and metrorrhagia (18.6%), among others. Menstrual disorders, especially dysmenorrhea, interfered with the daily activities of the respondents. Conclusion: The prevalence of menstrual disorders among adolescents in the Osogbo LGA is high. Measures should be undertaken to educate the adolescents and their mothers about menstrual disorders and to mitigate their effects on the social and academic lives of these adolescents.


2019 ◽  
Author(s):  
Indriyani Widiastuti ◽  
Dewi Marfuah

Background: Screening is an early examination to assess whether someone has risk factors of health problems. Risk Pregnancy is a pregnancy with certain risks which can endangered the condition of the mother or baby. Purpose: This research aims to know the Description of Low Risk Pregnancy, the Description of High-Risk Pregnancy, and the Description of Very High Risk Pregnancy in Pregnant Mothers with Trimester I, I, III in Bandung City. Method: This research is a quantitative descriptive research using cross sectional design. Conducted in May-June 2019, with research’s subject of 116 pregnant mothers in Puter and Pagarsih health center selected using convenience sampling technique. Data collection using Poedji Rochjati Screening and data analysis usingfrequencydistribution. Result:This research showed that the LowRiskpregnancy in pregnant mothers of the trimester I High Risk as many as 11 people (9,5%), Trimester II High Risk as many as 26 people (22,4%), and Trimester III High Risk as many as 36 people (31,0%), Conclusion: The of research overall obtained by pregnant maternal with trimesters I, II, III were in the category of high risk pregnancy. Public health center management need to improve the program related to pregnancy, for example family planning programs, and the prevention of anemia to reduce risk pregnancies for pregnant women.


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