scholarly journals Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Desale Tewelde Kahsay ◽  
Marianne Pitkäjärvi

Abstract Background Pain is a common phenomenon among emergency patients which may lead to chronic pain conditions and alteration of physiological function. However, it is widely reported that proper pain assessment and management, which is often accomplished by adequately trained nurses reduce the suffering of patients. Therefore, the aim of this study was to assess the emergency nurses´ knowledge, attitude and perceived barriers regarding pain management. Methods A cross-sectional quantitative study design was applied to determine the nurses´ knowledge level, attitude and the perceived barriers related to pain management. Hundred twenty-six nurses from the emergency departments of seven referral hospitals of Eritrea participated in the study. Data were collected in August and September 2017. Both descriptive and inferential statistics were used to summarize and elaborate on the results. Result In general, the knowledge level and attitude of the emergency nurses was poor. The participants’ correct mean score was 49.5%. Nurses with Bachelor’s Degree had significantly higher knowledge and attitude level compared to the nurses at the Diploma and Certificate level of professional preparation (95% CI = 7.1–16.7 and 9.4–19.1; p <  0.001) respectively. Similarly, nurses who had previous training regarding pain scored significantly higher knowledge level compared to those without training (95% CI =1.82–8.99; p = 0.003). The highest perceived barriers to adequate pain management in emergency departments were measured to be overcrowding of the emergency department (2.57 ± 1.25), lack of protocols for pain assessment (2.45 ± 1.52), nursing workload (2.44 ± 1.29) and lack of pain assessment tools (2.43 ± 1.43). There was no significant difference in perceived barriers among nurses with different demographic characteristics. Conclusion The emergency nurses’ knowledge and attitude regarding pain management were poor. Nurses with higher educational level and nurses with previous training scored significantly higher knowledge level. This indicates the need for nursing schools and the ministry of health to work together to educate nurses to a higher level of preparation for pain assessment and management.

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.


2015 ◽  
Vol 4 (2) ◽  
pp. 164 ◽  
Author(s):  
Shalabia El-Sayead Abozead ◽  
Mahmoud Al-Kalaldeh ◽  
Omar Al-Tarawneh

<p><strong>Background:</strong> The role of pain education is well established in improving knowledge and attitude towards the adherence to pain assessment and management.</p><p><strong>Methods:</strong> A brief pain education program was delivered to assess nurses' knowledge and attitude towards pain assessment and management. The "KASRP" scale was used at three phases; pre, post, and three months' follow-up phases. Subsequent eight months observation on using pain assessment sheets was also performed.</p><p><strong>Results:</strong> One hundred and four nurses were assessed at the beginning, followed by 92 at the immediate post-test, and 70 at the follow-up. Although nurses scored lowest in having knowledge and attitudes prior to the program, a significant improvement was evident after delivering pain education. In addition, nurses' competency in pain assessment was maintained over the three months of assessment. Younger nurses with shorter clinical experience were found more reactive to the program than older nurses.</p><p><strong>Conclusions:</strong> A brief nurse-driven pain education has improved nurses' knowledge and attitude towards pain management.</p>


2007 ◽  
Vol 16 (11) ◽  
pp. 2088-2095 ◽  
Author(s):  
Feng-Ching Tsai ◽  
Yun-Fang Tsai ◽  
Chih-Cheng Chien ◽  
Chia-Chin Lin

Author(s):  
Taine Costa ◽  
Lisabelle Mariano Rossato ◽  
Mariana Bueno ◽  
Izabela Linha Secco ◽  
Natália Pinheiro Braga Sposito ◽  
...  

Abstract OBJECTIVE To analyze nurses' knowledge and practices regarding pain management of newborns admitted to Neonatal Intensive Care Units. METHOD A descriptive and cross-sectional study. Data were collected from 51 nurses based on an adapted questionnaire aimed at evaluating knowledge and practices regarding the management of neonatal pain in six hospitals in Curitiba and its Metropolitan Region. RESULTS For most nurses (86.0%), neonates feel pain. A total of 34.7% of the nurses reported never using pain assessment scales. Pain management was recorded by 84.3% of the nurses. Administered pharmacological measures were Paracetamol and Fentanyl (47.1%) and Morphine (17.6%); while non-pharmacological measures adopted were sweetened solution (68.6%), non-nutritive sucking (58.8%) and positioning (56.9%). CONCLUSION Nurses considered neonatal pain a real event; however, they do not perform pain assessment or treatment of newborns in a systematized way.It is necessary to implement knowledge translation strategiesin order to improve pain management in newborns.


2017 ◽  
Vol 7 (6) ◽  
pp. 100 ◽  
Author(s):  
Marzoka Abd El-Aziz Gadallah ◽  
Atyat Mohammed Hassan Hassan ◽  
Soad Abd El-Hamied Shargawy

Pain assessment and management require nurses to be equipped with adequate knowledge and proper attitudes. This research aimed to assess undergraduate nursing students' knowledge and attitude regarding pain management in children. Descriptive cross-sectional research design was utilized. This work was implemented at Faculty of Nursing in Assiut University. The study subjects consisted of convenient sample of undergraduate nursing students at third and fourth year during the academic year 2015-2016. One tool was used for this study consisted of two parts: part I: Demographic questionnaire, and part II: Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain (PNKAS). Fifty-six percent of undergraduate nursing students had unsatisfactory score regarding PNKAS. The highest percentage 76.2% of participating students had less than 50% of total score of knowledge and attitude regarding pain especially to pharmacological information. The study concluded that  nursing students had poor knowledge and attitude regarding pain management by using PNKAS especially in the part of pain assessment and pharmacological pain management. The more contact with pediatric patients the higher the knowledge and positive attitudes among undergraduate nursing students. The study recommended that the pediatric staff should review the curriculum to enrich more about assessment and management of pain.


Author(s):  
Muhammad Sufriannor ◽  
Hardiono Hardiono ◽  
Juanda A. Zuraini

Abstract: Knowledge, Attitude with Merchants Participation In The Management of Market Waste. In Banjarbaru city waste volume transported by TPS officers per day about 90 tons / day to TPA. One of the source of waste is the market which is a big problem because most of the market waste is wet garbage. So these waste piles become flies nest, rats, insects.Waste management is also influenced by the participation of merchants that were still lacking awareness to play an active role in the implementation. The purpose of this study is to determine the relations of knowledge, attitude with the participation of merchants in waste management in the Bauntung market Banjarbaru. The type of this research is analytical survey research with Cross Sectional approach. The population in this study is all merchants in the Bauntung market Banjarbaru. The sample is 85 respondents, obtained by proportional sampling method. The research variables consist of independent variables, namely knowledge and attitude while the dependent variable is the participation of merchants in waste management. Data analysis used is univariat and bivariate (using Chi Square with α = 0,05). The result of the research stated that there is no correlation between knowledge level and participation (p-value 0,747> 0,05). There is a correlation between attitudes with participation (p-value 0.001


2021 ◽  
Vol 7 (6) ◽  
pp. 6609-6626
Author(s):  
Shuyuan Li

This study is a cross-sectional survey of the satisfaction of postoperative patients its relationship to the knowledge and attitudes of Chinese nurses on pain management. Data were sourced out from two groups of respondents participated in the study, 75 post-operative patients and 97 in-service nurses from the health institutions China. The study was conducted for five-months. Ethics protocols were observed before and after the conduct of the study. Findings showed that post-operative pain management program among the participating medical institutions in China were assessed to have moderate level of satiation by the patients. All the components namely pain relief experience, care provided by the nurses, education provided as to pain management, and therapeutic dialogue provided by the nurses were all assessed by postoperative Chinese patients at a fair level. Meanwhile, gender and education of post-operative patients can be considered as factors in the planning and implementation of pain management program. Consequently, similar to studies conducted worldwide, Chinese nurses do not establish yet an optimal level of knowledge and attitude towards pain management. Meanwhile age, experience, education are factors on the knowledge and attitude on pain management among nurses. Finally, positive moderate relationship is established between patient satisfaction and knowledge and attitudes of nursing staff towards pain management. The findings of these study call for action and reform in the implementation of pain management program focusing on the major role and development of 21st century nurses. Practical implications of the study are discussed.


Author(s):  
Sipra Mondol ◽  
Faisal Muhammad ◽  
A. B. M. Alauddin Chowdhury

Background: Most of the time pain is difficult to assess and manage because of being inherently a subjective experience influenced by multiple factors. The perception and tolerance of pain may vary because of different psychological and social influences of the patient. Therefore it is important for health care providers to assess the pain so that individualized management interventions can be provided. This study was aimed to assess the nurses’ knowledge and practices related to pain assessment in critically ill patients.Methods: A descriptive cross-sectional study was carried out among 200 registered nurses working at different ICU in Square Hospital. The study was conducted within April to August 2017. A non-probability purposive sampling technique was used. The data was collected using pre-tested self-administered semi-structured questionnaire and it was analysed using SPSS 22.0 version.Results: About 81% of the respondents were in the age group 22-32 years and the mean age of the respondents was 27.74±12.06 years. About 79.0% of the respondents were female and 59.5% of the respondents had diploma in nursing. The mean monthly income of the respondents’ was 19450.5 taka. The majority (59.5%) of the respondents had less than 2 years’ service experience. About 85.5% of the respondents said it is important to assess the pain and need for analgesia before, during, and after wound care.Conclusions: Our findings reported that the nurses were reasonably knowledgeable about the principles of pain assessment. More than four-fifths of the respondents had adequate knowledge about pain assessment.


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