Post-Operative Pain Management Knowledge and Attitude of Paediatric Nurses: a New Zealand Regional View

10.26686/wgtn.16920322 ◽

2021 ◽

Author(s):

◽

Sue Smart

Keyword(s):

Clinical Practice ◽

New Zealand ◽

Pain Management ◽

Children And Adolescents ◽

Management Practices ◽

Pain Education ◽

Knowledge And Attitudes ◽

Post Operative Pain ◽

Knowledge And Attitude ◽

Regional Hospitals

Pain and fear of pain are major concerns for many hospitalised patients. Nurses need to understand this pain, and be able to assess and manage it effectively. Despite advances in knowledge and an increased amount of nursing research related to pain management, literature continues to identify that infants, children and adolescents continue to experience unrelieved pain post surgery. Contemporary literature suggests that nurses’ knowledge and attitudes towards pain affects their pain management practices. Nurses in small regional hospitals often don’t have the support of paediatric pain specialists and therefore rely on their own knowledge, education and experience to manage the pain of the infants, children and adolescents in their care. This research explored the knowledge and attitudes towards paediatric post-operative pain, within the New Zealand context of small regional hospitals. It established how nurses working in these areas obtain and update their paediatric pain management knowledge, and what is it that influences their paediatric post-operative pain management practices. A questionnaire survey of registered nurses working in three small paediatric units (5 to 12 beds), in regional secondary service hospitals was undertaken. The questionnaire developed was based on the Paediatric Nurses Knowledge and Attitude Survey (PNKAS). The survey had a 79% (n=33) response rate. Findings corroborate many findings in previously published literature including that nurses do well in questions related to assessment. However pharmacological knowledge continues to be lacking. Results also indicated that while nurses have a good understanding about who is the best person to rate pain, this wasn’t carried through in the clinical scenarios provided. Education is clearly an important factor in improving the knowledge and attitudes needed in clinical practice. While this survey was somewhat limited, both in size and in that a clear correlation between the results and actual clinical practice could not be made, results are significant for the areas surveyed and for the development of pain education for nurses. Wider research into both pain education and clinical practice is needed. - II -Some of the first steps could be to survey the knowledge and attitude of those who instruct in undergraduate programs related to pain, and review what is being provided in the course programs, and then examine what is being offered within the clinical environments. Research, incorporating chart review and utilising open written questions and/or interviews, or group discussions would provide far more information on which to base recommendations for practice.

Download Full-text

Impact of applying brief educational program on nurses knowledge, attitude, and practices toward pain management

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v4i2.5278 ◽

2015 ◽

Vol 4 (2) ◽

pp. 164 ◽

Cited By ~ 1

Author(s):

Shalabia El-Sayead Abozead ◽

Mahmoud Al-Kalaldeh ◽

Omar Al-Tarawneh

Keyword(s):

Pain Management ◽

Pain Assessment ◽

Educational Program ◽

Pain Education ◽

Knowledge And Attitudes ◽

Post Test ◽

Knowledge And Attitude ◽

Nurses Knowledge

Background: The role of pain education is well established in improving knowledge and attitude towards the adherence to pain assessment and management.Methods: 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.Results: 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.Conclusions: A brief nurse-driven pain education has improved nurses' knowledge and attitude towards pain management.

Download Full-text

Pain Management Practices by Nurses: Application of the Self-Efficacy Theory

Global Journal of Health Science ◽

10.5539/gjhs.v12n9p44 ◽

2020 ◽

Vol 12 (9) ◽

pp. 44

Author(s):

Bashar I. Alzghoul ◽

Nor Azimah Chew Abdullah

Keyword(s):

Pain Management ◽

Self Efficacy ◽

Management Practices ◽

Healthcare Services ◽

The Self ◽

Future Research ◽

Knowledge And Attitudes ◽

Correlational Design ◽

Knowledge And Attitude ◽

The Relationship

Pain management is one of the most recurrent healthcare services provided by nurses. Based on the proposition of the self-efficacy theory, knowledge and attitudes can affect the nurses; confidence and their ability to manage the patients’ discomforts, which consequently affects their ability to apply appropriate pain management practices. The study examines the relationship between knowledge and attitudes towards distress management and the nurse’s individual capability to manage pain. The research is a transverse, correlational design study involving 266 registered nurses (n = 266). The nurses were requested to provide information on pain management via three instruments: attitude to, knowledge of and self-efficacy of pain management. Statistically, the nurses displayed an essential relationship between self-efficacy and attitude towards pain management (β = 0.502, t = 10.119, p< 0.001). Also, the study discovered a substantial connection between the nurses’ familiarity to pain management and their ability to manage it in patients’ pain (β = 0.368, t = 6.619, p < 0.001). This study recommends that future research be undertaken to investigate the mediating effects of self-efficacy on the knowledge and attitude towards agony management relationship and distress management practices. Additionally, in future, scholars can examine the direct relationship between the effectiveness of agony control and pain management routines of nurses.

Download Full-text

Satisfaction of Postoperative Patients on Pain Management Program its Relationship to the Knowledge and Attitudes of Chinese Nurses: A Cross-Sectional Survey

Tobacco Regulatory Science ◽

10.18001/trs.7.6.134 ◽

2021 ◽

Vol 7 (6) ◽

pp. 6609-6626

Author(s):

Shuyuan Li

Keyword(s):

Pain Management ◽

Optimal Level ◽

Management Program ◽

Chinese Patients ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Pain Management Program ◽

Before And After ◽

Knowledge And Attitude

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.

Download Full-text

KNOWLEDGE AND ATTITUDE OF NURSES TOWARDS POST-OPERATIVE PAIN MANAGEMENT IN MUHAMMADU ABDULLAHI WASE TEACHING HOSPITAL KANO – NIGERIA

International Journal of Innovative Research in Technology, Basic and Applied Sciences ◽

10.48028/iiprds/ijirtbas.v6.i1.05 ◽

2020 ◽

Vol 6 (1) ◽

pp. 49-62

Author(s):

Rabiu Musa ◽

◽

Halima Muhammad ◽

Keyword(s):

Pain Management ◽

Sample Size ◽

Teaching Hospital ◽

Postoperative Pain Management ◽

Knowledge And Skills ◽

Descriptive Research ◽

Post Operative Pain ◽

Knowledge And Attitude ◽

Nurses Attitude ◽

Prolong Hospital Stay

Knowledge and attitude of Nurses towards post-operative pain management in Muhammadu Abdullahi Wase Teaching hospital Kano. Knowledge and skills of Nurses towards post-operative pain managements haven being an issue in Muhammad Abdullahi Wase Teaching hospital due to workload, inadequate staffs, lack of adequate equipment’s to access patient level of pain .Aim to assessed the knowledge level of Nurses towards post-operative pain management, to determine the level of Nurses attitude towards post-operative pain management and identified the complication of inadequate post-operative pain management in Muhammad Abdullahi Wase Teaching Hospital Kano. Post-operative pain management has being an integral issue in patient who has undergone surgery leading to poor wound healing and prolong hospital stay. The descriptive research design was used to uncover knowledge and attitude of nurses towards postoperative pain management , a self-structured questionnaire was administered to population of fifty eight (58) respondents and sample size of fifty(50) was determined using Taro Yamane formula for determining sample size n= N/ (1+N(e)2). Method of data analysis was done using SPSS version 22. The result of the study shows that Nurses have a good knowledge and attitude towards post-operative pain managements. It was concluded that Nurses in surgical wards should indulge into continuing education programmed, in-house training and seminars in pain managements to boost their knowledge and skills.

Download Full-text

Barriers perceived by nurses in the optimal treatment of postoperative pain

Open Medicine ◽

10.1515/med-2017-0037 ◽

2017 ◽

Vol 12 (1) ◽

pp. 239-246 ◽

Cited By ~ 2

Author(s):

Wioletta Medrzycka-Dabrowka ◽

Sebastian Dąbrowski ◽

Aleksandra Gutysz-Wojnicka ◽

Aleksandra Gawroska-Krzemińska ◽

Dorota Ozga

Keyword(s):

Pain Management ◽

Elderly Patients ◽

Pain Assessment ◽

Management Practices ◽

National Level ◽

University Hospital ◽

Municipal Hospital ◽

Post Operative Pain ◽

Polish Version ◽

The University

AbstractIt is currently estimated that the lack of adequate pain management affects 80% of the global population and the phenomenon poses a serious problem in more than 150 countries. On a national level, the greatest burden of inadequate treatment is borne, among others, by elderly patients. The purpose of the paper was to compare the prevalence of barriers to optimum post-operative pain management in elderly patients, observed by nurses in a clinical, provincial and municipal hospital in Poland. The research project was a multi-center one and took over a year. The study was questionnaire-based. It used the Polish version of the Nurses’ Perceived Obstacles to Pain Assessment and Management Practices questionnaire. The study included a total of 1602 nurses working at a clinical, provincial and municipal hospital.In the university hospital, difficulties in pain assessment related to the healthcare system occurred statistically significantly more often.

Download Full-text