Nurses’ Knowledge about Pain Management with Opioids for Dying Patients United Kingdom Nursing Perspective

BACKGROUND: Although nurses are accountable for pain management, it cannot be assumed that they are well informed about pain. Nurses' knowledge base underlies their pain management; therefore, it is important to measure their knowledge. OBJECTIVE: To measure pediatric critical care nurses' knowledge of pain management. METHOD: A descriptive, exploratory study was done. After a pilot study, an investigator-developed Pain Management Knowledge Test was distributed to 50 pediatric ICU nurses. Test responses were collected anonymously and coded by number. Item analysis was done, and descriptive statistics were calculated. Modified content analysis was used on requests for pain-related information. RESULTS: The test return rate was 38%. The overall mean score was 63%. Mean scores within test subsections varied from 50% to 92%. Other mean scores were 85% on a nine-item scale of drug-action items and 92% on a two-item scale of intervention items. However, no nurse recognized that cognitive-behavioral techniques can inhibit transmission of pain impulses; only 32% indicated that meperidine converts to a toxic metabolite, only 47% recognized nalbuphine as a drug that may cause signs and symptoms of withdrawal if given to a patient who has been receiving an opioid; and only 63% indicated that when a child states that the child has pain, pain exists. Thirteen nurses requested pain-related information, and all requests focused on analgesic medications. CONCLUSIONS: Testing nurses' knowledge of pain indicated gaps that can be addressed through educational interventions. Research is needed in which the test developed for this study is used as both pretest and posttest in an intervention study with pediatric critical care nurses or is modified for use with nurses in other clinical areas.

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“Post code ouch”: A survey of neonatal pain management prior to painful procedures within the United Kingdom

Journal of Neonatal Nursing ◽

10.1016/j.jnn.2007.02.002 ◽

2007 ◽

Vol 13 (3) ◽

pp. 113-117 ◽

Cited By ~ 6

Author(s):

Julie Robins

Keyword(s):

United Kingdom ◽

Pain Management ◽

Neonatal Pain ◽

The United Kingdom ◽

Post Code

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Student Nurses' Knowledge, Attitudes, and Self-Efficacy of Children's Pain Management: Evaluation of an Education Program in Taiwan

Journal of Pain and Symptom Management ◽

10.1016/j.jpainsymman.2006.01.011 ◽

2006 ◽

Vol 32 (1) ◽

pp. 82-89 ◽

Cited By ~ 36

Author(s):

Li-Chi Chiang ◽

Hsiu-Jung Chen ◽

Lichi Huang

Keyword(s):

Pain Management ◽

Education Program ◽

Self Efficacy ◽

Student Nurses ◽

Management Evaluation ◽

Children's Pain ◽

Nurses Knowledge

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United Kingdom

10.1093/med/9780198785750.003.0039 ◽

2018 ◽

Author(s):

Ann Taylor

Keyword(s):

Chronic Pain ◽

United Kingdom ◽

Pain Management ◽

Cancer Pain ◽

Acute Pain ◽

Later Life ◽

Recent Innovation ◽

History Of ◽

Prevalence Of Pain ◽

Pain Care

Ukraine is a member of the European Pain Federation (EFIC). The national pain society works to support the needs of patients with pain, including those with acute pain, chronic pain, cancer pain, pain in later life, and at the end of life. In this chapter of European Pain Management we describe first the geography and history of the country as it relates to the recent demographics of the population, the prevalence of pain and needs for pain management, the pain workforce and its organization, the system pain specialists work within, and specific issues that have been tackled to improve the delivery of pain care. An example of recent innovation is also described.

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Nurses’ Knowledge and Attitude towards Postoperative Pain Management in Ghana

Pain Research and Management ◽

10.1155/2020/4893707 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Shamsu-Deen Mahama Adams ◽

Shokoh Varaei ◽

Fatemeh Jalalinia

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Significant Relationship ◽

Negative Attitude ◽

Postoperative Pain Management ◽

Postoperative Management ◽

Cross Sectional ◽

Surgical Units ◽

Knowledge And Attitude ◽

Nurses Knowledge

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.

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