Pain Assessment and Management in Health Care: Nurses' Perspectives
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Abstract
Background: chronic and acute pain are extremely common, particularly among hospitalizes surgical patients, cancer patients, and general medical inpatients. More than half of patients report significant pain. The knowledge and attitude of health professionals toward pain management have frequently been described as inadequate. The purpose of this study was to investigate the attitudes and knowledge of nurses working in health care regarding pain management.
Methods: The Nurses' Knowledge and Attitudes Regarding Pain Survey was used in a quantitative, descriptive, cross-sectional design to examine nurses' perception (knowledge and attitude) about pain. We focused on the nursing field to assess nurses' perceptions of pain management. This study included a convenience sample of 200 nurses from hospitals.
Results: Participants who scored 75% were thought to have poor knowledge and an abnormal attitude. Participants with a score of more than 75% were deemed to have adequate knowledge and a positive attitude. According to the findings of the study, the knowledge and attitude percentage means of correct answers about pain management were 61% (SD: 11.97%; 95% CI 59.33-62.6%). Inadequate knowledge and attitude were present in 89.5% of all participants, while adequate knowledge and attitude were present in 10.5%. Previous experience with pain management education was statistically significant (p 0.05).
Conclusion and Recommendation: According to the findings of this study, nurses have insufficient knowledge and attitudes toward pain management. Younger nurses had a more positive attitude toward pain management than older nurses. Pain management education influences both knowledge and attitude. There is a need for innovative training approaches. Pain management education is an important part of the nursing orientation program and should be offered all year to all nurses. The NKASRP should be used as a baseline and follow-up measure to explore and test new evidence-based approaches to pain management among nurses.
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References
I. Lin RJ, Reid MC, Liu LL, Chused AE, Evans AT. The Barriers to High-Quality Inpatient Pain Management: A Qualitative Study. Am J Hosp Palliat Care. 2015 Sep;32(6):594–9.
II. Green CR, Hart-Johnson T, Loeffler DR. Cancer-related chronic pain: examining quality of life in diverse cancer survivors. Cancer. 2011 May;117(9):1994–2003.
III. Keefe FJ, Ahles TA, Sutton L, Dalton J, Baucom D, Pope MS, et al. Partner-guided cancer pain management at the end of life: a preliminary study. J Pain Symptom Manage. 2005 Mar;29(3):263–72.
IV. Vallerand AH, Templin T, Hasenau SM, Riley-Doucet C. Factors that affect functional status in patients with cancer-related pain. Pain. 2007 Nov;132(1-2):82–90.
V. van den Beuken-van Everdingen MH, de Rijke JM, Kessels A, Schouten HC, van Kleef M, Patijn J. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol. 2007;18(9):1437–49.
VI. Morone NE, Weiner DK. Pain as the fifth vital sign: exposing the vital need for pain education. Clin Ther. 2013 Nov;35(11):1728–32.
VII. Yava A, Çicek H, Tosun N, Özcan C, Yildiz D, Dizer B. Knowledge and attitudes of nurses about pain management in Turkey. Int J Caring Sci. 2013;6(3):494–505.
VIII. Kim MH, Park H, Park EC, Park K. Attitude and knowledge of physicians about cancer pain management: young doctors of South Korea in their early career. Jpn J Clin Oncol. 2011 Jun;41(6):783–91.
IX. World Health Organization. Cancer pain relief: with a guide to opioid availability. 2nd ed [Internet]. 1996 [cited 2019 May 24]. Available from: http://apps.who.int/iris/bitstream/10665/37896/1/9241544821.pdf.
X. Yildirim YK, Cicek F, Uyar M. Effects of pain education program on pain intensity, pain treatment satisfaction, and barriers in Turkish cancer patients. Pain Manag Nurs. 2009 Dec;10(4):220–8.
XI. Bernardi M, Catania G, Lambert A, Tridello G, Luzzani M. Knowledge and attitudes about cancer pain management: a national survey of Italian oncology nurses. Eur J Oncol Nurs. 2007 Jul;11(3):272–9.
XII. Shahriary S, Shiryazdi SM, Shiryazdi SA, Arjomandi A, Haghighi F, Vakili FM, et al. Oncology nurses' knowledge and attitudes regarding cancer pain management. Asian Pac J Cancer Prev. 2015;16(17):7501–6.
XIII. Eid T, Manias E, Bucknall T, Almazrooa A. Nurses’ knowledge and attitudes regarding pain in Saudi Arabia. Pain Manag Nurs. 2014 Dec;15(4): e25–36.
XIV. Brant JM, Mohr C, Coombs NC, Finn S, Wilmarth E. Nurses’ Knowledge and Attitudes about Pain: Personal and Professional Characteristics and Patient Reported Pain Satisfaction. Pain Manag Nurs. 2017 Aug;18(4):214–23.
XV. City of Hope [Internet]. Duarte (CA) [cited 2017 Oct 7]. Available from: http://prc.coh.org.
XVI. Dilie A, Mengistu D. Assessment of nurses’ knowledge, attitude, and perceived barriers to expressed pressure ulcer prevention practice in Addis Ababa government hospitals, Addis Ababa, Ethiopia, 2015. Adv Nurs. 2015; 2015:1–11.
XVII. McCaffery M, Ferrell BR. Nurses’ knowledge of pain assessment and management: how much progress have we made? J Pain Symptom Manage. 1997 Sep;14(3):175–88.
XVIII. Alqahtani M, Jones LK. Quantitative study of oncology nurses’ knowledge and attitudes towards pain management in Saudi Arabian hospitals. Eur J
XIX. Foyle L. Delivering Cancer and Palliative Care Education. Abingdon: Radcliffe Publishing; 2004.
XX. Kheshti R, Namazi S, Mehrabi M, Firouzabadi D. Health Care Workers’ Knowledge, Attitude, and Practice about Chronic Pain Management, Shiraz, Iran. Anesth Pain Med. 2016 Jul;6(4):e37270.
XXI. McNamara MC, Harmon D, Saunders J. Effect of education on knowledge, skills and attitudes around pain. Br J Nurs. 2012 Sep;21(16):958–64.
XXII. Ekim A, Ocakcı AF. Knowledge and attitudes regarding pain management of pediatric nurses in Turkey. Pain Manag Nurs. 2013 Dec;14(4):e262–7.