Pediatri hemşireliği dersi alan öğrencilerin pediatrik ağrı yönetimi bilgi düzeyleri ile ağrı yönetimi öz yeterlilik düzeyleri arasındaki ilişkinin incelenmesi

Year 2022, Volume: 3 Issue: 2, 52 - 58, 30.09.2022

Mustafa Belli

Abstract

Amaç: Bu çalışmada, pediatri hemşireliği dersi alan öğrencilerin pediatrik ağrı yönetimi bilgi düzeyleri ile ağrı yönetimi öz yeterlilik düzeyleri arasındaki ilişkinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Tanımlayıcı, kesitsel ve korelasyonel tipte tasarlanan bu araştırmanın örneklemini Çocuk Sağlığı ve Hastalıkları Hemşireliği Dersi alan 123 öğrenci oluşturmuştur. Verilerin toplanmasında Sosyodemografik Bilgi Formu, Hemşirelik Öğrencileri için Pediatrik Ağrı Yönetimi Bilgi Ölçeği ve Ağrı Yönetiminde Öz Yeterlilik Ölçeği kullanılmıştır.
Bulgular: Öğrencilerin yaşlarının ortalamasının 21.80 ± 1.44 yıl, %72.4’ünün kadın olduğu belirlenmiştir. Öğrencilerin %63.4’ünün not ortalamalarının 3.01-4.0 arasında yer aldığı, ağrı ile ilgili önceden eğitim almayanların oranı %96.7 ve eğitim alanların %50.0’ı seminere katılmıştır. Öğrencilerin Pediatrik Ağrı Yönetimi Bilgi Ölçeğinden aldığı puan ortalaması 112.73 ± 11.26 ve Ağrı Yönetiminde Öz Yeterlilik Ölçeğinden aldığı puan ortalaması 75.21 ± 10.92 olarak tespit edilmiştir. Pediatrik Ağrı Yönetimi Bilgi Ölçeği ile Ağrı Yönetimi Öz Yeterlilik Ölçeği arasında orta düzeyde pozitif yönde (r=0.319, p<0.01) ve istatistiksel olarak anlamlı bir ilişki olduğu görülmüştür.
Sonuç: Çocuklarda ağrı yönetimi, dünyada önemli bir halk sağlığı sorunudur. Bir hemşirenin çocuklarda ağrı yönetimi konusundaki bilgisi öz yeterliliğini etkileyebilir. Mevcut çalışmada çocuklarda ağrı yönetimi konusundaki bilgisi ile öz yeterliliği arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur. Konu ile ilgili farklı örneklemlerle çalışmaların yapılması önerilmektedir.

Keywords

Çocuklarda ağrı yönetimi, öz yeterlilik, hemşirelik

Supporting Institution

-

Project Number

-

Thanks

-

Investigation of the relationship between pediatric pain management knowledge levels and pain management self-efficacy levels of students taking pediatric nursing courses

Abstract

Aim: This study aimed to investigate the relationship between pediatric pain management knowledge levels and pain management self-efficacy levels of students taking pediatric nursing courses.
Materials and Methods: The sample of this study, which was designed in descriptive, cross-sectional and correlational types, consisted of 123 students who took the Child Health and Diseases Nursing Course. Sociodemographic Information Form, Pediatric Pain Management Knowledge Scale for Nursing Students and Self-Efficacy Scale in Pain Management were used to collect the data.
Results: The mean age of the students was 21.80 ± 1.44 years, and 72.4% were female. 63.4% of the students had a GPA between 3.01-4.0, 96.7% of those who did not receive prior training on pain and 50.0% of those who received education attended the seminar. The mean score of the Pediatric Pain Management Knowledge Scale students was 112.73 ± 11.26, and the average score from the Self-Efficacy Scale in Pain Management was 75.21 ± 10.92. It was observed that there was a moderately positive (r=0.319, p<0.01) and statistically significant relationship between the Pediatric Pain Management Knowledge Scale and the Pain Management Self-Efficacy Scale.
Conclusion: Pain management in children is a significant public health problem worldwide. A nurse's knowledge of pain management in children can affect her self-efficacy. The current study found a statistically significant relationship between self-efficacy and knowledge of pain management in children. Therefore, conducting studies with different samples on the subject is recommended.

Keywords

Pain management in children, self-efficacy, nursing

Project Number

-

References

• International Association for the Study of Pain (IASP). Terminology. Web site. https://www.iasp-pain.org/resources/terminology/. Accessed July 13, 2022.
• Akcan E, Polat S. Yenidoğanlarda ağrı ve ağrı yönetiminde hemşirenin rolü. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2017:64–9.
• Ekim A, Ocakcı AF. Knowledge and attitudes regarding pain management of pediatric nurses in turkey. Pain Manag Nurs 2013;14:e262–7. https://doi.org/10.1016/j.pmn.2012.02.004.
• Maeoka H, Hiyamizu M, Matsuo A, Morioka S. The influence of repeated pain stimulation on the emotional aspect of pain: a preliminary study in healthy volunteers. J Pain Res 2015;8:431–6. https://doi.org/10.2147/JPR.S86732.
• Balat A. Çocuklarda ağrı. Türkiye Klinikleri -Nöroloji Özel Sayısı. Prof Dr Münife Neyal (Sayı Ed) 2010;3:81–5.
• Grunau RE. Neonatal pain in very preterm infants: long-term effects on brain, neurodevelopment and pain reactivity. Rambam Maimonides Med J 2013;4:e0025. https://doi.org/10.5041/RMMJ.10132.
• Chiang L-C, Chen H-J, Huang L. Student nurses’ knowledge, attitudes, and self-efficacy of children’s pain management: evaluation of an education program in Taiwan. J Pain Symptom Manage 2006;32:82–9. https://doi.org/10.1016/j.jpainsymman.2006.01.011.
• Royal College of Nursing. The recognition and assessment of acute pain in children: Update of full guideline. Royal College of Nursing. 2009.
• Ekim A, Ocakçı AF. Çocukluk çağında ağrı epidemiyolojisi. In: Çocuklarda Ağrı ve Hemşirelik Yaklaşımları. Özyazıcıoğlu N, eds. Ankara: Türkiye Klinikleri; 2019: 1-5.
• Yuxiang L, Lingjun Z, Lu T, Mengjie L, Xing M, Fengping S, et al. Burn patients’ experience of pain management: a qualitative study. Burns 2012;38:180–6. https://doi.org/10.1016/j.burns.2011.09.006.
• Oduro E, Diji AK-A, Kusi G, Amagyei A, Kyei-Dompim J, Lomotey A, et al. Children’s nurses’ knowledge and attitudes on paediatric pain: A descriptive cross-sectional survey in a developing country. Nurse Media J Nurs 2020;10:222–33. https://doi.org/10.14710/nmjn.v10i3.32457.
• Peng N-H, Lao AH-C, Chen C-H, Lee M-C, Chiang L-W, Chang Y-C, et al. Knowledge and attitudes of pediatric clinicians regarding pediatric pain management. J Spec Pediatr Nurs 2020;25:e12302. https://doi.org/10.1111/jspn.12302.
• Mathews L. Pain in children: neglected, unaddressed and mismanaged. Indian J Palliat Care 2011;17:S70-3. https://doi.org/10.4103/0973-1075.76247.
• World Health Organization. WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses. 2012.
• Bond M. A decade of improvement in pain education and clinical practice in developing countries: IASP initiatives. Br J Pain 2012;6:81–4. https://doi.org/10.1177/2049463712444062.
• Small G. The Knowledge, Attitudes and Barriers amongst Health Professionals Regarding Acute and Chronic Pain Management in Children: An Integrative Review. 2020.
• Alotaibi K, Higgins I, Day J, Chan S. Paediatric pain management: knowledge, attitudes, barriers and facilitators among nurses-integrative review. International Nursing Review 2018;65:524–33.
• Stanley M, Pollard D. Relationship between knowledge, attitudes andself-efficacy of nurses in the management of pediatric pain. Pediatric Nursing 2013;39:165–71.
• Aydın B, Bektaş M. Pediatric pain management knowledge levels of intern nursing students. Pain Manag Nurs 2020;21:290–8. https://doi.org/10.1016/j.pmn.2019.06.012.
• Aydın B, Bektaş M. Pediatric pain management knowledge scale for nursing students: Assessment of the psychometric properties. J Pediatr Res 2021;8:82–92. https://doi.org/10.4274/jpr.galenos.2020.38258.
• Ung A, Salamonson Y, Hu W, Gallego G. Assessing knowledge, perceptions and attitudes to pain management among medical and nursing students: a review of the literature. Br J Pain 2016;10:8–21. https://doi.org/10.1177/2049463715583142.
• Macindo JRB, Soriano CAF, Gonzales HRM, Simbulan PJT, Torres GCS, Que JC. Development and psychometric appraisal of the Pain Management Self-Efficacy Questionnaire. J Adv Nurs 2018;74:1993–2004. https://doi.org/10.1111/jan.13582.
• Aydın Sayılan A, Eşkin Bacaksız F, Seyhan Ak E, Kulakaç N, Macindo JRB. Adaptation of the pain management self-efficacy questionnaire into Turkish. Agri 2022;34:91–9. https://doi.org/10.14744/agri.2022.35902.
• IBM Corp. Released. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp. 2017.
• Tabachnick BG, Fidell LS. Using multivariate statistics. 7th ed. Upper Saddle River, NJ: Pearson; 2018.
• Shdaifat E, Al-Shdayfat N, Sudqi A. Saudi nursing students’ pain management knowledge and attitudes. Nurs Open 2020;7:1833–9. https://doi.org/10.1002/nop2.570.
• Al-Khawaldeh OA, Al-Hussami M, Darawad M. Knowledge and attitudes regarding pain management among Jordanian nursing students. Nurse Educ Today 2013;33:339–45. https://doi.org/10.1016/j.nedt.2013.01.006.
• Karaman E, Vural Doğru B, Yıldırım Y. Knowledge and attitudes of nursing students about pain management. Agri 2019;31:70–8. https://doi.org/10.5505/agri.2018.10437.
• Lewthwaite BJ, Jabusch KM, Wheeler BJ, Schnell-Hoehn KN, Mills J, Estrella-Holder E, et al. Nurses’ knowledge and attitudes regarding pain management in hospitalized adults. J Contin Educ Nurs 2011;42:251–7; quiz 258–9. https://doi.org/10.3928/00220124-20110103-03.