Research Article
BibTex RIS Cite

Knowledge and approaches of nurses about pain related interventions

Year 2019, Volume: 44 Issue: 1, 136 - 143, 31.03.2019
https://doi.org/10.17826/cumj.431892

Abstract

Purpose: This study was conducted to determine the knowledge of nursing interventions and the concept of pain in painful patients.

Materials and Methods: The descriptive study consisted of 900 nurses working in an education and research hospital and 100 nurses in the sample. The data of the study were collected using the questionnaire prepared by the researchers and questioned about the occupational and socio-demographic characteristics of the nurses and the knowledge and applications of the pain. 

Results: 57.0% of the nurses had chronic pain experience, 81.0% had education about the concept of pain in their undergraduate education, 65.0% did not receive in-service training related to pain and 84% did not follow any pain related publications. 41.0% of the nurses stated that often and always encountered with patients who complaints pain, 62.0% did pain diagnosis in the clinic where they were studying, and 65% did not use the pain diagnostic form, 74.0% used pharmacologic methods for pain control, 69.0% were asked whether the pain of the patient had passed after using the pain control method,  53.0% of the nurses pain diagnosis  assessed by the patients and their relatives by verbal expressions, and 70.0% had knowledge of nonpharmacological methods. 

Conclusion: Most of the nurses made pain diagnosis, but but they did not use any pain diagnosis form in pain diagnosis. They need for information for physiological indicators of pain and factors that affect patients' pain response and about the use of placebo. 


References

  • 1. Demir YD, Usta YY, İnce Y, Gel KT, Kaya MA. Determining of nurses’ knowledge,behavior and clinical decision making regarding pain management. Journal of Contemporary Medicine. 2012;2(3):162-172.
  • 2. Eti Aslan F. Tarihsel Süreçte Ağrı. Ağrı Doğası ve Kontrolü. 2.Baskı. Ankara: Akademisyen Tıp Kitapevleri;2014.p.3-8.
  • 3. Aydede M. Defending the IASP Definition of Pain. The Monist. 2017;100:1-31.
  • 4. Merskey H, Bogduk N. Classification of Chronic Pain, Part III: Pain Terms, A Current List with Definitions and Notes on Usage. Second Edition, IASP Task Force on Taxonomy, Seattle:IASP Press;1994.p.209-214. From:https://www.iasp-pain.org/Taxonomy
  • 5. Çeliker R. Chronic pain syndromes. Turkish Journal of Physical Medicine and Rehabilitation. 2005;51:14-8.
  • 6. Lui LY, So WK, Fong DY. Knowledge and attitudes regarding pain management among nurses in Hong Kong medical units. Journal of Clinical Nursing. 2008;17(15):2014-2021.
  • 7. Chow KM, Chan JC. Pain knowledge and attitudes of nursing students: a literatüre review. Nurse Education Today. 2015;35(2):366-372.
  • 8. Latina R, Mauro L, Mitello L, D'angelo D, Caputo L, De Marinis MG, et al. Attitude and knowledge of pain management among Italian nurses in hospital settings. Pain Management Nursing. 2015;16(6):959-967.
  • 9. Özveren H. [Non-pharmacological methods at pain management]. Hacettepe University Faculty of Health Sciences Nursing Journal. 2011;18(1):83-92.
  • 10. Dirimeşe E, Özdemir FK, Şahin ZA. Nursing students’ knowledge of related to pain management, cultural awareness and competence. Gümüşhane University Journal of Health Sciences. 2016;5(3):1-6.
  • 11. Gürarslan Baş N, Karatay G, Bozoğlu Ö, Akay M, Kunduracı E, Aybek H. [Postoperative pain management: Nursing practices]. Journal of Hacettepe University Faculty of Nursing. 2016;3(2).
  • 12. Ucuzal M, Doğan R. Emergency nurses' knowledge, attitude and clinical decision making skills about pain. International Emergency Nursing. 2015;23(2):75-80.
  • 13. Özer S, Akyürek B, Başbakkal Z. Investigation of nurses’ pain related knowledge, attitude and clinical decision making skills. Pain. 2006;18(4):36-43.
  • 14. Al-Shaer D, Hill PD, Anderson MA. Nurses’ knowledge and attitudes regarding pain assessment and intervention. Medsurg Nursing. 2011;20:7–11.
  • 15. Eti Aslan F, Badır A. Reality about pain control: The knowledge and beliefs of nurses on the nature, assessment and management of pain. Pain. 2005;17(2):44-51.
  • 16. Furjanic M, Cooney A, McCarthy B. Nurses’ knowledge of pain and its management in older people. Nursing Older People. 2016;28(9):32-37.
  • 17. Sloman R, Ahern M, Wright A, Brown L. Nurses' knowledge of pain in the elderly. Journal of Pain and Symptom Management. 2001;21(4):317-322.
  • 18. Yaqoob SH, Nasaif HA. Nurses’ knowledge and attitudes toward pain assessment and management for adult sickle cell disease patients during sickling crisis. Clinical Nursing Studies. 2015;3(4):36-43.
  • 19. Arlı M, Nazik H. Introduction to scientific research. Ankara: Gazi Bookstore;2001.
  • 20. Yazıcıoğlu Y, Erdoğan S. SPSS Applied Scientific Research Methods. Ankara: Detay Publishing;2004.
  • 21. Zhang CH, Hsu L, Zou BR, Li JF, Wang HY, Huang J. Effects of a pain education program on nurses' pain knowledge, attitudes and pain assessment practices in China. Journal of Pain and Symptom Management. 2008;36(6):616-627.
  • 22. Göl İ, Onarıcı M. Nurses’ knowledge and practice about pain and pain control in children. Journal of Hacettepe University Faculty of Nursing. 2015;2(3):20-29.
  • 23. Eti Aslan F. The assessment methods of pain. Journal of Cumhuriyet University School of Nursing. 2002;6(1):9-16.
  • 24. Eti Aslan F. Acute pain. Journal of Education and Research in Nursing. 2005;2(1):24-31.
  • 25. Ay F, Alpar SE. Approaches taken by nurses in treating postoperative pain. Pain. 2010;22(1):21-29.
  • 26. McCaffery M, Robinson ES. Your patient is in pain–here’s how you respond. Nursing. 2002; 32(10):36-45.
  • 27. Acar K, Acar H, Demir F, Eti Aslan F. Determining the incidence of postsurgical pain and amount of analgesic use postsurgical pain and analgesic. ACU Sağlık Bil Derg. 2016;2:85-91.
  • 28. Kizza IB, Muliira JK, Kohi TW, Nabirye RC. Nurses’ knowledge of the principles of acute pain assessment in critically ill adult patients who are able to self-report. International Journal of Africa Nursing Sciences. 2016;4:20-27.
  • 29. Çöçelli LP, Bacaksız BD, Ovayolu N. The nurse factor in pain thearpy. Gaziantep Medical Journal. 2008;14(2):53-8.
  • 30. Karayurt Ö, Akyol Ö. Assesment of pain in ıntensive care patients]. Journal of Anatolia Nursing and Health Sciences. 2008;11(4):96-104.

Ağrı ile ilişkili girişimler konusunda hemşirelerin bilgi ve yaklaşımları

Year 2019, Volume: 44 Issue: 1, 136 - 143, 31.03.2019
https://doi.org/10.17826/cumj.431892

Abstract

Amaç: Bu çalışma hemşirelerin ağrısı olan hastalarda hemşirelik girişimlerinin ve ağrı kavramına ilişkin bilgilerinin belirlenmesi amacıyla yapılmıştır. 

Gereç ve Yöntem: Tanımlayıcı olarak yapılan araştırmanın evrenini bir eğitim ve araştırma hastanesinde çalışan 900 hemşire, örneklemini ise 100 hemşire oluşturmuştur. Çalışmanın verileri araştırmacılar tarafından hazırlanan ve hemşirelerin mesleki ve sosyo-demografik özellikleri ile ağrıya ilişkin bilgi ve uygulamalarının sorgulandığı anket formu kullanılarak toplanmıştır. 

Bulgular: Hemşirelerin %57.0’ının kronik ağrı deneyimlerinin olduğu, %81’inin lisans eğitimlerinde ağrı kavramına ilişkin eğitim aldıkları, %65.0’ının ağrıya ilişkin hizmet içi eğitim almadıkları ve %84.0’ının ağrıya ilişkin herhangi bir yayın takip etmedikleri belirlenmiştir. Hemşirelerin %41.0’ı sıklıkla ve her zaman ağrısı olan hastalar ile karşılaştıklarını, %62.0’ı çalıştıkları klinikte ağrı tanılaması yaptıklarını ve %65.0’ı ağrı tanılama formu kullanmadıklarını, %74.0’ı ağrı kontrolünde farmakolojik yöntemleri kullandıklarını, %69.0’ı ağrı kontrol yöntemi kullandıktan sonra hastanın ağrısının geçip geçmediğini sorduklarını, %53.0’ı ağrı tanılamasını hasta ve yakınlarının sözlü ifadeleri ile değerlendirdikleri ve %70’inin nonfarmakolojik yöntemlere ilişkin bilgi sahibi olduklarını belirtmişlerdir. 

Sonuç: Hemşirelerin çoğunluğunun ağrı tanılaması yaptıkları ancak ağrı tanılamasında herhangi bir ağrı tanılama formu kullanmadıkları saptanmıştır. Hemşirerlerin ağrının fizyolojik göstergeleri, hastaların ağrı cevabını etkileyen faktörler ile plasebo kullanımı konusunda bilgi gereksinimlerinin olduğu belirlenmiştir.

References

  • 1. Demir YD, Usta YY, İnce Y, Gel KT, Kaya MA. Determining of nurses’ knowledge,behavior and clinical decision making regarding pain management. Journal of Contemporary Medicine. 2012;2(3):162-172.
  • 2. Eti Aslan F. Tarihsel Süreçte Ağrı. Ağrı Doğası ve Kontrolü. 2.Baskı. Ankara: Akademisyen Tıp Kitapevleri;2014.p.3-8.
  • 3. Aydede M. Defending the IASP Definition of Pain. The Monist. 2017;100:1-31.
  • 4. Merskey H, Bogduk N. Classification of Chronic Pain, Part III: Pain Terms, A Current List with Definitions and Notes on Usage. Second Edition, IASP Task Force on Taxonomy, Seattle:IASP Press;1994.p.209-214. From:https://www.iasp-pain.org/Taxonomy
  • 5. Çeliker R. Chronic pain syndromes. Turkish Journal of Physical Medicine and Rehabilitation. 2005;51:14-8.
  • 6. Lui LY, So WK, Fong DY. Knowledge and attitudes regarding pain management among nurses in Hong Kong medical units. Journal of Clinical Nursing. 2008;17(15):2014-2021.
  • 7. Chow KM, Chan JC. Pain knowledge and attitudes of nursing students: a literatüre review. Nurse Education Today. 2015;35(2):366-372.
  • 8. Latina R, Mauro L, Mitello L, D'angelo D, Caputo L, De Marinis MG, et al. Attitude and knowledge of pain management among Italian nurses in hospital settings. Pain Management Nursing. 2015;16(6):959-967.
  • 9. Özveren H. [Non-pharmacological methods at pain management]. Hacettepe University Faculty of Health Sciences Nursing Journal. 2011;18(1):83-92.
  • 10. Dirimeşe E, Özdemir FK, Şahin ZA. Nursing students’ knowledge of related to pain management, cultural awareness and competence. Gümüşhane University Journal of Health Sciences. 2016;5(3):1-6.
  • 11. Gürarslan Baş N, Karatay G, Bozoğlu Ö, Akay M, Kunduracı E, Aybek H. [Postoperative pain management: Nursing practices]. Journal of Hacettepe University Faculty of Nursing. 2016;3(2).
  • 12. Ucuzal M, Doğan R. Emergency nurses' knowledge, attitude and clinical decision making skills about pain. International Emergency Nursing. 2015;23(2):75-80.
  • 13. Özer S, Akyürek B, Başbakkal Z. Investigation of nurses’ pain related knowledge, attitude and clinical decision making skills. Pain. 2006;18(4):36-43.
  • 14. Al-Shaer D, Hill PD, Anderson MA. Nurses’ knowledge and attitudes regarding pain assessment and intervention. Medsurg Nursing. 2011;20:7–11.
  • 15. Eti Aslan F, Badır A. Reality about pain control: The knowledge and beliefs of nurses on the nature, assessment and management of pain. Pain. 2005;17(2):44-51.
  • 16. Furjanic M, Cooney A, McCarthy B. Nurses’ knowledge of pain and its management in older people. Nursing Older People. 2016;28(9):32-37.
  • 17. Sloman R, Ahern M, Wright A, Brown L. Nurses' knowledge of pain in the elderly. Journal of Pain and Symptom Management. 2001;21(4):317-322.
  • 18. Yaqoob SH, Nasaif HA. Nurses’ knowledge and attitudes toward pain assessment and management for adult sickle cell disease patients during sickling crisis. Clinical Nursing Studies. 2015;3(4):36-43.
  • 19. Arlı M, Nazik H. Introduction to scientific research. Ankara: Gazi Bookstore;2001.
  • 20. Yazıcıoğlu Y, Erdoğan S. SPSS Applied Scientific Research Methods. Ankara: Detay Publishing;2004.
  • 21. Zhang CH, Hsu L, Zou BR, Li JF, Wang HY, Huang J. Effects of a pain education program on nurses' pain knowledge, attitudes and pain assessment practices in China. Journal of Pain and Symptom Management. 2008;36(6):616-627.
  • 22. Göl İ, Onarıcı M. Nurses’ knowledge and practice about pain and pain control in children. Journal of Hacettepe University Faculty of Nursing. 2015;2(3):20-29.
  • 23. Eti Aslan F. The assessment methods of pain. Journal of Cumhuriyet University School of Nursing. 2002;6(1):9-16.
  • 24. Eti Aslan F. Acute pain. Journal of Education and Research in Nursing. 2005;2(1):24-31.
  • 25. Ay F, Alpar SE. Approaches taken by nurses in treating postoperative pain. Pain. 2010;22(1):21-29.
  • 26. McCaffery M, Robinson ES. Your patient is in pain–here’s how you respond. Nursing. 2002; 32(10):36-45.
  • 27. Acar K, Acar H, Demir F, Eti Aslan F. Determining the incidence of postsurgical pain and amount of analgesic use postsurgical pain and analgesic. ACU Sağlık Bil Derg. 2016;2:85-91.
  • 28. Kizza IB, Muliira JK, Kohi TW, Nabirye RC. Nurses’ knowledge of the principles of acute pain assessment in critically ill adult patients who are able to self-report. International Journal of Africa Nursing Sciences. 2016;4:20-27.
  • 29. Çöçelli LP, Bacaksız BD, Ovayolu N. The nurse factor in pain thearpy. Gaziantep Medical Journal. 2008;14(2):53-8.
  • 30. Karayurt Ö, Akyol Ö. Assesment of pain in ıntensive care patients]. Journal of Anatolia Nursing and Health Sciences. 2008;11(4):96-104.
There are 30 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research
Authors

Meltem Akbaş 0000-0002-5845-0552

İpek Köse Tosunöz 0000-0003-2055-6260

Publication Date March 31, 2019
Acceptance Date September 4, 2018
Published in Issue Year 2019 Volume: 44 Issue: 1

Cite

MLA Akbaş, Meltem and İpek Köse Tosunöz. “Ağrı Ile ilişkili girişimler Konusunda hemşirelerin Bilgi Ve yaklaşımları”. Cukurova Medical Journal, vol. 44, no. 1, 2019, pp. 136-43, doi:10.17826/cumj.431892.