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Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management

Year 2021, Volume: 6 Issue: 2, 93 - 97, 31.05.2021

Abstract

Objective: The aim of this descriptive study was to determine the factors affecting the knowledge levels and attitudes of the nurses about the pain management.
Material and Methods: Study population was nurses which work in medical, surgical and intensive care units of a public hospital. A total of 79 nurses were included in the study. Data were collected with a standardized questionnaire extracted from the current literature called “Nurses’ Demographics Form”, “Nurses’ Knowledge and Attitudes Survey Regarding Pain”, and “Applying Interventions Against Pain Form”.
Results: 48.1% of the nurses who participated to the study were between 31-40 years old, 41.8% of them had associate’s degree, 34.2% of them had +16 years of occupational experience. 59.5% of the nurses were working as clinic nurses and 67.1% of them had not attended any course/training on pain management. There was no statistically significant association between knowledge level and age, educational degree, working department, and occupational experience (p>0.05). The most common interventions used against to pain were determined as “to inform other nurses after duty (88.6%)” and “to locate the pain (73.1%)”. 48.1% of the nurses were stated that they had never administered pharmacological agents to the epidural-intrathecal cavity with an epidural catheter to reduce pain.
Conclusions: It was concluded that the knowledge level of the nurses on pain management was inadequate. It was seen that the knowledge level was not related to age, education level, working experience, and previous education status on pain management.

References

  • Richards J, Hubbert AO. Experiences of expert nurses in caring for patients with postoperative pain. Pain Manag Nurs 2007;8(1):17-24. doi: 10.1016/j.pmn.2006.12.003
  • Merskey H, Bogduk N. IASP Taxonomy. [Internet]. [cited 2017 Jan 20] Available from: http://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698#Pain.
  • McMillan SC, Tittle M, Hagan S, Laughlin J, Tabler RE. Knowledge and attitudes of nurses in veterans hospitals about pain management in patients with cancer. Oncol Nurs Forum 2000 27(9):1415-1423.
  • Aslan FE, Bahadır A. Ağrı kontrol gerçeği: hemşirelerin ağrının doğası, değerlendirilmesi ve geçirilmesine ilişkin bilgi ve inançları. Ağrı 2005;17(2): 44-51.
  • Rahimi-Madiseh M, Tavakol M, Dennick RA. Quantitative study of Iranian nursing students’ knowledge and attitudes towards pain: implication for education. Int J Nurs Pract 2010;16(5):478-483. doi: 10.1111/j.1440-172X.2010.01872.x
  • Ferrel BR, McCaffery M, Grant M. Clinical decision making and pain. Cancer Nursing 1991;14(6): 289-297.
  • Karamjeet K. Knowledge and attitude regarding pain management among staff nurses. Nursing&Care Open Access Journal 2017;2(1):5-7. Doi:10.15406/ncoaj.2017.02.00024.
  • Çöçelli LP, Bacaksız BD, Ovayolu N. Ağrı tedavisinde hemşirenin rolü. Gaziantep Tıp Dergisi 2008;14:53-58.
  • Salameh B. Nurses’ knowledge regarding pain management in high acuity care units: A case study of Palestine. International Journal of Health Science 2018;12(3):51-57.
  • Dikmen YD, Usta YY, Ince Y, Gel KT, Kaya MA. Determining of nurses’ knowledge, behaviour and clinic decision making regarding pain management. Journal of Contemporary Medicine, 2012;2(2):162-172.
  • Ozer S, Akyurek B, Basbakkal Z. Hemşirelerin ağrı ile ilgili bilgi, davranış ve klinik karar verme yeteneklerinin incelenmesi. Ağrı 2006;18(4):36-43.
  • Chow KM, Chan JCY. Pain knowledge and attitudes of nursing students: A literature review. Nurse Educ Today 2014;35(2):366-372 doi: 10.1016/j.nedt.2014.10.019
  • Duke G, Haas BK, Yarbrough S, Northam S. Pain management knowledge and attitudes of baccalaureate nursing students and faculty. Pain Manag Nurs, 2013;14(1):11-19. doi: 10.1016/j.pmn.2010.03.006
  • Tse MM, Ho SS. Enhancing knowledge and attitudes in pain management: a pain management education program for nursing home staff. Pain Manag Nurs 2014;15(1):2-11. doi: 10.1016/j.pmn.2012.03.009
  • Latchman J. Improving pain management at the nursing education level: evaluating knowledge and attitudes. J Adv Pract Oncol 2014;5(1):10-16.
  • Yildirim YK, Fadiloğlu Ç, Uyar M. Effects of pain education program on pain intensity, pain treatment satisfaction, and barriers in Turkish cancer patients. Pain Manag Nurs 2009; 10(4):220-228. doi: 10.1016/j.pmn.2007.09.004
  • Karaman E, Vural Doğru B, Yıldırım Y. Knowledge and attitudes of nursing students about pain management. Agri 2019;31(2):70-78.
  • Çelik S, Baş BK, Korkmaz ZN, Karaşahin H, Yıldırım S. Hemşirelerin ağrı yönetimi hakkındaki bilgi ve davranışlarının belirlenmesi. Bakırköy Tıp Dergisi 2018;14:17-23.
  • Eid T, Manias E, Bucknall T, Almazrooa A. Nurses’ knowledge and attitudes regarding pain in saudi arabia. Pain Manag Nurs, 2014;15(4):e25-36. doi: 10.1016/j.pmn.2014.05.014

Hemşirelerin Ağrı Yönetimi Hakkında Davranışları ve Bilgi Seviyelerini Etkileyen Faktörler

Year 2021, Volume: 6 Issue: 2, 93 - 97, 31.05.2021

Abstract

Amaç: Tanımlayıcı tipte planlanan bu çalışmanın amacı; ağrı yönetimi konusunda hemşirelerin davranışları ve bilgi düzeylerini etkileyen faktörlerin belirlenmesidir.
Gereç ve Yöntem: Çalışmanın popülasyonu bir devlet hastanesinin dahili, cerrahi servisleri ve yoğun bakımlarında çalışan hemşirelerdir. Çalışmaya toplam 79 hemşire dahil edilmiştir. Veriler güncel literatürde bulunan “Hemşire Tanımlayıcı Bilgi Formu”, “Hemşirelerin Ağrı Üzerine Bilgi ve Tutum Anketi”, “Ağrıya Karşı Müdahale Uygulama Formu” formlarından elde edilen standart bir anket ile toplanmıştır.
Bulgular: Araştırmaya katılan hemşirelerin %48.1’i 31-40 yaş arasındaydı, %41.8’i ön lisans mezunuydu ve %34.2’sinin 16 yıl ve üzeri mesleki deneyimi vardı. Katılımcıların %59.5’i klinik hemşiresi olarak çalışıyordu ve %67.1’i daha önce ağrı yönetimi hakkında bir eğitim veya kursa katılmamıştı. Doğru yanıt puan ortalaması 4.73± 2.09 idi. Bilgi seviyesi ile yaş, eğitim seviyesi, çalışılan birim ve mesleki deneyim arasında istatistiksel olarak anlamlı bir fark yoktu (p>0.05). Ağrıya karşı en sık yapılan uygulama “nöbet sonrası diğer hemşireleri bilgilendirmek (%86.6)” ve “ağrılı bölgeyi saptamak (%73.1)” olarak belirlenirken, hemşirelerin %48.1’i ağrıyı azaltmak için hiç epidural-intratekal kaviteye epidural kateter ile ilaç uygulamadığını ifade etti.
Sonuç: Hemşirelerin ağrı yönetimi hakkındaki bilgi seviyelerinin yeterli olmadığı sonucuna ulaşılmıştır. Bilgi seviyesinin yaş, eğitim seviyesi, mesleki deneyim ve ağrı yönetimi açısından alınan önceki eğitimler ile ilişkili olmadığı görülmüştür.

References

  • Richards J, Hubbert AO. Experiences of expert nurses in caring for patients with postoperative pain. Pain Manag Nurs 2007;8(1):17-24. doi: 10.1016/j.pmn.2006.12.003
  • Merskey H, Bogduk N. IASP Taxonomy. [Internet]. [cited 2017 Jan 20] Available from: http://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698#Pain.
  • McMillan SC, Tittle M, Hagan S, Laughlin J, Tabler RE. Knowledge and attitudes of nurses in veterans hospitals about pain management in patients with cancer. Oncol Nurs Forum 2000 27(9):1415-1423.
  • Aslan FE, Bahadır A. Ağrı kontrol gerçeği: hemşirelerin ağrının doğası, değerlendirilmesi ve geçirilmesine ilişkin bilgi ve inançları. Ağrı 2005;17(2): 44-51.
  • Rahimi-Madiseh M, Tavakol M, Dennick RA. Quantitative study of Iranian nursing students’ knowledge and attitudes towards pain: implication for education. Int J Nurs Pract 2010;16(5):478-483. doi: 10.1111/j.1440-172X.2010.01872.x
  • Ferrel BR, McCaffery M, Grant M. Clinical decision making and pain. Cancer Nursing 1991;14(6): 289-297.
  • Karamjeet K. Knowledge and attitude regarding pain management among staff nurses. Nursing&Care Open Access Journal 2017;2(1):5-7. Doi:10.15406/ncoaj.2017.02.00024.
  • Çöçelli LP, Bacaksız BD, Ovayolu N. Ağrı tedavisinde hemşirenin rolü. Gaziantep Tıp Dergisi 2008;14:53-58.
  • Salameh B. Nurses’ knowledge regarding pain management in high acuity care units: A case study of Palestine. International Journal of Health Science 2018;12(3):51-57.
  • Dikmen YD, Usta YY, Ince Y, Gel KT, Kaya MA. Determining of nurses’ knowledge, behaviour and clinic decision making regarding pain management. Journal of Contemporary Medicine, 2012;2(2):162-172.
  • Ozer S, Akyurek B, Basbakkal Z. Hemşirelerin ağrı ile ilgili bilgi, davranış ve klinik karar verme yeteneklerinin incelenmesi. Ağrı 2006;18(4):36-43.
  • Chow KM, Chan JCY. Pain knowledge and attitudes of nursing students: A literature review. Nurse Educ Today 2014;35(2):366-372 doi: 10.1016/j.nedt.2014.10.019
  • Duke G, Haas BK, Yarbrough S, Northam S. Pain management knowledge and attitudes of baccalaureate nursing students and faculty. Pain Manag Nurs, 2013;14(1):11-19. doi: 10.1016/j.pmn.2010.03.006
  • Tse MM, Ho SS. Enhancing knowledge and attitudes in pain management: a pain management education program for nursing home staff. Pain Manag Nurs 2014;15(1):2-11. doi: 10.1016/j.pmn.2012.03.009
  • Latchman J. Improving pain management at the nursing education level: evaluating knowledge and attitudes. J Adv Pract Oncol 2014;5(1):10-16.
  • Yildirim YK, Fadiloğlu Ç, Uyar M. Effects of pain education program on pain intensity, pain treatment satisfaction, and barriers in Turkish cancer patients. Pain Manag Nurs 2009; 10(4):220-228. doi: 10.1016/j.pmn.2007.09.004
  • Karaman E, Vural Doğru B, Yıldırım Y. Knowledge and attitudes of nursing students about pain management. Agri 2019;31(2):70-78.
  • Çelik S, Baş BK, Korkmaz ZN, Karaşahin H, Yıldırım S. Hemşirelerin ağrı yönetimi hakkındaki bilgi ve davranışlarının belirlenmesi. Bakırköy Tıp Dergisi 2018;14:17-23.
  • Eid T, Manias E, Bucknall T, Almazrooa A. Nurses’ knowledge and attitudes regarding pain in saudi arabia. Pain Manag Nurs, 2014;15(4):e25-36. doi: 10.1016/j.pmn.2014.05.014
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Makaleleri
Authors

Esra Acar This is me 0000-0003-4061-9783

Yasemin Tokem 0000-0001-9140-2846

Yahya Acar 0000-0002-9572-5738

Banu Karakus Yılmaz 0000-0002-6661-4967

Publication Date May 31, 2021
Submission Date September 12, 2020
Published in Issue Year 2021 Volume: 6 Issue: 2

Cite

APA Acar, E., Tokem, Y., Acar, Y., Karakus Yılmaz, B. (2021). Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(2), 93-97.
AMA Acar E, Tokem Y, Acar Y, Karakus Yılmaz B. Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management. İKÇÜSBFD. May 2021;6(2):93-97.
Chicago Acar, Esra, Yasemin Tokem, Yahya Acar, and Banu Karakus Yılmaz. “Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 6, no. 2 (May 2021): 93-97.
EndNote Acar E, Tokem Y, Acar Y, Karakus Yılmaz B (May 1, 2021) Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 6 2 93–97.
IEEE E. Acar, Y. Tokem, Y. Acar, and B. Karakus Yılmaz, “Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management”, İKÇÜSBFD, vol. 6, no. 2, pp. 93–97, 2021.
ISNAD Acar, Esra et al. “Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 6/2 (May 2021), 93-97.
JAMA Acar E, Tokem Y, Acar Y, Karakus Yılmaz B. Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management. İKÇÜSBFD. 2021;6:93–97.
MLA Acar, Esra et al. “Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 6, no. 2, 2021, pp. 93-97.
Vancouver Acar E, Tokem Y, Acar Y, Karakus Yılmaz B. Factors Affecting the Knowledge Level and Attitudes of Nurses about Pain Management. İKÇÜSBFD. 2021;6(2):93-7.



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