Knowledge, Attitude and Clinical Decision-Making Abilities of Pediatric Nurses Regarding Pain Management

Yıl 2020, Cilt: 10 Sayı: 4, 416 - 422, 30.12.2020

Nesrin Şen Celasin Şadiye Dur Dilek Ergin Duygu Karaarslan

https://doi.org/10.33808/marusbed.669905

Cited By: 1

Öz

Objective: The aim of this study was to describe knowledge, attitude and clinical decision-making abilities of pediatric nurses regarding pain management, and to find the factors that affect them.

Methods: In this descriptive and analytical study, the participants consisted of 131 pediatric nurses who were employed in pediatric clinics of a university hospital and a state hospital in Manisa, Turkey. Data were collected by using the Nurse Description Form, the Questionnaire on Nurses’ Attitudes and Knowledge About Pain, and the Clinical Decision Making Questionnaire.

Results: In the study, the mean (standard deviation) score of knowledge and attitude of pediatric nurses in pain management and patients with pain was 7.32 (7.00), and the scores of 45% of them were at an intermediate level. It was found that while variables such as age, occupation and years of working experience did not affect the total mean score of knowledge and attitude of pediatric nurses in pain management, educational background and the unit at which they worked affected it. Moreover, most of the pediatric nurses had sufficient information regarding pain diagnosis; 61.1% of them observed patients’ behavior while diagnosing the severity of pain, and 65.6% of them used a pain diagnosis scale to measure patients’ pain.

Conclusion: As a result of the study, it was found that pediatric nurses had an intermediate level of knowledge and behavior regarding pain management and had sufficient knowledge about pain diagnosis and management.

Anahtar Kelimeler

Attitude, clinical decision-making, knowledge, pain, pediatric nursing

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

The authors wish to thank all pediatric nurses for participating in this study.

Kaynakça

• Kyle T. Essentials of Pediatric Nursing. Philadelphia: Lippincott Williams&Wilkins; 2008.
• Walden M. Pain assessmentand management. Verklan MT, Walden M, editors. Core curriculum for Neonatal Intensive Care Nursing. (4th ed). Missouri: Saunders Elsevier; 2010. p. 333-345.
• Aslan EF, Bahadır A. Pain control reality: Nurses’ knowledge and beliefs about the nature of the pain, evaluation of the pain and stopping the pain. Ağrı 2005; 17: 44-51.
• Ekim A, Ocakcı AF. Knowledge and attitudes regarding pain management of pediatric nurses in Turkey. Pain Management Nursing 2013; 14: 262–267.
• Plaisance L, Logan C. Nursing students’ knowledge and attitudes regarding pain. Pain Management Nursing 2006; 7: 167–175.
• Kılıç M, Öztunç G. The methods used in pain management and the role of the nurse. Fırat Healthcare Services Journal 2012: 7: 35-51.
• Törüner EK, Büyükgönenç L. Çocuk sağlığı temel hemşirelik yaklaşımları. Ankara: Göktuğ Yayıncılık; 2012. s. 146- 171.
• Derebent E, Yiğit R. Pain in neonatal: Evaluation and management. C.U. High school of Nursing Journal 2006; 10: 41-48.
• Efe E, Dikmen Ş, Altaş N, Boneval C. Turkish pediatric surgical nurses’ knowledge and attitudes regarding pain assessment and nonpharmacological and environmental methods in newborns’ pain relief. Pain Management Nursing 2013; 14: 343–350.
• Kennedy RM, Luhmann J, Zempsky WT. Clinical implications of unmanaged needle-insertion pain and distress in children. Pediatrics 2008; 122: 130-133.
• Özer S, Akyürek B, Başbakkal Z. Studying nurses’ knowledge, attitude and clinical decision-making abilities about pain. The Journal of The Turkish Society of Algology 2006; 18: 36-43.
• Cöçelli LP, Bacaksız BD, Ovayolu N. The role of the nurse in pain treatment. Gaziantep Medical Journal 2008; 14: 53-58.
• Demir DY, Yıldırım Usta Y, İnce K, Türken Gel K, Akı Kaya M. Determining nurses’ knowledge, attitude and clinical decision-making status about pain management. Modern Medical journal 2012; 2: 162-172.
• 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. Oncology Nursing Forum 2000; 27: 1415-23.
• Ferrell B, McCaffery M. Knowledge and attitudes survey regarding pain. July 2014 (Date Accesed 2014 February 4). Available from: https://prc.coh.org/Knowldege%20%20&%20Attitude%20Survey%207-14%20(1).pdf.
• McCaffery M, Robinson ES. Pain. Here‟s how you respond. Nursing 2002; 32: 37-47.
• Elçigil A. Factors affecting pediatric nurse’s decision-making in child’s pain management. DEUHYO ED 2011; 4: 48-53.
• Yılmaz F. The Effects Of Different Treatments, Applied To Neonatal Who Have Had A Painful Procedure, On Duration Of Crying And Pain. Atatürk Üniversitesy Sağlık Bilimleri Enstitüsü, Doktora Tezi. 2008.
• Rond MEJ, Wit R, Van Dam FSAM, Campen BTM, Hartog YM, Klievink RMA. A pain monitoring program for nurses: Effects on nurses’ pain knowledge and attitude. Journal of Pain and Symptom Management 2000; 19: 457-67.
• Dinçer Ş, Yurtçu M, Günel E. Yenidoğanlarda ağrı ve non-farmakolojik tedavi. Selçuk Üniversitesi Tıp Dergisi 2011; 27: 46-51.
• Ovalı F. Yenidoğanda Ağrıyı Önleme. Dağoğlu T, Görak G, editörler. Temel Neonataloji ve Hemşirelik İlkeleri. İstanbul: Nobel Tıp Kitabevleri; 2008, s. 726-732.
• Cignacco E, Hamers JP, Stoffel L, van Lingen RA, Gessler P, McDougall J, Nelle M. The efficacy of non-pharmacological interventions in the management of procedural pain in preterm and term neonates: A systematic literature review. Eur J Pain 2007; 11: 139-52.
• Çelebioğlu A, Polat S. Pain evaluation in neonatal. Syndrome 2004; 16: 99-101.
• Nimbalkar AS, Dongara AR, Phatak AG, Nimbalkar SM. Knowledge and attitudes regarding neonatal pain among nursing staff of pediatric department: An Indian experience. Pain Management Nursing 2014; 15: 69–75.
• Ay F, Ecevit AŞ. Post-operative pain and nursing practices. Ağrı 2010; 22: 21-29.
• Abdalrahim MS, Majalı SA, Bergbom I. Documentation of postoperative pain by nurses in surgical wards. Acute Pain 2008; 10: 73–81.
• Yılmaz M, Gürler H. Nursing approaches to post-operative pain of patients: Patients’ opinions. Pain 2011; 23: 71-79.
• Mackintosh C, Bowless S. The effect of an acute pain service on nurses knowledge and beliefs about post-operative pain. J Clin Nurs 2000; 9: 119-126.
• Bacaksiz BB, Pirbudak Cöçelli L, Ovayolu N, Özgür S. Hastaya Bakım Veren Sağlık Çalışanlarının Ağrı Kontrolünde Uyguladıkları Girişimlerin Değerlendirilmesi. Ağrı 2008; 20: 26-37.
• Karakaya A. Sağlık Personelinin Opioid Kullanımına Yönelik Tutumlarının Belirlenmesi. Eskişehir Osmangazi Üniversitesi Sağlık Bilimleri Enstitüsü Cerrahi Hastalıkları Hemsireliği Anabilim Dalı, Yüksek Lisans Tezi. 2007.