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Rheumatology nurses’ knowledge and practices on pain management

Yıl 2024, EARLY ONLINE, 1 - 12
https://doi.org/10.18621/eurj.1448013

Öz

Objective: Nurses have important responsibilities in providing effective pain management. This study was conducted to determine the level of knowledge and practices of rheumatology nurses regarding pain management.

Methods: A descriptive study sample was 64 nurses in the rheumatology clinic. Data were collected using the Nurse Introduction Form and Questionnaire on Knowledge and Practices Regarding Pain Management. The data were evaluated in the SPSS.

Results: It was determined that 73.4% of the rheumatology nurses did not receive training on pain management. The pain management knowledge score was moderate, and the knowledge of non-pharmacological pain management was insufficient. The mean pain management self-confidence score was 6.03±2.01 (0-10), and a positive correlation was found between the graduation year, working years in rheumatology, and pain management knowledge score (P<0.05). Findings showed that the rheumatology nurses wanted to receive training on non-pharmacological interventions in pain management, pain-related psychosocial issues, and pain diagnosis.

Conclusion: Most of the participating rheumatology nurses did not receive training on pain management; their knowledge was only moderate, and they wanted to receive more training. As nurses’ working years increased, the pain management self-confidence score increased. It is important to ensure orientation in the clinic by providing training to nurses who start to work in the rheumatology clinic regarding management and non-pharmacological interventions.

Etik Beyan

Ethical approval was obtained from the Scientific Ethical Committee of Ege University Faculty of Nursing (Date: 30.09.2015, numbered 2015-113)

Kaynakça

  • 1. Rosa WE. Transcultural Pain Management: Theory, Practice, and Nurse-Client Partnerships. Pain Manag Nurs. 2018;19(1):23-33. doi: 10.1016/j.pmn.2017.10.007.
  • 2. Özveren H, Faydalı S, Gülnar E, Dokuz HF. [Attitude and applications of nurses to evaluate pain]. J Contemp Med. 2018;8(1):60-66. doi:10.16899/gopctd.388195. [Article in Turkish].
  • 3. International Association for the Study of Pain (IASP) Terminology. (Last Updated: December 14, 2017). https://www.iasp-pain.org/terminology?navItemNumber=576#Pain. Accessed June 17, 2020.
  • 4. Courtenay M, Carey N. The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature. J Clin Nurs. 2008;17(15):2001-2013. doi:10.1111/j.1365-2702.2008.02361.x.
  • 5. Köken İŞ, Eyigör C. [Interventional pain treatment modalities in palliation of rheumatic pains]. Ege Tıp Dergisi. 2019;58(Supp):22-26. doi: 10.19161/etd.648690. [Article in Turkish]
  • 6. Rubin DI. Epidemiology and risk factors for spine pain. Neurol Clin. 2007;25(2):353-371. doi: 10.1016/j.ncl.2007.01.004.
  • 7. Geenen R, Overman CL, Christensen R, et al. EULAR recommendations for the health professional's approach to pain management in inflammatory arthritis and osteoarthritis. Ann Rheum Dis. 2018;77(6):797-807. doi:10.1136/annrheumdis-2017-212662.
  • 8. Lee YC. Effect and treatment of chronic pain in inflammatory arthritis. Curr Rheumatol Rep. 2013;15(1):300. doi: 10.1007/s11926-012-0300-4.
  • 9. Akdemir N, Akyar İ, Görgülü Ü. [Nurses’ approaches towards the pain problem of patients admitted to physical therapy and rehabilitation inpatient and outpatient clinics]. Turk J Phys Med Rehab. 2008;54(4):157-163. [Article in Turkish]
  • 10. Parlar S, Fadiloglu C, Argon G, Tokem Y, Keser G. The effects of self-pain management on the intensity of pain and pain management methods in arthritic patients. Pain Manag Nurs. 2013;14(3):133-142. doi:10.1016/j.pmn.2010.08.002.
  • 11. Borenstein DG, Hassett AL, Pisetsky D. Pain management in rheumatology research, training, and practice. Clin Exp Rheumatol. 2017;35 Suppl 107(5):2-7.
  • 12. Ryan S, McCabe CS, Adams J. The current knowledge and confidence of rheumatology nurses in providing advice on pain management. Musculoskeletal Care. 2016;14(1):62-66. doi:10.1002/msc.1113.
  • 13. Demir Dikmen Y, Usta Yıldırım Y, İnce Y, Türken Gel K, Akı Kaya M. [Determining of nurses’ knowledge, behavior and clinical decision making regarding pain management]. Çağdaş Tıp Dergisi. 2012;2(3):162-172. [Article in Turkish]
  • 14. Yılmaz M, Gürler H. [Nursing approaches toward postoperative pain in patients: patients’ opinions]. Agri. 2011;23(2):71-79. doi:10.5505/agri.2011.36349. [Article in Turkish]
  • 15. Ozer S, Akyürek B, Başbakkal Z. [Investigation of nurses' pain related knowledge, attitude and clinical decision making skills]. Agri. 2006;18(4):36-43. [Article in Turkish]
  • 16. Ferrell BR, Eberts MT, McCaffery M, Grant M. The Clinical Decision Making Survey (CDMS) Measurement Instrument Database for the Social Science. 2012. https://www.midss.org/sites/default/files/clinical_decision_making.pdf. Accessed December 19, 2019.
  • 17. Alzghoul BI, Abdullah NA. Pain management practices by nurses: an application of the Knowledge, Attitude and Practices (KAP) Model. Glob J Health Sci. 2015;8(6):154-160. doi:10.5539/gjhs.v8n6p154.
  • 18. Wells-Federman C, Arnstein P, Caudill M. Nurse-led pain management program: effect on self-efficacy, pain intensity, pain-related disability, and depressive symptoms in chronic pain patients. Pain Manag Nurs. 2002;3(4):131-140. doi:10.1053/jpmn.2002.127178.
  • 19. Bech B, Primdahl J, van Tubergen A, et al. 2018 update of the EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis. Ann Rheum Dis. 2020;79(1):61-68. doi: 10.1136/annrheumdis-2019-215458.
  • 20. Zangi HA, Ndosi M, Adams J, et al; European League Against Rheumatism (EULAR). EULAR recommendations for patient education for people with inflammatory arthritis. Ann Rheum Dis. 2015;74(6):954-962. doi: 10.1136/annrheumdis-2014-206807.
  • 21. Du S, Yuan C, Xiao X, Chu J, Qiu Y, Qian H. Self-management programs for chronic musculoskeletal pain conditions: a systematic review and meta-analysis. Patient Educ Couns. 2011;85(3):e299-310. doi: 10.1016/j.pec.2011.02.021.
  • 22. Hewlett S, Clarke B, O'Brien A, et al. Rheumatology education for undergraduate nursing, physiotherapy and occupational therapy students in the UK: standards, challenges and solutions. Rheumatology (Oxford). 2008;47(7):1025-1030. doi:10.1093/rheumatology/ken139.
  • 23. Chan JC, Hamamura T. Emotional intelligence, pain knowledge, and attitudes of nursing students in Hong Kong. Pain Manag Nurs. 2016;17(2):159-168. doi:10.1016/j.pmn.2016.02.001.
  • 24. Kalinowski S, Budnick A, Kuhnert R, et al. Nonpharmacologic Pain Management Interventions in German Nursing Homes: A Cluster Randomized Trial. Pain Manag Nurs. 2015;16(4):464-474. doi: 10.1016/j.pmn.2014.09.002.
  • 25. Menefee LA, Monti DA. Nonpharmacologic and complementary approaches to cancer pain management. J Am Osteopath Assoc. 2005;105(11 Suppl 5):S15-20.
  • 26. Göl İ, Onarıcı M. [Nurses’ knowledge and practices about pain and pain control in children]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi.2015;2(3):20-29. [Article in Turkish]
  • 27. Yılmaz F, Atay S. [Clinical pain management of nursing students]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2014;1(2):32-41. [Article in Turkish]
  • 28. Lewis MJM, Kohtz C, Emmerling S, Fisher M, Mcgarvey J. Pain control and nonpharmacologic interventions. Nursing. 2018;48(9):65-68. doi: 10.1097/01.NURSE.0000544231.59222.ab.
  • 29. Akbaş M, Tosunöz İK. [Knowledge and approaches of nurses about pain related interventions]. Cukurova Med J 2019;44(1):136-143. doi:10.17826/cumj.431892. [Article in Turkish]
  • 30. Neher M, Ståhl C, Ellström PE, Nilsen P. Knowledge sources for evidence-based practice in rheumatology nursing. Clin Nurs Res. 2015;24(6):661-679. doi:10.1177/1054773814543355.
  • 31. Sağkal Midilli T, Eşer İ, Yücel Ş. [The use of nonpharmacological methods in pain management of nurses working in surgical clinics and factors affecting their use]. ACU Sağlık Bil Derg. 2019;10(1):60-66. doi:10.31067/0.2018.72. [Article in Turkish]
  • 32. Van Niekerk LM, Martin F. Tasmanian nurses' knowledge of pain management. Int J Nurs Stud. 2001;38(2):141-52. doi: 10.1016/s0020-7489(00)00053-5.
  • 33. Lauche R, Hunter DJ, Adams J, Cramer H. Yoga for Osteoarthritis: a Systematic Review and Meta-analysis. Curr Rheumatol Rep. 2019;21(9):47. doi: 10.1007/s11926-019-0846-5.
  • 34. Pehlivan S, Karadakovan A. Effects of aromatherapy massage on pain, functional state, and quality of life in an elderly individual with knee osteoarthritis. Jpn J Nurs Sci. 2019;16(4):450-458. doi: 10.1111/jjns.12254.
  • 35. Bakir E, Baglama SS, Gursoy S. The effects of reflexology on pain and sleep deprivation in patients with rheumatoid arthritis: A randomized controlled trial. Complement Ther Clin Pract. 2018;31:315-319. doi: 10.1016/j.ctcp.2018.02.017.
  • 36. Alparslan GB, Babadağ B, Özkaraman A, Yıldız P, Musmul A, Korkmaz C. Effects of music on pain in patients with fibromyalgia. Clin Rheumatol. 2016;35(5):1317-1321. doi: 10.1007/s10067-015-3046-3.
  • 37. Gok Metin Z, Ozdemir L. The Effects of Aromatherapy Massage and Reflexology on Pain and Fatigue in Patients with Rheumatoid Arthritis: A Randomized Controlled Trial. Pain Manag Nurs. 2016;17(2):140-149. doi: 10.1016/j.pmn.2016.01.004.
  • 38. Larsson A, Palstam A, Löfgren M, et al. Resistance exercise improves muscle strength, health status and pain intensity in fibromyalgia--a randomized controlled trial. Arthritis Res Ther. 2015;17(1):161. doi: 10.1186/s13075-015-0679-1.
Yıl 2024, EARLY ONLINE, 1 - 12
https://doi.org/10.18621/eurj.1448013

Öz

Kaynakça

  • 1. Rosa WE. Transcultural Pain Management: Theory, Practice, and Nurse-Client Partnerships. Pain Manag Nurs. 2018;19(1):23-33. doi: 10.1016/j.pmn.2017.10.007.
  • 2. Özveren H, Faydalı S, Gülnar E, Dokuz HF. [Attitude and applications of nurses to evaluate pain]. J Contemp Med. 2018;8(1):60-66. doi:10.16899/gopctd.388195. [Article in Turkish].
  • 3. International Association for the Study of Pain (IASP) Terminology. (Last Updated: December 14, 2017). https://www.iasp-pain.org/terminology?navItemNumber=576#Pain. Accessed June 17, 2020.
  • 4. Courtenay M, Carey N. The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature. J Clin Nurs. 2008;17(15):2001-2013. doi:10.1111/j.1365-2702.2008.02361.x.
  • 5. Köken İŞ, Eyigör C. [Interventional pain treatment modalities in palliation of rheumatic pains]. Ege Tıp Dergisi. 2019;58(Supp):22-26. doi: 10.19161/etd.648690. [Article in Turkish]
  • 6. Rubin DI. Epidemiology and risk factors for spine pain. Neurol Clin. 2007;25(2):353-371. doi: 10.1016/j.ncl.2007.01.004.
  • 7. Geenen R, Overman CL, Christensen R, et al. EULAR recommendations for the health professional's approach to pain management in inflammatory arthritis and osteoarthritis. Ann Rheum Dis. 2018;77(6):797-807. doi:10.1136/annrheumdis-2017-212662.
  • 8. Lee YC. Effect and treatment of chronic pain in inflammatory arthritis. Curr Rheumatol Rep. 2013;15(1):300. doi: 10.1007/s11926-012-0300-4.
  • 9. Akdemir N, Akyar İ, Görgülü Ü. [Nurses’ approaches towards the pain problem of patients admitted to physical therapy and rehabilitation inpatient and outpatient clinics]. Turk J Phys Med Rehab. 2008;54(4):157-163. [Article in Turkish]
  • 10. Parlar S, Fadiloglu C, Argon G, Tokem Y, Keser G. The effects of self-pain management on the intensity of pain and pain management methods in arthritic patients. Pain Manag Nurs. 2013;14(3):133-142. doi:10.1016/j.pmn.2010.08.002.
  • 11. Borenstein DG, Hassett AL, Pisetsky D. Pain management in rheumatology research, training, and practice. Clin Exp Rheumatol. 2017;35 Suppl 107(5):2-7.
  • 12. Ryan S, McCabe CS, Adams J. The current knowledge and confidence of rheumatology nurses in providing advice on pain management. Musculoskeletal Care. 2016;14(1):62-66. doi:10.1002/msc.1113.
  • 13. Demir Dikmen Y, Usta Yıldırım Y, İnce Y, Türken Gel K, Akı Kaya M. [Determining of nurses’ knowledge, behavior and clinical decision making regarding pain management]. Çağdaş Tıp Dergisi. 2012;2(3):162-172. [Article in Turkish]
  • 14. Yılmaz M, Gürler H. [Nursing approaches toward postoperative pain in patients: patients’ opinions]. Agri. 2011;23(2):71-79. doi:10.5505/agri.2011.36349. [Article in Turkish]
  • 15. Ozer S, Akyürek B, Başbakkal Z. [Investigation of nurses' pain related knowledge, attitude and clinical decision making skills]. Agri. 2006;18(4):36-43. [Article in Turkish]
  • 16. Ferrell BR, Eberts MT, McCaffery M, Grant M. The Clinical Decision Making Survey (CDMS) Measurement Instrument Database for the Social Science. 2012. https://www.midss.org/sites/default/files/clinical_decision_making.pdf. Accessed December 19, 2019.
  • 17. Alzghoul BI, Abdullah NA. Pain management practices by nurses: an application of the Knowledge, Attitude and Practices (KAP) Model. Glob J Health Sci. 2015;8(6):154-160. doi:10.5539/gjhs.v8n6p154.
  • 18. Wells-Federman C, Arnstein P, Caudill M. Nurse-led pain management program: effect on self-efficacy, pain intensity, pain-related disability, and depressive symptoms in chronic pain patients. Pain Manag Nurs. 2002;3(4):131-140. doi:10.1053/jpmn.2002.127178.
  • 19. Bech B, Primdahl J, van Tubergen A, et al. 2018 update of the EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis. Ann Rheum Dis. 2020;79(1):61-68. doi: 10.1136/annrheumdis-2019-215458.
  • 20. Zangi HA, Ndosi M, Adams J, et al; European League Against Rheumatism (EULAR). EULAR recommendations for patient education for people with inflammatory arthritis. Ann Rheum Dis. 2015;74(6):954-962. doi: 10.1136/annrheumdis-2014-206807.
  • 21. Du S, Yuan C, Xiao X, Chu J, Qiu Y, Qian H. Self-management programs for chronic musculoskeletal pain conditions: a systematic review and meta-analysis. Patient Educ Couns. 2011;85(3):e299-310. doi: 10.1016/j.pec.2011.02.021.
  • 22. Hewlett S, Clarke B, O'Brien A, et al. Rheumatology education for undergraduate nursing, physiotherapy and occupational therapy students in the UK: standards, challenges and solutions. Rheumatology (Oxford). 2008;47(7):1025-1030. doi:10.1093/rheumatology/ken139.
  • 23. Chan JC, Hamamura T. Emotional intelligence, pain knowledge, and attitudes of nursing students in Hong Kong. Pain Manag Nurs. 2016;17(2):159-168. doi:10.1016/j.pmn.2016.02.001.
  • 24. Kalinowski S, Budnick A, Kuhnert R, et al. Nonpharmacologic Pain Management Interventions in German Nursing Homes: A Cluster Randomized Trial. Pain Manag Nurs. 2015;16(4):464-474. doi: 10.1016/j.pmn.2014.09.002.
  • 25. Menefee LA, Monti DA. Nonpharmacologic and complementary approaches to cancer pain management. J Am Osteopath Assoc. 2005;105(11 Suppl 5):S15-20.
  • 26. Göl İ, Onarıcı M. [Nurses’ knowledge and practices about pain and pain control in children]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi.2015;2(3):20-29. [Article in Turkish]
  • 27. Yılmaz F, Atay S. [Clinical pain management of nursing students]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2014;1(2):32-41. [Article in Turkish]
  • 28. Lewis MJM, Kohtz C, Emmerling S, Fisher M, Mcgarvey J. Pain control and nonpharmacologic interventions. Nursing. 2018;48(9):65-68. doi: 10.1097/01.NURSE.0000544231.59222.ab.
  • 29. Akbaş M, Tosunöz İK. [Knowledge and approaches of nurses about pain related interventions]. Cukurova Med J 2019;44(1):136-143. doi:10.17826/cumj.431892. [Article in Turkish]
  • 30. Neher M, Ståhl C, Ellström PE, Nilsen P. Knowledge sources for evidence-based practice in rheumatology nursing. Clin Nurs Res. 2015;24(6):661-679. doi:10.1177/1054773814543355.
  • 31. Sağkal Midilli T, Eşer İ, Yücel Ş. [The use of nonpharmacological methods in pain management of nurses working in surgical clinics and factors affecting their use]. ACU Sağlık Bil Derg. 2019;10(1):60-66. doi:10.31067/0.2018.72. [Article in Turkish]
  • 32. Van Niekerk LM, Martin F. Tasmanian nurses' knowledge of pain management. Int J Nurs Stud. 2001;38(2):141-52. doi: 10.1016/s0020-7489(00)00053-5.
  • 33. Lauche R, Hunter DJ, Adams J, Cramer H. Yoga for Osteoarthritis: a Systematic Review and Meta-analysis. Curr Rheumatol Rep. 2019;21(9):47. doi: 10.1007/s11926-019-0846-5.
  • 34. Pehlivan S, Karadakovan A. Effects of aromatherapy massage on pain, functional state, and quality of life in an elderly individual with knee osteoarthritis. Jpn J Nurs Sci. 2019;16(4):450-458. doi: 10.1111/jjns.12254.
  • 35. Bakir E, Baglama SS, Gursoy S. The effects of reflexology on pain and sleep deprivation in patients with rheumatoid arthritis: A randomized controlled trial. Complement Ther Clin Pract. 2018;31:315-319. doi: 10.1016/j.ctcp.2018.02.017.
  • 36. Alparslan GB, Babadağ B, Özkaraman A, Yıldız P, Musmul A, Korkmaz C. Effects of music on pain in patients with fibromyalgia. Clin Rheumatol. 2016;35(5):1317-1321. doi: 10.1007/s10067-015-3046-3.
  • 37. Gok Metin Z, Ozdemir L. The Effects of Aromatherapy Massage and Reflexology on Pain and Fatigue in Patients with Rheumatoid Arthritis: A Randomized Controlled Trial. Pain Manag Nurs. 2016;17(2):140-149. doi: 10.1016/j.pmn.2016.01.004.
  • 38. Larsson A, Palstam A, Löfgren M, et al. Resistance exercise improves muscle strength, health status and pain intensity in fibromyalgia--a randomized controlled trial. Arthritis Res Ther. 2015;17(1):161. doi: 10.1186/s13075-015-0679-1.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ağrı, Romatoloji ve Artrit, Birinci Basamak Sağlık Hizmetleri
Bölüm Original Article
Yazarlar

Seda Pehlivan 0000-0002-1670-0672

Serap Özer 0000-0002-8903-1596

Erken Görünüm Tarihi 21 Mayıs 2024
Yayımlanma Tarihi
Gönderilme Tarihi 6 Mart 2024
Kabul Tarihi 3 Nisan 2024
Yayımlandığı Sayı Yıl 2024 EARLY ONLINE

Kaynak Göster

AMA Pehlivan S, Özer S. Rheumatology nurses’ knowledge and practices on pain management. Eur Res J. Published online 01 Mayıs 2024:1-12. doi:10.18621/eurj.1448013

e-ISSN: 2149-3189 


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