Hemşirelik Öğrencilerinin Ağrı Yönetimi Konusunda Bilgi ve Tutumları

Yıl 2024, , 38 - 52, 03.05.2024

Nurten Tosun , Tuğba Yeşilyurt

https://doi.org/10.56061/fbujohs.1238378

Öz

Bu araştırma hemşirelik öğrencilerinin ağrı yönetimi konusunda bilgi ve tutumlarının belirlenmesi amacıyla tanımlayıcı türde yapılmıştır. İstanbul'da bir vakıf üniversitesinin ikinci, üçüncü ve dördüncü sınıflarında öğrenim gören 129 hemşirelik öğrencisi araştırmanın örneklemini oluşturmuştur. Veriler Öğrenci Tanıtım Formu, Hemşirenin Ağrı ile ilgili Bilgi ve Tutum Anketi (KASRP-N) kullanılarak toplanmış ve yüzde, ortalama, Kruskal Wall, Mann-Whitney U testi, ve Thamne’s T2 testleri kullanılarak değerlendirilmiştir. Öğrencilerin KASRP-N ölçeğinden aldıkları ortalama puan 13,48±3,60 olup; ölçek sorularının doğru cevaplanma oranı %34,5 ile zayıf düzeyde olarak değerlendirilmiştir. Öğrencilerin sınıfı, daha önce herhangi bir derste ağrı yönetimi konusunda eğitim alması, en sık yaşanılan ağrı tipi değişkenleri ile KASRP-N toplam ölçek puanları arasında anlamlı bir farklılık olduğu saptanmıştır (p<0,05). Öğrencilerin ağrı yönetimi konusunda yeterli bilgiye ve olumlu bir tutuma sahip olmadıkları tespit edilmiştir. Lisans hemşirelik müfredatında kanıta dayalı bilgilerle yapılandırılmış ve standartlaştırılmış ağrı yönetimi eğitimine daha fazla yer verilmesinin yanı sıra farklı öğretim yöntemlerinin kullanılması önerilebilir

Anahtar Kelimeler

Ağrı, ağrı yönetimi, bilgi, hemşirelik öğrencileri, tutum

Destekleyen Kurum

yok

The Knowledge and Attitudes of Nursing Students about Pain Management

Öz

This descriptive study was conducted to determine nursing students' knowledge and attitudes regarding pain management. 129 nursing students who were enrolled in the second, third, and fourth grades at a foundation university in Istanbul made up the study's sample. Data were collected using the Student Information Form and the The Knowledge and Attitudes Survey Regarding Pain - Nurse (KASRP-N) and evaluated using percentage, mean, Kruskal-Wall, Mann-Whitney U test, and Thamne's T2 tests. The mean score of the students on the KASRP-N scale was 13.48±3.60 and the rate of correct responses to the scale questions was evaluated as poor with 34.5%. It was found that there was a significant difference between the KASRP-N total scale scores and the variables of the grade, receiving training on pain management in any course before, and the most common type of pain experienced (p<0.05). It was determined that the students did not have sufficient knowledge and a positive attitude about pain management. It may be recommended to include more structured and standardised pain management education with evidence-based information in the undergraduate nursing curriculum and to use different teaching methods.

Anahtar Kelimeler

Pain, pain management, knowledge, nursing students, attitude

Kaynakça

• Al Khalaileh, M., & Al Qadire, M. (2013). Pain management in Jordan: Nursing students’ knowledge and attitude. British Journal of Nursing, 22(21), 1234-1240. https://doi.org/10.12968/bjon.2013.22.21.1234
• Al-Khawaldeh, O. A., Al-Hussami, M., & Darawad, M. (2013). Knowledge and attitudes regarding pain management among Jordanian nursing students. Nurse Education Today, 33(4), 339-345. https://doi.org/10.1016/j.nedt.2013.01.006
• Çelik, S., Baş, B. K., Korkmaz, Z. N., Karaşahin, H., & Yıldırım, S. (2018). Hemşirelerin ağrı yönetimi hakkındaki bilgi ve davranışlarının belirlenmesi. Medical Journal of Bakirkoy, 14(1), 17-23. https://doi.org/10.5350/BTDMJB.20160905103604
• Chan, J. C., & Hamamura, T. (2016). Emotional intelligence, pain knowledge, and attitudes of nursing students in Hong Kong. Pain Management Nursing, 17(2),159-168. https://doi.org/10.1016/j.pmn.2016.02.001
• Chou, R., Gordon, D. B., de Leon-Casasola, O. A., Rosenberg, J. M., Bickler, S., Brennan, T., ... & Wu, C. L. (2016). Management of Postoperative Pain: A clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' committee on regional anesthesia, executive committee, and administrative council. The Journal of Pain, 17(2), 131-157. https://doi.org/10.1016/j.jpain.2015.12.008
• Chow, K. M., & Chan, J. C. Y., (2015). Pain knowledge and attitudes of nursing students: A literature review. Nurse Education Today 35 (2), 366–372. https://doi.org/10.1016/j. nedt.2014.10.019.
• Chuk, P. (2002). Determining the accuracy of pain assessment of senior student nurses: A clinical vignette approach. Nurse Education Today, 22(5), 393-400. https://doi.org/10.1054/nedt.2001.0734
• Coulling, S. (2005). Nurses' and doctors' knowledge of pain after surgery. Nursing Standard (through 2013), 19(34), 41-49. https://doi.org/10.7748/ns2005.05.19.34.41.c3859
• Cousins, M., Lane-Krebs, K., Matthews, J., & Johnston-Devin, C. (2022). Student nurses’ pain knowledge and attitudes towards pain management over the last 20 years: A systematic review. Nurse Education Today 108, 105169. https://doi.org/10.1016/J. NEDT.2021.105169
• Dağ, G. S., Payas, S. C., Sakallı, G. D., & Yıldız, K. (2022). Evaluating the relationship between empathy, pain knowledge and attitudes among nursing students. Nurse Education Today, 111, 105314. https://doi.org/10.1016/j.nedt.2022.105314
• Dalkılıç, N. (2017). Hemşirelik öğrencilerinin ağrı yönetimine ilişkin bilgi düzeylerinin değerlendirilmesi. Unpublished master thesis. İstanbul Bilim University
• Duke, G., Haas, B., Yarbrough, S., & Northam, S. (2013). Pain management knowledge and attitudes of baccalaureate nursing students and faculty. Pain Management Nursing, 14(1), 11-19. https://doi.org/10.1016/j.pmn.2010.03.006
• Evans, C.B., & Mixon, D.K. (2015). The evaluation of undergraduate nursing students' knowledge of post-op pain management after participation in simulation. Pain Management Nursing, 16(6): 930-937. https://doi.org/10.1016/j.pmn.2015.07.006
• Fishman, S. M., Young, H. M., Lucas Arwood, E., Chou, R., Herr, K., Murinson, B. B., ... & Strassels, S. A. (2013). Core competencies for pain management: results of an interprofessional consensus summit. Pain Medicine, 14(7), 971-981. https://doi.org/10.1111/pme.12107
• Gan, T. J., Habib, A. S., Miller, T. E., White, W., and Apfelbaum, J. L. (2014). Incidence, patient satisfaction, and perceptions of post-surgical pain: Results from a US national survey. Current Medical Research and Opinion, 30(1), 149-160. https://doi.org/10.1185/03007995.2013.860019
• Hayes, K., & Gordon, D. B. (2015). Delivering quality pain management: The challenge for nurses. AORN Journal, 101(3), 327-337. https://doi.org/10.1016/j.aorn.2014.11.019
• Hroch, J., Vandenkerkhof, E. G., Sawhney, M., Sears, N., & Gedcke-Kerr, L. (2019). Knowledge and attitudes about pain management among Canadian nursing students. Pain Management Nursing, 20(4), 382-389. https://doi.org/10.1016/j.pmn.2018.12.005
• Karaman, E., Doğru, B. V., & Yıldırım, Y. (2019). Knowledge and attitudes of nursing student about pain management. Ağrı, 31(2), 70-78. https://doi.org/10.5505/agri.2018.10437
• Keyte, D., & Richardson, C. (2011). Re-thinking pain educational strategies: Pain a new model using e-learning and PBL. Nurse Education Today, 31(2), 117-121. https://doi.org/10.1016/j.nedt.2010.05.001
• Kulkarni, R. S., Giri, P. A., & Gangwal, P. R. (2016). Knowledge regarding pain management among nursing students of Swatantra Senani Uttamraoji Patil Nursing College, Aurangabad, Maharashtra, India. Int J Med Sci Public Health, 5(12), 2518-21. https://doi.org/10.5455/ijmsph.2016.19052016516
• Langford, R. M. (2006). Pain management today—what have we learned?. Clin Rheumatol, 25 (Suppl 1), 2–8. https://doi.org/10.1007/s10067-006-0311-5
• Lynch, M. E. (2011). The need for a Canadian pain strategy. Pain Research and Management, 16(2), 77-80. https://doi.org/10.1155/2011/654651
• Marco, C. A., Plewa, M. C., Buderer, N., Hymel, G., & Cooper, J. (2006). Self‐reported pain scores in the emergency department: Lack of association with vital signs. Academic Emergency Medicine, 13(9), 974-979. https://doi.org/10.1197/j.aem.2006.04.015
• Meissner, W., Huygen, F., Neugebauer, E. A., Osterbrink, J., Benhamou, D., Betteridge, N., ... & Schäfer, M. (2018). Management of acute pain in the postoperative setting: The importance of quality indicators. Current Medical Research and Opinion, 34(1), 187-196. https://doi.org/10.1080/03007995.2017.1391081
• Naqib, N., Purvin, M., Prasad, R., Hanna, I., Dimitri, S., Llufrio, A., & Hanna, M. (2018). Quality improvement initiative to improve postoperative pain with a clinical pathway and nursing education program. Pain Manag. Nurs. 19 (5), 447–455. https://doi.org/10.1016/J.PMN.2018.06.005
• Ouzouni, C., & Nakakis, K. (2012). An exploratory study of student nurses' empathy. Health Science Journal, 6(3), 534–552.
• Özveren, H., & Uçar, H. (2009). Öğrenci hemşirelerin ağrı kontrolünde kullanılan farmakolojik olmayan bazı yöntemlere ilişkin bilgileri. Journal of Hacettepe University Faculty of Nursing, 16(3), 59-72.
• Özveren, H., Faydalı, S., Gülnar, E., & Faydalı Dokuz, H. (2018). Hemşirelerin ağrı değerlendirmesine ilişkin tutum ve uygulamaları. Journal of Contemporary Medicine, 8(1), 60-66. https://doi.org/10.16899/gopctd.388195
• Patiraki-Kourbani, E., Tafas, C. A., McDonald, D. D., Papathanassoglou, E. D., Katsaragakis, S., & Lemonidou, C. (2004). Personal and professional pain experiences and pain management knowledge among Greek nurses. International Journal of Nursing Studies, 41(4), 345-354. https://doi.org/10.1016/j.ijnurstu.2003.10.007
• Rahimi‐Madiseh, M., Tavakol, M., & Dennick, R. (2010). A quantitative study of Iranian nursing students' knowledge and attitudes towards pain: implication for education. International Journal of Nursing Practice, 16(5), 478-483. https://doi.org/10.1111/j.1440-172X.2010.01872.x
• Rice, A.S., Smith, B.H., & Blyth, F.M. (2016). Pain and the global burden of disease. Pain, 157(4), 791-796. https://doi.org/10.1097/j.pain.0000000000000454
• Schofield, P. (2018). The assessment of pain in older people: UK national guidelines. Age and Ageing, 47(suppl_1), i1-i22. https://doi.org/10.1093/ageing/afx192
• Shdaifat, E., Al-Shdayfat, N., & Sudqi, A. (2020). Saudi nursing students’ pain management knowledge and attitudes. Nursing Open, 7(6), 1833-1839. https://doi.org/10.1002/nop2.570
• Topal Hançer, A., & Yılmaz, M. (2020). Determination of knowledge and attitudes related to pain of nursing students in Turkey, International Journal of Caring Sciences, 13(1),716-724. https://doi.org/10.38108/ouhcd.1228651
• Ung, A., Salamonson, Y., Hu, W., & Gallego, G. (2015). Assessing knowledge, perceptions and attitudes to pain management among medical and nursing students: A review of the literature. British Journal of Pain, 10(1), 8-21. https://doi.org/10.1177/2049463715583142
• Voshall, B., Dunn, K.S., & Shelestak, D. (2013). Knowledge and attitudes of pain management among nursing faculty. Pain Management Nursing, 14(4), 226-235. https://doi.org/10.1016/j.pmn.2012.02.001.
• Werner, P., Lopez-Martinez, D., Walter, S., Al-Hamadi, A., Gruss, S., & Picard, R. W. (2019). Automatic recognition methods supporting pain assessment: A survey. IEEE Transactions on Affective Computing, 13(1), 530-552. https://doi.org/10.1109/TAFFC.2019.2946774
• Wilson, B. (2007). Nurses’ knowledge of pain. Journal of Clinical Nursing, 16(6), 1012-1020. https://doi.org/10.1111/j.1365-2702.2007.01692.x
• Yıldırım, Y. K., Çiçek, F., & Uyar, M. (2008). Knowledge and attitudes of Turkish oncology nurses about cancer pain management. Pain Management Nursing, 9(1), 17-25. https://doi.org/10.1016/j.pmn.2007.09.002
• Yorulmaz, G. (2012). Hemşirelik yüksekokulu öğrencilerinin ağrı ile ilgili bilgi düzeylerinin değerlendirilmesi. Unpublished master thesis. İstanbul Bilim University
• Yüceer S. (2008). Hemşirelik öğrencilerinin beşinci ya şam belirtisi olan ağrı ve ameliyat sonrası ağrı yönetimine ilişkin bilgi düzeylerinin saptanması. Unpublished master thesis. İstanbul Bilim University