Determination of Knowledge and Attitudes of Nurses About Pain Management: A Cross-Sectional Study
Yıl 2023,
, 599 - 607, 15.10.2023
Ayşe Topal Hançer
,
Meryem Yılmaz
,
Pınar Yılmaz Eker
Öz
Objective: The aim of this study was to determine the knowledge and attitudes of nurses working in surgical and internal medicine clinics on pain management.
Methods: This study is descriptive and cross-sectional. A total of 140 nurses working in surgical and internal clinics in a hospital participated in the study. The data were obtained by questionnaire form and Nursing’s Knowledge and Attitudes Survey Regarding Pain (NKASRP). Data were analyzed by using SPSS 22.0 software. In the evaluation of the data; ANOVA, Mann Whitney U, Kruskal Wallis significance test, and logistic regression analysis were used.
Results: The mean score of the NKASRP scale of the nurses was 17.72±3.72. It was found that working for more than ten years, receiving graduate education and frequent encounters with painful patients were associated with a high level of knowledge. The probability of having sufficient knowledge of nurses working in surgical clinics was found to be 1.12 times higher (95% CI: 1.02-1.24) than nurses working in internal medicine clinics.
Conclusions: Effective pain management requires the nurse's correct knowledge, attitude and assessment related to pain. The present study determined that nurses had a lack of knowledge and misconceptions about pain assessment and pain medication use, which are the main obstacles to effective pain management.
Kaynakça
- Al Qadire M, Al Khalaileh M. (2014). Jordanian nurses knowledge and attitude regarding pain management. Pain Management Nursing, 15(1), 220–228.
- Alqahtani M, Jones LK. (2015). Quantitative study of oncology nurses' knowledge and attitudes towards pain management in Saudi Arabian hospitals. European Journal of Oncology Nursing, 19(1), 44-49.
- Alzghoul BI, Abdullah NAC. (2016). Pain management practices by nurses: an application of the knowledge, attitude and practices (KAP) model. Global Journal Of Health Science, 8(6), 154-160.
- Aziato L, Adejumo O. (2014). Determinants of nurses' knowledge gap on pain management in Ghana. Nurse Education in Practice, 14(2), 195-199.
- Bölükbaş N, Şahin B. (2021). Knowledge and attitude of nurses about pain management. ODÜ Tıp Dergisi, 8(1), 1-9.
- Brant JM, Mohr C, Coombs NC, Finn S, Wilmarth E. (2017). Nurses’ knowledge and attitudes about pain: Personaland Professional characteristics and patient reported pain satisfaction. Pain Management Nursing, 18(4), 214-223.
- Damico V, Murano L, Cazzaniga F, Dal Molin A. (2018). Pain prevalence, severity, assessment and management in hospitalized adult patients. A Result of a multi-center cross-sectional study. Annali Dell' Istitu to Superiore Di Sanita, 54(3), 194-200.
- Duke G, Haas BK, Yarbrough S, Northam S. (2013). Pain management knowledge and attitudes of baccalaureate nursing students and faculty. Pain Management Nursing, 14(1), 11-19.
- Eid T, Manias E, Bucknall T, Almazrooa A. (2014). Nurses' knowledge and attitudes regarding pain in Saudi Arabia. Pain Management Nursing, 15(4), e25-e36.
- Elcigil A, Maltepe H, Esrefgil G, Mutafoglu K. (2011). Nurses' perceived barriers to assessment and management of pain in a university hospital. Journal of Pediatric Hematology/Oncology, 33, 33-38.
- Ferrell BR, McGuire DB, Donovan MI. (1993). Knowledge and beliefs regarding pain in a sample of nursing faculty. Journal of Professional Nursing, 9(2), 79-88.
- Glowacki D. (2015). Effective pain management and improvements in patients’ outcomes and satisfaction. Critical Care Nurse, 35(3), 33-41.
- Gretarsdottir E, Zoëga S, Tomasson G, Sveinsdottir H, Gunnarsdottir S. (2017). Determinants of knowledge and attitudes regarding pain among nurses in a university hospital: A cross-sectional study. Pain Management
Nursing, 18(3), 144-152.
- Hua Y, Zhang Q, Ting W, Qiu R, Yao WY, Chen XL. (2019). Pediatric nurse practitioners' knowledge and attitudes regarding pain management study in central China. The Journal of Continuing Education in Nursing, 50(6), 275-281.
- Jarrett A, Church T, Fancher-Gonzalez K, Shackelford J, Lofton A. (2013). Nurses’ knowledge and attitudes about pain in hospitalized patients. Clinical Nurse Specialist, 27(2), 81-87.
- Karaman E, Doğru BV, Yildirim Y. (2019). Knowledge and attitudes of nursing students about pain management. Pain, 31(2), 70-8.
- Keen A, McCrate B, McLennon S, Ellis A, Wall D, Jones S. (2017). Influencing nursing knowledge and attitudes to positively affect care of patients with persistent pain in the hospital setting. Pain Management Nursing, 18(3),
137-143.
- Kiekkas P, Gardeli P, Bakalis N, Stefanopoulos N, Adamopoulou K, Avdulla C, et al. (2015). Predictors of nurses’
knowledge and attitudes toward postoperative pain in Greece. Pain Management Nursing, 16(1), 2-10.
- McCaffery M, Moss F. (1967). Nursing intervention for bodily pain. AJN The America Journal of Nursing, 67(6), 1224-1227.
- Moceri JT, Drevdahl DJ. (2014). Nurses’ knowledge and attitudes toward pain in the emergency department. Journal of Emergency Nursing, 40(1), 6-12.
- Ou M, Xu X, Chen Y, Yan Y, Wang K, Zhou L. (2021). Factors related to nurses’ knowledge and attitudes toward pain in hospitals in low-income areas. Pain Management Nursing, 22(3), 386-393.
- Pretorius A, Searle J, Marshall B. (2015). Barriers and enablers to emergency department nurses' management of patients' pain. Pain Management Nursing, 16(3), 372-379.
- Regulation Amending the Nursing Regulation. T.C. OFFICIAL NEWSPAPER, Number: 27910, 19.04. 2011. http://www.resmigazete.gov.tr/eskiler/2011/04/20110419-5.htm.
- Salameh B. (2018). Nurses’ knowledge regarding pain management in high acuity care units: A case study of Palestine. International Journal of Health Sciences, 12(3), 51-58.
- Smeland AH, Twycross A, Lundeberg S, Rustøen T. (2018). Nurses’ knowledge, attitudes and clinical practice in
pediatric postoperative pain management. Pain Management Nursing, 19(6), 585-598.
- Topal Hancer A, Yilmaz M. (2020). Determination of knowledge and attitudes related to pain of nursing
students in Turkey. International Journal of Caring Sciences, 13(1), 716-724.
- Voshall B, Dunn KS, Shelestak D. (2013). Knowledge and attitudes of pain management among nursing faculty. Pain Management Nursing, 14(4), e226-e235.
- Watt-Watson J, Murinson BB. (2013). Current challenges in pain education. Pain Management, 3(5), 351-357.
- Yava A, Cicek H, Tosun N, Özcan C, Yildiz D, Dizer B. (2013). Knowledge and attitudes of nurses about pain management in Turkey. International Journal of Caring Sciences, 6(3), 494-505.
- Yildirim YK, Cicek F, Uyar M. (2008). Knowledge and attitudes of Turkish oncology nurses about cancer pain management. Pain Management Nursing, 9(1), 17-25.
Hemşirelerin Ağrı Yönetimine İlişkin Bilgi ve Tutumlarının Belirlenmesi: Kesitsel Bir Çalışma
Yıl 2023,
, 599 - 607, 15.10.2023
Ayşe Topal Hançer
,
Meryem Yılmaz
,
Pınar Yılmaz Eker
Öz
Amaç: Bu çalışmanın amacı cerrahi ve dahiliye kliniklerinde çalışan hemşirelerin ağrı yönetimine ilişkin bilgi ve tutumlarının belirlenmesidir.
Yöntem: Tanımlayıcı kesitsel bir çalışmadır. Araştırmaya bir hastanenin cerrahi ve dahiliye kliniklerinde çalışan toplam 140 hemşire katılmıştır. Veriler anket formu ve Hemşirelerin Ağrıya İlişkin Bilgi ve Tutum Anketi (NKASRP) ile elde edildi. Veriler SPSS 22.0 yazılımı kullanılarak analiz edildi. Verilerin değerlendirilmesinde; ANOVA, Mann Whitney U, Kruskal Wallis anlamlılık testi ve lojistik regresyon analizi kullanılmıştır.
Bulgular: Hemşirelerin NKASRP ölçeği puan ortalaması 17.72±3.72'dir. On yıldan fazla çalışma, lisansüstü eğitim almanın, ağrılı hastalarla sık karşılaşmanın yüksek bilgi düzeyi ile ilişkili olduğu bulundu. Cerrahi kliniklerinde çalışan hemşirelerin yeterli bilgiye sahip olma olasılıkları dahiliye kliniklerinde çalışan hemşirelere göre 1.12 kat (%95 GA: 1.02-1.24) daha yüksek bulunmuştur.
Sonuç: Etkili ağrı yönetimi, hemşirenin ağrıya ilişkin doğru bilgi, tutum ve değerlendirmesini gerektirir. Bu çalışmada hemşirelerin etkili ağrı yönetiminin önündeki başlıca engellerden olan ağrı değerlendirmesi ve ağrı kesici ilaç kullanımı konusunda bilgi eksikliği ve kavram yanılgılarına sahip oldukları belirlenmiştir.
Kaynakça
- Al Qadire M, Al Khalaileh M. (2014). Jordanian nurses knowledge and attitude regarding pain management. Pain Management Nursing, 15(1), 220–228.
- Alqahtani M, Jones LK. (2015). Quantitative study of oncology nurses' knowledge and attitudes towards pain management in Saudi Arabian hospitals. European Journal of Oncology Nursing, 19(1), 44-49.
- Alzghoul BI, Abdullah NAC. (2016). Pain management practices by nurses: an application of the knowledge, attitude and practices (KAP) model. Global Journal Of Health Science, 8(6), 154-160.
- Aziato L, Adejumo O. (2014). Determinants of nurses' knowledge gap on pain management in Ghana. Nurse Education in Practice, 14(2), 195-199.
- Bölükbaş N, Şahin B. (2021). Knowledge and attitude of nurses about pain management. ODÜ Tıp Dergisi, 8(1), 1-9.
- Brant JM, Mohr C, Coombs NC, Finn S, Wilmarth E. (2017). Nurses’ knowledge and attitudes about pain: Personaland Professional characteristics and patient reported pain satisfaction. Pain Management Nursing, 18(4), 214-223.
- Damico V, Murano L, Cazzaniga F, Dal Molin A. (2018). Pain prevalence, severity, assessment and management in hospitalized adult patients. A Result of a multi-center cross-sectional study. Annali Dell' Istitu to Superiore Di Sanita, 54(3), 194-200.
- Duke G, Haas BK, Yarbrough S, Northam S. (2013). Pain management knowledge and attitudes of baccalaureate nursing students and faculty. Pain Management Nursing, 14(1), 11-19.
- Eid T, Manias E, Bucknall T, Almazrooa A. (2014). Nurses' knowledge and attitudes regarding pain in Saudi Arabia. Pain Management Nursing, 15(4), e25-e36.
- Elcigil A, Maltepe H, Esrefgil G, Mutafoglu K. (2011). Nurses' perceived barriers to assessment and management of pain in a university hospital. Journal of Pediatric Hematology/Oncology, 33, 33-38.
- Ferrell BR, McGuire DB, Donovan MI. (1993). Knowledge and beliefs regarding pain in a sample of nursing faculty. Journal of Professional Nursing, 9(2), 79-88.
- Glowacki D. (2015). Effective pain management and improvements in patients’ outcomes and satisfaction. Critical Care Nurse, 35(3), 33-41.
- Gretarsdottir E, Zoëga S, Tomasson G, Sveinsdottir H, Gunnarsdottir S. (2017). Determinants of knowledge and attitudes regarding pain among nurses in a university hospital: A cross-sectional study. Pain Management
Nursing, 18(3), 144-152.
- Hua Y, Zhang Q, Ting W, Qiu R, Yao WY, Chen XL. (2019). Pediatric nurse practitioners' knowledge and attitudes regarding pain management study in central China. The Journal of Continuing Education in Nursing, 50(6), 275-281.
- Jarrett A, Church T, Fancher-Gonzalez K, Shackelford J, Lofton A. (2013). Nurses’ knowledge and attitudes about pain in hospitalized patients. Clinical Nurse Specialist, 27(2), 81-87.
- Karaman E, Doğru BV, Yildirim Y. (2019). Knowledge and attitudes of nursing students about pain management. Pain, 31(2), 70-8.
- Keen A, McCrate B, McLennon S, Ellis A, Wall D, Jones S. (2017). Influencing nursing knowledge and attitudes to positively affect care of patients with persistent pain in the hospital setting. Pain Management Nursing, 18(3),
137-143.
- Kiekkas P, Gardeli P, Bakalis N, Stefanopoulos N, Adamopoulou K, Avdulla C, et al. (2015). Predictors of nurses’
knowledge and attitudes toward postoperative pain in Greece. Pain Management Nursing, 16(1), 2-10.
- McCaffery M, Moss F. (1967). Nursing intervention for bodily pain. AJN The America Journal of Nursing, 67(6), 1224-1227.
- Moceri JT, Drevdahl DJ. (2014). Nurses’ knowledge and attitudes toward pain in the emergency department. Journal of Emergency Nursing, 40(1), 6-12.
- Ou M, Xu X, Chen Y, Yan Y, Wang K, Zhou L. (2021). Factors related to nurses’ knowledge and attitudes toward pain in hospitals in low-income areas. Pain Management Nursing, 22(3), 386-393.
- Pretorius A, Searle J, Marshall B. (2015). Barriers and enablers to emergency department nurses' management of patients' pain. Pain Management Nursing, 16(3), 372-379.
- Regulation Amending the Nursing Regulation. T.C. OFFICIAL NEWSPAPER, Number: 27910, 19.04. 2011. http://www.resmigazete.gov.tr/eskiler/2011/04/20110419-5.htm.
- Salameh B. (2018). Nurses’ knowledge regarding pain management in high acuity care units: A case study of Palestine. International Journal of Health Sciences, 12(3), 51-58.
- Smeland AH, Twycross A, Lundeberg S, Rustøen T. (2018). Nurses’ knowledge, attitudes and clinical practice in
pediatric postoperative pain management. Pain Management Nursing, 19(6), 585-598.
- Topal Hancer A, Yilmaz M. (2020). Determination of knowledge and attitudes related to pain of nursing
students in Turkey. International Journal of Caring Sciences, 13(1), 716-724.
- Voshall B, Dunn KS, Shelestak D. (2013). Knowledge and attitudes of pain management among nursing faculty. Pain Management Nursing, 14(4), e226-e235.
- Watt-Watson J, Murinson BB. (2013). Current challenges in pain education. Pain Management, 3(5), 351-357.
- Yava A, Cicek H, Tosun N, Özcan C, Yildiz D, Dizer B. (2013). Knowledge and attitudes of nurses about pain management in Turkey. International Journal of Caring Sciences, 6(3), 494-505.
- Yildirim YK, Cicek F, Uyar M. (2008). Knowledge and attitudes of Turkish oncology nurses about cancer pain management. Pain Management Nursing, 9(1), 17-25.