Pain Management Practices by Nurses: An Application of the Knowledge, Attitude and Practices (KAP) Model (original) (raw)
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Evaluation of Nurses' Knowledge and Attitudes toward Pain Management at Baghdad Teaching Hospitals
Indian Journal of Forensic Medicine & Toxicology, 2020
Poorly managed or unmanaged pain is a problem that affects individuals, entire healthcare systems and societies throughout the world. Objectives: To assess nurses' knowledge and attitudes about patient's pain management and to find out the relationship between knowledge , attitudes and their demographical characteristic. Methodology: A descriptive cross sectional design study was carried out among 100 nurses working in male and female surgical wards, ICU, surgical ward, emergency and operating theatre of four teaching hospitals, Baghdad city. Census method was used to select the participants, in which all the nurses working in the selected wards who agreed to participate in the study were selected. Data was collected by distributing structured self-administered questionnaire which was a modified form of a standard tool, that is, Nurses' Knowledge and Attitude Survey Regarding Pain (NKASRP) developed by Ferrel and McCaffery. Results: The majority of the study were male who accounted for (63%) of the total participants while female constituted (37%). Most of participants (49%) were ages between (18-27) years old, a high percentage of them were have institute graduate (40%), (50%) of the nurses were single and the remainder was married. Majority of them (37%) were employee (1-5) years in employment in nursing. Majority of them (45%) were employee (1-5) years in intensive care unit, and finally majority of nurses (77%) have training session about patient's pain management. Conclusions: This study indicated that nurses' have poor knowledge about pain management, as well as study indicated overall nurses' have positive attitudes toward pain management.
International Journal of Health Sciences and Research, 2016
Objectives: This descriptive study's aim was to examine the knowledge and attitudes of nurses in five Saudi Arabian (Hail region) hospitals regarding pain management using the KASRP tool. Design: Five hundred copies of the KASRP were distributed to the total estimated population of nurses working within five hospitals. A survey return rate of 60 % (N = 303) was achieved. Data are analysed using descriptive statistics, measures of variability and inferential statistics, Results: In this study, the average correct response rate to the various questions was 41.75 per cent, with rates ranging from 5-87 per cent. The findings indicate inadequate knowledge regarding pain, pain assessment, pain management and pain medications. The study findings indicated that nurses irrespective of being local or expatriate recorded a major deficiency in their knowledge regarding assessment and management of pain. The nurses also held incorrect attitudes towards pain assessment and lacked knowledge re...
Jordanian Nurses Knowledge and Attitude Regarding Pain Management
Pain Management Nursing, 2014
Optimal pain management requires knowledgeable and trained nurses. The aim of this study is to investigate nurses' knowledge and attitudes regarding pain treatment in Jordan. The sample included 211 nurses from 4 hospitals in Jordan. The Nurses' Knowledge and Attitudes Survey Regarding Pain was used to measure the nurses' pain management knowledge and attitudes. Data were analyzed using descriptive statistics, unpaired t test, and Spearman correlation test. The results indicate that 51.7% of participants were male and the average age was 27.2 (SD 4.7) years. In addition, most nurses had a bachelor's degree (90.5%) and worked in medical and surgical wards. Furthermore, 52% of nurses reported no previous pain education in the last five years. The average of correct answers was 19.3 out of 40 (SD 4.7) and the rate of correct answers ranged from 10% (item 38) to 72% (item 22). It was found that there were no significant differences between nurses' gender and educational level and the total knowledge and attitude score, except for exposure to previous pain education (t ¼ L3.64; df ¼ 195; p < .001). Nurses with previous pain education got higher mean scores on the questionnaire. Jordanian nurses expressed a lower level of pain knowledge than that reported worldwide. Continuous education and reforming undergraduate curricula to address pain management are recommended.
Dubai Medical Journal, 2019
Background: Chronic and acute pain are highly prevalent, especially among hospitalized surgical patients, patients with cancer, and general medical inpatients. More than 50% of patients experience significant pain. Health professionals' knowledge and attitude concerning pain management have often been referred to as insufficient. This study explored the attitudes and knowledge of nurses working in one of the government hospitals in the UAE, with regard to pain management. Methods: A quantitative, descriptive, cross-sectional design was used to examine nurses' perception (knowledge and attitude) about pain using the Nurses' Knowledge and Attitudes Survey Regarding Pain (NKASRP). We targeted the nursing field in order to assess nurses' perceptions of pain management. A convenience sample of 200 nurses working at one of the government hospitals in the UAE participated in this study. Results: Participants who scored < 75% were considered to have poor knowledge and a nonstandard attitude. Participants who scored > 75% were
Nurses’ Knowledge and Attitudes Regarding Pain Assessment and Management in Saudi Arabia
Healthcare, 2022
Inadequate pain management affects the patient outcome. Pain assessment and management are fundamental in nursing care, and nurses must be equipped with adequate knowledge and a positive attitude toward pain assessment and management. This study aims to evaluate nurses’ knowledge and attitudes regarding pain assessment and management at King Fahad Hospital, Al-Madinah, Kingdom of Saudi Arabia. A quantitative, cross-sectional survey, using a self-administered questionnaire, was conducted from January to February 2020 with 660 registered nurses working in the Emergency Department, critical care units, inpatient and outpatient departments at King Fahad Hospital in Al-Medinah, Kingdom of Saudi Arabia. The data were analyzed with descriptive and inferential statistics. Of the 660 nurses, 291 responded, resulting in a response rate of 44.09%. The participants’ scores ranged from 17.7% to 100%, with a mean score 45.29%. The majority of the participants (70.1%) had a poor level of knowledge...
Palestinian Nurses Knowledge and Attitudes Regarding Pain Management
2017
The under-treatment of pain is the most disturbing and annoying symptom for hospitalized patients worldwide, yet it is poorly assessed and managed. Pain undermines a person’s quality of life and negatively affects their physical, emotional and spiritual wellbeing. Nurses have a vital role in implementing pain management effectively; therefore inadequate knowledge remains a major barrier to achieving effective pain management. This study aims to assess knowledge levels and attitudes regarding pain management among nurses working in hospitals in south of Palestine. A quantitative cross-sectional study design was utilized to recruit a proportionate sample of 380 staff nurses working in different wards in six governmental and private hospitals in Palestine. A modified Arabic version of Nurses’ Knowledge and Attitude Survey questionnaire regarding Pain was used to answer the research questions. The results of the study showed that a mean score of knowledge was 15.5 out of34 (45.6% out of...
Knowledge and Attitudes in Pain Management
Journal of Pain & Palliative Care Pharmacotherapy, 2004
Effective pain management requires accurate knowledge, attitudes and assessment skills. To determine the current knowledge level and attitudes of nurses in pain management, 1,604 registered nurses working in three different hospitals in Hong Kong were invited to participate in this study. The sample consisted of 601 registered nurses, 63 nursing officers, and 14 nursing specialists (N = 678). The response rate was 43%. The Nurses' Knowledge and Attitudes Survey Instrument questionnaire developed by McCaffery and Ferrell was translated into Chinese and used with permission. To ensure the contextual relevancy and consistency of the questionnaire, content validity and test-retest reliability tests were performed. The content validity index was 0.87 and the
Knowledge and Attitudes of Nurses about Pain Management in Turkey
International Journal of Caring Sciences, 2013
Background: Despite the growing awareness on pain management, mild and severe pain is still common among hospitalized patients. Inadequate treatment has been mostly linked to health care workers' failure to assess patients' pain and to intervene appropriately. Objective: To determine the pain management knowledge and attitudes of the nurses working in training and research hospital in Turkey and their relationship to demographic and educational factors. Methods: Descriptive and cross-sectional study design was used. The Nurses' Knowledge and Attitudes Survey Regarding Pain (NKASRP) was used to determine the pain-related knowledge and attitude of the nurses. Results: A total of 246 nurses were included in the study. The percentage working at a surgical unit was 48.8% and 77.2% were staff nurses. Only 11.8% had taken a pain management course and 31.7% had read a book or journal on pain. The rate of correct responses to the NKASRP scale was 39.65% while the mean number of correct answers to all questions was 15.86±7.33 with a range of 0 to 37. A statistically significant difference was found regarding education level, working unit, whether a pain management course had been taken, whether a book or journal on pain had been read, and the evaluation of the nurse's efficacy regarding pain (p<0.05). Conclusion: We found that the nurses did not have adequate knowledge and the positive attitude for pain management although it is a very important part of patient care. We suggest that results be taken into account when the content of graduate and postgraduate training programs is determined and guidelines are prepared.
Journal of Intensive and Critical Care, 2017
Background: Pain assessment and management are essential parts of nursing care and two of the most fundamental patient rights. It is unethical to let a patient suffer from pain without taking appropriate measures to relief his or her pain. Objective: This study aims to explore the ICU staff nurse's knowledge and attitudes towards pain and pain management at King Saud Medical City (KSMC) in Saudi Arabia. The pain management knowledge and attitudes of ICU nurses at KSMC has not been explored in previous research. Methods: A descriptive cross sectional design was utilized using a self-reporting questionnaire tool to obtain information from ICU nurses about their knowledge and attitudes towards pain and pain management. The questionnaire was distributed to 289 nurses employed in King Saud Medical City (KSMC), which is one of the biggest tertiary hospitals in Riyadh, Saudi Arabia. 204 nurses responded to the questionnaire (71% response rate). Results and conclusion: The results showed sever lack of knowledge and poor attitudes among ICU nurses towards pain management when dealing with ICU patients, 60% of the knowledge questions were answered incorrectly by more than 50% of the nursing staff participated in the study, 65% of attitude questions were answered incorrectly by more than 50% of the nursing staff. This study has uncovered both knowledge and attitudes gaps among ICU nurses.
Nursing student’s knowledge and attitudes toward pain management at Hail University, Saudi Arabia
International Journal of Advanced and Applied Sciences, 2018
The objective of this study is to examine undergraduate nursing students' knowledge and attitudes toward pain management in the University of Hail and differences between groups defined in terms of socio-demographic and other selected characteristics students in knowledge and attitude with regard pain management scores. The descriptive, cross-sectional design included a sample of 150 undergraduates Saudi nursing students of the University of Hail in the kingdom of Saudi Arabia to investigate the knowledge and attitudes regarding pain management. The Knowledge and Attitudes Survey Regarding Pain scale (KASRP) was used to measure knowledge and attitudes regarding pain management. Data were analyzed by descriptive statistics and independent sample t test. Data were collected over a two month period from April 2017 through June 2017. Of the 220 distributed questionnaires; 150 completed questionnaires were returned. The data revealed that nursing students were found to have a lack of knowledge and attitudes towards pain management. The mean correct score for the entire scale was 41.8% (SD=3.71). Findings revealed that there were significant differences found in the students' scores related to the frequency of using pain scales (p<0.05). The study showed that Saudi students lacked the appropriate knowledge and attitudes regarding pain and its management and it is recommended that additional training education should be addressed.