Volume 5, Issue 4 (2020)                   IJMPP 2020, 5(4): 410-417 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Molaee S, Dehghannayeri N, Manookian A, Amini F, Esmaili N, Moeinibadi F. Survey on Pain Management Knowledge and Attitude among Emergency working Nurses in Iran. IJMPP 2020; 5 (4) :410-417
URL: http://ijmpp.modares.ac.ir/article-32-48582-en.html
1- Department of Medical / Surgical, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Medical / Surgical, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran , dehghann@tums.ac.ir
3- Department of Medical / Surgical, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran and Department of Health Education and Health Promotion , Faculty of Medical Sciences,Tarbiat Modares University, Tehran, Iran.
4- Department of Nutrition, Kashan University of Medical Sciences, Kashan, Iran
Abstract:   (2082 Views)
Aim: Pain is a common phenomenon among emergency patients which may lead to chronic pain conditions and alteration of physiological function. However, it is widely reported that proper pain assessment and management, which is often accomplished by adequately trained nurses, reduce the suffering of patients. Therefore, this study aimed to assess the knowledge and attitude of the nurses towards pain management.
Method and Materials: This study has been performed among 187 nurses who working in emergency wards of hospitals affiliated to Tehran University of Medical Sciences (TUMS). Data has been gathered via the Knowledge and Attitudes Survey Regarding Pain (KASRP) tool. Descriptive and inferential statistics were used to analyze data through SPSS software version 16.
Findings: Totally, 187 emergency nurses including 91 female (48.7%) and 96 male (51.3%) entered into the study and completed the questionnairethe study findings showed that most of the nurses (about 57.2%) had low average knowledge and attitude towards pain management. The relationship between knowledge/attitude of nurses with number of assigned patients (p=0.028) and the gender of nurses (P=0.034) were significant.
Conclusion: The study results demonstrate that nurses have low average knowledge and attitude towards pain management which is one of the most important obstacles for efficient pain management.
Full-Text [PDF 410 kb]   (814 Downloads)    
Article Type: Descriptive & Survey | Subject: Musculoskeletal Pain Prevention
Received: 2020/01/21 | Accepted: 2020/12/9 | Published: 2020/12/31

References
1. Olateju AO, Adekunle D, Saliu A, Layiwola A. Oluyimika yebamiji E, Adebayo OO. Oligoanalgesia in emergency department: economical use of analgesia a cause for concern. Int J Recent Sci Res. 2016;7(5):11180-4.
2. Todd KH, Ducharme J, Choiniere M, Crandall CS, Fosnocht DE, Homel P, et al. Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain. 2007;8(6):460-6. [DOI:10.1016/j.jpain.2006.12.005]
3. Ali HS, Ibrahim Y, Mohamed E. Nonpharmacological pain management: nurses' knowledge, attitudes and practices in selected hospitals at Makkah El-Mukarramah. Life Sci. J. 2013;2(10).
4. Hosseni SF, Pilevarzadeh M, Vazirinasab H. Nonpharmacological strategies on pain relief during labor. Biotechnol. Res. Asia. 2016;13(2):701-6. [DOI:10.13005/bbra/2087]
5. Karabulut N, Gürçayır D, Aktaş YY. Nonpharmacological interventions for pain management used by nursing students in Turkey. Kontakt. 2016;18(1):e22-e9. [DOI:10.1016/j.kontakt.2015.12.001]
6. Ung A, Salamonson Y, Hu W, Gallego G. Assessing knowledge, perceptions and attitudes to pain management among medical and nursing students: a review of the literature. Br. J. Pain. 2016;10(1):8-21. [DOI:10.1177/2049463715583142]
7. Dewey CW, Da Costa RC. Practical guide to canine and feline neurology: John Wiley & Sons; 2015.
8. Berardinis BD, Magrini L, Calcinaro S, Castello LM, Avanzi GC, Semplicini A, et al. Emergency department pain management and its impact on patients' short term outcome. Open Access Emerg. Med. 2013;5(1). [DOI:10.2174/1876542420130729001]
9. Keating L, Smith S. Acute pain in the emergency department: the challenges. Reviews in pain. 2011;5(3):13-7. [DOI:10.1177/204946371100500304]
10. Dale J, Bjørnsen LP. Assessment of pain in a Norwegian Emergency Department. Scand. J. Trauma, Resusc. Emerg. Med. 2015;23(1):86. [DOI:10.1186/s13049-015-0166-3]
11. Yaqoob SH, Nasaif HA. Nurses' knowledge and attitudes toward pain assessment and management for adult sickle cell disease patients during sickling crisis. Clin. Nurs. Stud. 2015;3(4):36-43. [DOI:10.5430/cns.v3n4p36]
12. Kahsay DT, Pitkäjärvi M. Emergency nurses' knowledge, attitude and perceived barriers regarding pain Management in ResourceLimited Settings: cross-sectional study. BMC Nurs. 2019;18(1):56. [DOI:10.1186/s12912-019-0380-9]
13. Ayasrah SM, O'Neill TM, Abdalrahim MS, Sutary MM, Kharabsheh MS. Pain assessment and management in critically ill intubated patients in Jordan: A prospective study. Int. J. Health Sci.2014;8(3):287. [DOI:10.12816/0023981]
14. Kheshti R, Namazi S, Mehrabi M, Firouzabadi D. Health care workers' knowledge, attitude, and practice about chronic pain management, Shiraz, Iran. Anesth Pain Med. 2016;6(4). [DOI:10.5812/aapm.37270]
15. Jira L, Weyessa N, Mulatu S, Alemayehu A. Knowledge and Attitude Towards NonPharmacological Pain Management and Associated Factors Among Nurses Working in Benishangul Gumuz Regional State Hospitals in Western Ethiopia, 2018. J. Pain Res. 2020;13:2917. [DOI:10.2147/JPR.S265544]
16. Alm AK, Norbergh K-G. Nurses' opinions of pain and the assessed need for pain medication for the elderly. Pain Manag Nurs 2013;14(2):e31-e8. [DOI:10.1016/j.pmn.2010.07.007]
17. Duignan M, Dunn V. Barriers to pain management in emergency departments. J Emerg Nurs. 2008;15(9). [DOI:10.7748/en2008.02.15.9.30.c8179]
18. Latina R, Mauro L, Mitello L, D'Angelo D, Caputo L, De Marinis MG, et al. Attitude and knowledge of pain management among Italiannurses in hospital settings. Pain Manag Nurs. 2015;16(6):959-67. [DOI:10.1016/j.pmn.2015.10.002]
19. Omran S, Al Qadire M, Ali NA, Al Hayek MF. Knowledge and attitudes about pain management: a comparison of oncology and non-oncology Jordanian nurses. Nurs Health Sci. 2014;2(4):73-80.
20. McCaffery M, Ferrell BR. Influence of professional vs. personal role on pain assessment and use of opioids. J Contin Educ Nurs. 1997;28(2):69-77. [DOI:10.3928/0022-0124-19970301-07]
21. Ferrell B, McCaffery M. Knowledge and attitudes survey regarding pain. City of Hope Available from: http://prc coh org Accessed May. 2008;4:2010.
22. Ferrell BR, McGuire DB, Donovan MI. Knowledge and beliefs regarding pain in a sample of nursing faculty.J Prof Nurs. 1993;9(2):79-88. [DOI:10.1016/8755-7223(93)90023-6]
23. McMillan SC, Tittle M, Hagan S, Laughlin J, Tabler R, Knowledge and attitudes of nurses in veterans hospitals about pain management in patients with cancer. Oncol Nurs Forum; 2000.
24. Aflatoonian MR, Rafati F. The survey of nurses, knowledge and attitude towards pain management in Jiroft University of medical sciences. Anesth Pain. 2017;8(2):14-21.
25. Yava A, Çicek H, Tosun N, Özcan C, Yildiz D, Dizer B. Knowledge and Attitudes of Nurses about Pain Management in Turkey. Int. J. Caring Sci. 2013;6(3).
26. Moceri JT, Drevdahl DJ. Nurses' knowledge and attitudes toward pain in the emergency department.J Emerg Nurs. 2014;40(1):6-12. [DOI:10.1016/j.jen.2012.04.014]
27. Abdalrahim MS, Majali SA, Stomberg MW, Bergbom I. The effect of postoperative pain management program on improving nurses' knowledge and attitudes toward pain. Nurse Educ. Pract. 2011;11(4):250-5. [DOI:10.1016/j.nepr.2010.11.016]
28. Arab M, Shirzadi F, Sabzvari S, Jahani Y, Rostami M, Ebrahimi M, et al. Effects of training programs on knowledge and attitudes of nurses about postoperative pain. Der Pharm. Lett. 2016;8(4):108-11.
29. Madenski AD. Improving Nurses' Pain Management in the Post Anesthesia Care Unit (PACU). 2014.
30. Bawa M, Mahajan JK, Aggerwal N, Sundaram J, Rao KLN. Barriers to Pediatric Pain Management in Children Undergoing Surgery: A Survey of Health Care Providers.J Pain Palliat Care Pharmacother. 2015;29(4):353-8. [DOI:10.3109/15360288.2015.1082010]
31. Al-Mahrezi A. Towards Effective Pain Management: Breaking the Barriers. Oman Med. J. 2017;32(5):357-8. [DOI:10.5001/omj.2017.69]
32. Rieman MT GM. Pain Management Competency Evidenced By a Survey of Pediatric Nurses' Knowledge And Attitudes. Pediatr Nurs. Jul2007;33(4):307.
33. Bernardi M, Catania G, Lambert A, Tridello G, Luzzani M. Knowledge and attitudes about cancer pain management: A national survey of Italian oncology nurses. Eur J Oncol Nurs. 2007;11(3):272-9. [DOI:10.1016/j.ejon.2006.09.003]
34. Kheshti R, Namazi S, Mehrabi M, Firouzabadi D. Health Care Workers' Knowledge, Attitude, and Practice About Chronic Pain Management, Shiraz, Iran. Anesth Pain Med. 2016;6(4):e37270-e. [DOI:10.5812/aapm.37270]
35. Alzghoul BI, Abdullah NAC. Pain Management Practices by Nurses: An Application of the Knowledge, Attitude and Practices (KAP) Model. Glob J Health Sci. 2015;8(6):154-60. [DOI:10.5539/gjhs.v8n6p154]
36. Ung A, Salamonson Y, Hu W, Gallego G. Assessing knowledge, perceptions and attitudes to pain management among medical and nursing students: a review of the literature. Br. J. Pain. 2015;10(1):8-21. [DOI:10.1177/2049463715583142]
37. 12. Salim N A-AN, Tuffaha M, Nigim HA, Brant J. Knowledge and Attitude of Oncology Nurses toward Cancer Pain Management: A Review. Arch. Med. 2017. [DOI:10.21767/1989-5216.1000210]
38. Wikström L, Eriksson K, Årestedt K, Fridlund B, Broström A. Healthcare Professionals' Perceptions of the Use of Pain Scales in Postoperative Pain Assessments. Appl Nurs Res. 2014;27(1):53-8. [DOI:10.1016/j.apnr.2013.11.001]
39. Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15(3):398-405. [DOI:10.1111/nhs.12048]
40. Shoqirat N, Mahasneh D, Al-Khawaldeh O, Al Hadid L. Nurses' Knowledge, Attitudes, and Barriers Toward Pain Management Among Postoperative Patients in Jordan. J. Perianesth. Nurs. 2019;34(2):359-67. [DOI:10.1016/j.jopan.2018.05.012]
41. Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative Content Analysis: A Focus on Trustworthiness. SAGE Open. 2014;4(1). [DOI:10.1177/2158244014522633]
42. Eggermont LHP, Leveille SG, Shi L, Kiely DK, Shmerling RH, Jones RN, et al. Pain Characteristics Associated with the Onset of Disability in Older Adults: The Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly Boston Study. J Am Geriatr Soc. 2014;62(6):1007-16. [DOI:10.1111/jgs.12848]
43. DeVore J, Clontz A, Ren D, Cairns L, Beach M. Improving Patient Satisfaction With Better Pain Management in Hospitalized Patients. J Nurse Pract. 2017;13(1):e23-e7. [DOI:10.1016/j.nurpra.2016.07.020]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.