Impact of applying brief educational program on nurses knowledge, attitude, and practices toward pain management

  • Authors

    • Shalabia El-Sayead Abozead Assistant professor , Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt
    • Mahmoud Al-Kalaldeh Assistant Professor in Critical Care Nursing
    • Omar Al-Tarawneh Ma’an Governmental Hospital, Jordan
    2015-11-07
    https://doi.org/10.14419/ijans.v4i2.5278
  • Attitudes, Knowledge, KASRP, Nurses, Pain Education.
  • Background: The role of pain education is well established in improving knowledge and attitude towards the adherence to pain assessment and management.

    Methods: A brief pain education program was delivered to assess nurses' knowledge and attitude towards pain assessment and management. The "KASRP" scale was used at three phases; pre, post, and three months' follow-up phases. Subsequent eight months observation on using pain assessment sheets was also performed.

    Results: One hundred and four nurses were assessed at the beginning, followed by 92 at the immediate post-test, and 70 at the follow-up. Although nurses scored lowest in having knowledge and attitudes prior to the program, a significant improvement was evident after delivering pain education. In addition, nurses' competency in pain assessment was maintained over the three months of assessment. Younger nurses with shorter clinical experience were found more reactive to the program than older nurses.

    Conclusions: A brief nurse-driven pain education has improved nurses' knowledge and attitude towards pain management.

  • References

    1. [1] Abed El-Rahman, M., A. Kalaldeh, et al. (2013). "Knowledge and attitude towards pain management. A comparison between oncology and non-oncology nurses in Jordan." International Journal of Advanced Nursing Studies 2(2): 95-100. http://dx.doi.org/10.14419/ijans.v2i2.1006.

      [2] Apfelbaum, J. L., C. Chen, et al. (2003). "Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged." Anesthesia & Analgesia 97(2): 534-540. http://dx.doi.org/10.1213/01.ANE.0000068822.10113.9E.

      [3] Betty Ferrell, a. M. M. (revised 2012.). " “Knowledge and Attitudes Survey Regarding Pain†developed by." (http://prc.coh.org).

      [4] Chanques, G., M. Sebbane, et al. (2007). "A prospective study of pain at rest: incidence and characteristics of an unrecognized symptom in surgical and trauma versus medical intensive care unit patients." Anesthesiology 107(5): 858-860. http://dx.doi.org/10.1097/01.anes.0000287211.98642.51.

      [5] De Rond, M., R. De Wit, et al. (2001). "The implementation of a Pain Monitoring Programme for nurses in daily clinical practice: results of a followâ€up study in five hospitals." Journal of Advanced Nursing 35(4): 590-598. http://dx.doi.org/10.1046/j.1365-2648.2001.01875.x.

      [6] De Rond MEJ, D. W. R., Van Dam FSAM, Van, D. H. Y. Campen BThM, Klievink MA,, et al. (1999). "Daily pain assessment: value for nurses and patients.

      [7] ." J Advanced Nursing; 29:436–444. http://dx.doi.org/10.1046/j.1365-2648.1999.00903.x.

      [8] Dunwoody, C. J., D. A. Krenzischek, et al. (2008). "Assessment, physiological monitoring, and consequences of inadequately treated acute pain." Journal of PeriAnesthesia Nursing 23(1): S15-S27. http://dx.doi.org/10.1016/j.jopan.2007.11.007.

      [9] Fishman, S. M., H. M. Young, et al. (2013). "Core competencies for pain management: results of an interprofessional consensus summit." Pain Medicine 14(7): 971-981. http://dx.doi.org/10.1111/pme.12107.

      [10] Fraser, G. L., J. W. Devlin, et al. (2013). "Benzodiazepine versus nonbenzodiazepine-based sedation for mechanically ventilated, critically ill adults: a systematic review and meta-analysis of randomized trials." Critical care medicine 41(9): S30-S38. http://dx.doi.org/10.1097/CCM.0b013e3182a16898.

      [11] Gordon, D. B., J. L. Dahl, et al. (2005). "American pain society recommendations for improving the quality of acute and cancer pain management: American Pain Society Quality of Care Task Force." Archives of Internal Medicine 165(14): 1574-1580. http://dx.doi.org/10.1001/archinte.165.14.1574.

      [12] Herr, K., P. J. Coyne, et al. (2011). "Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations." Pain Management Nursing 12(4): 230-250. http://dx.doi.org/10.1016/j.pmn.2011.10.002.

      [13] Hirsh, A. T., M. P. Jensen, et al. (2010). "Evaluation of nurses' self-insight into their pain assessment and treatment decisions." The Journal of Pain 11(5): 454-461. http://dx.doi.org/10.1016/j.jpain.2009.09.004.

      [14] Jain, A., R. Yeluri, et al. (2012). "Measurement and Assessment of Pain in Children-A Review." Journal of Clinical Pediatric Dentistry 37(2): 125-136. http://dx.doi.org/10.17796/jcpd.37.2.k84341490806t770.

      [15] Kastrup, M., V. von Dossow, et al. (2009). "Key performance indicators in intensive care medicine. A retrospective matched cohort study." Journal of International Medical Research 37(5): 1267-1284. http://dx.doi.org/10.1177/147323000903700502.

      [16] Kehlet, H., T. S. Jensen, et al. (2006). "Persistent postsurgical pain: risk factors and prevention." The Lancet 367(9522): 1618-1625. http://dx.doi.org/10.1016/S0140-6736(06)68700-X.

      [17] Machira, G., H. Kariuki, et al. (2013). "Impact of an educational pain management programme on nurses pain knowledge and attitudes in Kenya." International journal of palliative nursing 19(7): 341-345. http://dx.doi.org/10.12968/ijpn.2013.19.7.341.

      [18] Moceri, J. T. and D. J. Drevdahl (2014). "Nurses’ knowledge and attitudes toward pain in the emergency department." Journal of Emergency Nursing 40(1): 6-12. http://dx.doi.org/10.1016/j.jen.2012.04.014.

      [19] Puntillo, K. A., C. White, et al. (2001). "Patients' perceptions and responses to procedural pain: results from Thunder Project II." American Journal of Critical Care 10(4): 238-251.

      [20] Quinn, F. and S. Hughes (2007). "Quinn's Principles and Practice of Nurse Education Nelson Thornes." Cheltenham, England.

      [21] Schafheutle, E. I., J. A. Cantrill, et al. (2001). "Why is pain management suboptimal on surgical wards?" Journal of Advanced Nursing 33(6): 728-737. http://dx.doi.org/10.1046/j.1365-2648.2001.01714.x.

      [22] Twycross, A. (2007). "What is the impact of theoretical knowledge on children’s nurses’ post-operative pain management practices? An exploratory study." Nurse Education Today 27(7): 697-707. http://dx.doi.org/10.1016/j.nedt.2006.10.004.

      [23] Vadivelu, N., S. Mitra, et al. (2012). "Acute pain in undergraduate medical education: an unfinished chapter!" Pain Practice 12(8): 663-671. http://dx.doi.org/10.1111/j.1533-2500.2012.00580.x.

      [24] Ware, L. J., P. Bruckenthal, et al. (2011). "Factors that influence patient advocacy by pain management nurses: Results of the American society for pain management nursing survey." Pain Management Nursing 12(1): 25-32. http://dx.doi.org/10.1016/j.pmn.2009.12.001.

      [25] Zhang, C.-H., L. Hsu, et al. (2008). "Effects of a pain education program on nurses' pain knowledge, attitudes and pain assessment practices in China." Journal of pain and symptom management 36(6): 616-627. http://dx.doi.org/10.1016/j.jpainsymman.2007.12.020.

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  • How to Cite

    Abozead, S. E.-S., Al-Kalaldeh, M., & Al-Tarawneh, O. (2015). Impact of applying brief educational program on nurses knowledge, attitude, and practices toward pain management. International Journal of Advanced Nursing Studies, 4(2), 164-168. https://doi.org/10.14419/ijans.v4i2.5278