A Cross-Sectional Exploratory Survey of Knowledge, Attitudes and Daily Self-Reported Pain Assessment Practice among Nurses in Mainland China

Ge, Tong Ying; Konstantatos, Alex; Zhang, Fang; Ying, Hu Jia; Fen, Ye Ai; Boyd, Dana

doi:10.1111/pme.12156

Cited by 11 publications

(6 citation statements)

References 28 publications

(36 reference statements)

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“… 7 A domestic survey of nurses in 76 hospitals between 2011 and 2012 found that as many as 71.2% of the surveyed nurses did not focus on the effect of pain on the functional activity of patients. 11 The same survey revealed that 57.1% of the hospitals assessed pain as the fifth vital sign, and 47% assessed the pain at rest and activity. In recent years, with the issuance of detailed rules for hospital accreditation, particularly the issuance of the guidelines regarding acute pain, has resulted in an increased focus by hospitals on pain management.…”

Section: Discussionmentioning

confidence: 99%

Management of Postoperative Pain in Medical Institutions in Shandong Province in China

Liu

Zhang

et al. 2016

Medicine

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The aim of the study was to investigate current situation of postoperative pain management in medical institutions in Shandong Province.A questionnaire was developed on the basis of guidelines of acute pain and pain quality assessment scale. The questionnaire was used to obtain information regarding the nature and scale of the medical institution, structure of pain management organization, implementation of pain assessment, and analgesic techniques and processes used in clinical practice. A multistage stratified and cluster sampling method was employed to investigate the current situation of postoperative pain management in 168 medical institutions in Shandong Province.For acute pain service (APS), 32% of the hospitals established postoperative pain management organizations similar to APS. For pain evaluation, 57.1% of the hospitals evaluated pain as the fifth vital sign, and 47.0% of the hospitals evaluated pain at rest and during activity. Furthermore, 43.0% of the surveyed hospitals employed patient-controlled analgesia mode, of which hospitals employing brachial plexus block, lumbar plexus block, and femoral nerve block analgesia accounted for 5.0%, 1.0%, and 4.0%, respectively. The survey revealed that 51.0% of the hospitals educated patients about pain and pain management, of which patients were postoperatively educated by ward nurses in 5.0% and patients were educated by APS during ward rounds in 2.0%.There is a lack of standardized postoperative pain management, the involvement of nurses in pain management is scarce, and the pain assessment and education and application of advanced analgesic management techniques were found to be inadequate in medical institutions in Shandong Province.

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Section: Discussionmentioning

confidence: 99%

Management of Postoperative Pain in Medical Institutions in Shandong Province in China

Liu

Zhang

et al. 2016

Medicine

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“…According to previous experience, education, timely assessment of pain and optimization of analgesic techniques, were beneficial for increasing patients' compliance and analgesic efficacy in Chinese patients. [ 28 29 ] Taking postoperative pain as an example, currently, postoperative analgesia was mainly provided by anesthesiologists, yet, how surgeons evaluate and practice pain management also impacted on postoperative pain. If surgeons only administered analgesics according to the request of patients in a fixed pattern, inadequacy in dosages of analgesic medications or potency could prolong the duration of severe pain and associated adverse events.…”

Section: Discussionmentioning

confidence: 99%

A Multi-centered Cross-sectional Study of Disease Burden of Pain of Inpatients in Southwest China

Peng

Jing

Qin

et al. 2016

Chinese Medical Journal

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Background:Pain is a common burden of disease globally; yet, it is not systematically investigated in China, especially in hospitalized patients. This study was aimed at clarifying the epidemiological characteristics of pain and related factors in hospitalized patients in Southwest China.Methods:A cross-sectional study was conducted to investigate the prevalence, severity, and influencing factors of pain and modes of postoperative analgesia in hospitalized patients from 17 hospitals in Southwest China. A prevalidated questionnaire was employed to calibrate all of these items within 3 days from March 18, 2015 to March 20, 2015.Results:A total of 2293 patients were surveyed, the incidence of pain was 57.4% in all hospitalized patients at rest, of which 62.1% were with acute pain and 37.9% had persistent to chronic pain. Among surgical patients, 90.8% of them complained of acute postoperative pain at rest and 97.1% in motion. The incidence of acute postoperative moderate-to-severe pain was 28.8% at rest and 45.1% in motion. Surgical patients reported higher incidences of pain, especially acute and persistent pain compared with nonsurgical patients (P < 0.05). Postoperative pain occurred predominately at surgical sites (95.2%) as compared with nonsurgical sites (4.8%). Agedness, lower education level, surgery, and history of smoking were factors associated with increased duration and severity of postoperative pain and nonsurgical pain (P < 0.05).Conclusions:Pain is a common burden of disease in China, of which surgical pain constituted an important component. Surgical patients complained more severe pain than those who did not undergo surgery. Postoperative analgesia still needs to be improved to control pain after surgery. Patients' perception might influence the efficacy of pain management, which should be implemented with a multidisciplinary approach.

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“…The Knowledge and Attitudes Survey Regarding Pain (KASRP) was developed in 1987 and has been used extensively and revised over the years to reflect changes in pain management practice (Ferrell & McCaffery, ). The KASRP revised in 2008 was translated into Chinese (Ying Ge et al., ) and used in this study. It consists of 40 questions, 22 true/false questions, 14 multiple choice questions and 4 questions pertaining to two case studies.…”

Section: Methodsmentioning

confidence: 99%

“…One point was given for each correct answer, and the final score was calculated as a percentage of the total questions. Content validity, test–retest reliability and internal consistency reliability of the Chinese version of KASRP were acceptable (Ying Ge et al., ). Information about nurses’ demographics, previous attendance in continuing education on pain, and self‐report of using pain assessment tools were also collected.…”

Section: Methodsmentioning

confidence: 99%

Implementing a pain management nursing protocol for orthopaedic surgical patients: Results from a PAIN OUT project

Cui

Wang

et al. 2018

Journal of Clinical Nursing

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A Cross-Sectional Exploratory Survey of Knowledge, Attitudes and Daily Self-Reported Pain Assessment Practice among Nurses in Mainland China

Cited by 11 publications

References 28 publications

Management of Postoperative Pain in Medical Institutions in Shandong Province in China

Management of Postoperative Pain in Medical Institutions in Shandong Province in China

A Multi-centered Cross-sectional Study of Disease Burden of Pain of Inpatients in Southwest China

Implementing a pain management nursing protocol for orthopaedic surgical patients: Results from a PAIN OUT project

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