Effect of Comprehensive Pain Management Training Program on Awareness and Attitude of ICU Nurses

Abstract

Background: Pain is one of the main complaints of many patients in intensive care units. However, most nurses and physicians are unable to properly monitor and relieve pain in these patients. Factors such as patients' inability to describe their pain and insufficient knowledge of nurses and physicians have made pain management difficult. Given that the knowledge and attitude of nurses play an important role in the effective implementation of the pain management process, this study aimed to investigate the effect of comprehensive pain management training program on the awareness and attitude of intensive care unit nurses. Methods: This quasi-experimental single-group study was conducted in two phases (pre and post-intervention) to investigate the awareness and attitude of all nurses employed in the intensive care unit of Tehran Modarres Hospital, based on the determined inclusion and exclusion criteria. In the pre-intervention phase, the awareness and attitudes of the nurses were assessed using a questionnaire. After conducting the pain management training course, an executive program and algorithm were implemented for pain management in ICUs. Then, the nurses' awareness and attitude toward pain management were assessed again. Finally, changes in the scores of the nurses' awareness and attitude were analyzed by SPSS V. 22 software in two phases before and after applying the interventions using the Wilcoxon test. The relationship between some demographic variables and the level of awareness and attitude of nurses was also investigated using the Kruskal-Wallis and Mann-Whitney tests. Results: The results of this study indicated that the mean score of the nurses' awareness was significantly different in pre-and postintervention phases (P < 0.05). Despite an increase in the post-intervention mean score of the nurses' attitude (71.03), no statistically significant change was observed. Additionally, among the demographic variables, there was only a significant relationship between the nurses' job experience in ICUs and their attitudes. Conclusions: Based on the results of this study, teaching and implementing a comprehensive program for pain management can play an effective role in promoting the nurses' awareness. Therefore, it is proposed to use pain management models to improve the nurses' knowledge and attitude toward pain management in ICU patients.

The impact of a 12-hour educational program on nurses’ knowledge and attitudes regarding pain management: a quasi-experimental study

“…However, the knowledge levels of the two groups were comparable post-intervention, suggesting the effectiveness of the intervention. This finding contrasts with previous studies [ 46 , 47 ] that reported that nurses’ educational levels were not significant factors. These inconsistent results could be attributed to differences in the samples’ demographic characteristics.…”

“…These inconsistent results could be attributed to differences in the samples’ demographic characteristics. More than two-thirds of the nurses in this study were diploma holders, whereas most nurses in other studies had bachelor’s or master’s degrees [ 46 , 47 ]. Therefore, the current study findings highlight the importance of providing educational pain management programs for nurses with diplomas.…”

Effect of an Educational Program about Fall Prevention and Pain Assessment on Nurses' Performance and Critically Ill Patients' Outcome

“…Pain assessment is said to be at the top level in proper pain relief and an important goal in patients' care. Because pain is one of the main experiences that might keep a patient comfortable, maintaining an optimal degree of comfort for critically ill patients is the universal goal for healthcare providers (Sedighie et al, 2020).…”

Effect of Nebulized Heparin on Weaning off Intubated Patients with Acute Respiratory Distress Syndrome (ARDS) Admitted to Intensive Care Unit (ICU): A Randomized Clinical Trial

“…Mechanical ventilation for more than two days is the other cause of ARDS in patients who are admitted to the intensive care unit (ICU) (2). Studies have shown that patients who wean off later from mechan-ical ventilation have a higher rate of ventilator-associated pneumonia (VAP), lung damage, and mortality, which impose more costs on the health system (3)(4)(5)(6)(7)(8)(9)(10)(11). The presence of fibrin mesh in the air sac and fibrin accumulation in pulmonary capillaries and venules demonstrate an inflammatory process, which leads to ARDS development (12)(13)(14).…”