Identification and Comparison of Barriers to Assessing and Combating Acute and Postoperative Pain in Elderly Patients in Surgical Wards of Polish Hospitals: A Multicenter Study

Mędrzycka‐Dąbrowska, Wioletta; Dąbrowski, Sebastian; Basiński, Andrzej; Małecka-Dubiela, Anna

doi:10.17219/acem/34698

Cited by 6 publications

(9 citation statements)

References 11 publications

(15 reference statements)

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“…Misconceptions and myths about pain and pharmacological pain treatment, particularly fear of opioids addiction as well as serious adverse effects like respiratory depression, are blamed for pain undertreatment [11–13]. In addition lack of knowledge about dealing with special groups of patients such as the elderly and the very young led to undertreatment or even no treatment of pain in such cases [4, 14–17]. …”

Section: Introductionmentioning

confidence: 99%

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Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Nuseir

Kassab

Almomani

2016

Pain Research and Management

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Context. Despite improvement in pain management and availability of clinical treatment guidelines, patients in Jordan are still suffering from pain. Negative consequences of undertreated pain are being recognized as a reason for further illnesses and poor quality of life. Healthcare providers (HCPs) are responsible for relieving pain of their patients. Objective. To evaluate the knowledge and attitudes of HCPs toward pain management in Jordan. Methods. A 16-item questionnaire with agree or disagree options was given to 662 HCPs in seven hospitals in Jordan who volunteered to participate in the study. Following data collection, the responses were coded and entered into SPSS. Results. There was a statistically significant difference (p < 0.004) in percentage scores between physicians (36%) and pharmacists (36%) versus nurses (24%). The level of knowledge was the best among physicians, followed by pharmacists specifically in the area of cancer pain management. Nurses scored the lowest for knowledge of pain assessment and management among HCPs. However, HCPs overall scores indicated insufficient knowledge specifically in relation to pain assessment and management among children.

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Section: Introductionmentioning

confidence: 99%

“…Perceptions about spirituality and spiritual care of the patients is another factor to be taken in consideration [29]. Healthcare system was also cited as one barrier for better pain management for the elderly in multicenter study in Poland [17]. …”

Section: Introductionmentioning

confidence: 99%

Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Nuseir

Kassab

Almomani

2016

Pain Research and Management

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“…The assessment and monitoring of pain in patients in ICU. Thematic issues related to this area include: analysis and assessment of the extent to which pain management guidelines are used in individual countries and intensive care units [19][20][21][22][23], challenges, difficulties and conflicts encountered by nurses using pain assessment scales in ICU [15][16][17][18], the development and implementation of pain management procedures in intensive care units and their effect on patient treatment outcomes [39][40][41][42][43][44][45][46][47][48][49][50].…”

Section: Recommendations Of the Ptpaiio On Pain Monitoring In Icumentioning

confidence: 99%

“…Effective pain management requires the implementation of educational and organisational measures at the ward and hospital level, aimed at dispelling the myths and eliminating the barriers that hinder the effective prevention and treatment of pain in patients in ICU, and introducing the personnel to the correct use of behavioural pain assessment scales. These barriers were identified as potentially related to [15][16][17][18]: 1) Considering pain as a forgotten priority -no routine assessment of pain in the ward, inadequate cooperation in the therapeutic team. 2) Organisational barriers -understaffing or "new" personnel; no "space" in the documentation for entering pain assessment score; no information or "conversation" about pain during the ward rounds; no behavioural scales present by the patient's bed.…”

Section: Recommendations Of the Ptpaiio On Pain Monitoring In Icumentioning

confidence: 99%

“…The cultural adaptation and validation of behavioural pain assessment scales (BPS and COPT) have been conducted in many other countries and specific patient groups [7][8][9][10][11][12][13][14]. The literature, however, points out numerous barriers in the effective treatment of pain in patients in an ICU [15][16][17][18]. A consequence of this fact are, in many cases, ineffective pain management procedures in intensive care units for adults [19][20][21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

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Recommendations of the Polish Association of Anaesthesia and Intensive Care Nurses on pain monitoring in Intensive Care Units using a Polish version of the Behavioural Pain Scale (BPS)

Gutysz-Wojnicka

Rozalska

Pawlak

et al. 2021

Pielegniarstwo XXI Wieku / Nursing in the 21st Century

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Introduction. In 2018, another update of the Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/ Sedation, Delirium, Immobilization and Sleep Disorders in Adult Patients Treated in Intensive Care Units (ICUs) was released. Aim. The study is aimed at presenting current recommendations concerning pain management in patients treated in ICU, and presenting the algorithm of pain assessment and monitoring in patients treated in ICU, using a Polish version of the BPS (Behavioural Pain Scale). The guidelines were prepared based on a systematic review of the literature published in the years 2013-2018. Material and methods. The search for scientific publications was carried out using electronic databases in English and Polish. The following keywords and their combinations were used in the searches: pain, assessment, monitoring, nurse, intensive care, adult patient, unable to communicate. Initially, 758 papers were identified with the use of keywords. After excluding duplicates and preliminary checking and selecting the titles of publications and abstracts, 85 papers were qualified for the analysis of full text. Conclusions. Access to effective pain treatment is a fundamental human right. Recommendations of the Polish Association of Anaesthesia and Intensive Care Nurses, concerning pain monitoring in ICU using a Polish version of the Behavioural Pain Scale (BPS), developed by the Task Force for Practice, are intended to provide a specific guideline for developing effective local pain management strategies in ICU.

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Knowledge, attitudes and practices of health professionals towards postoperative pain management at a referral hospital in Ethiopia

Tamire

Belete

Tlilaye

et al. 2022

Annals of Medicine &Amp; Surgery

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Background Postoperative pain (POP) is a form of acute pain following surgery. It results from tissue injury during surgical procedure like skin incision, tissue dissection, manipulation and traction. It is one of the immediate postoperative complications. Despite new standards, guidelines and different strategies the practice of postoperative pain management is found to be inadequate. We aimed to assess knowledge, attitude and practice on postoperative pain management practice among Health professionals working at XX Referral Hospital. Method Institution based cross-sectional study was conducted to assess Knowledge, Attitudes and Practices of Health professionals regarding to Post-operative pain management at XX Referral Hospital 2020 from 118 health professionals. Data was collected using structured self-administered questionnaire and was verified, coded and entered to Epi Info Software version 3.5.4 and then it was exported and analyzed by SPSS version 20 Software. After analysis frequency and percentages was used to summarize the finding. Result The overall finding of the study revealed that health professionals had good knowledge (58.4%), unfavorable attitude (44.9%), and poor practice (24.58%) towards post-operative pain management. Conclusion Non physician anesthetists have good knowledge, attitude and practice towards post-operative pain management. But the overall attitude and practice of health professionals’ towards post-operative pain management is poor.

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Identification and Comparison of Barriers to Assessing and Combating Acute and Postoperative Pain in Elderly Patients in Surgical Wards of Polish Hospitals: A Multicenter Study

Cited by 6 publications

References 11 publications

Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Recommendations of the Polish Association of Anaesthesia and Intensive Care Nurses on pain monitoring in Intensive Care Units using a Polish version of the Behavioural Pain Scale (BPS)

Knowledge, attitudes and practices of health professionals towards postoperative pain management at a referral hospital in Ethiopia

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