Norske sykepleieres kunnskap om og holdning til smerte hos barn

Abstract

Norske s kepleieres kunnskap om og holdning til smerte hos barn Emneord: Nøkkelord, Barn, Kunnskapsbasert sykepleie, Smerte Sykepleien Forskning 2011 6(4):332-339. Engelsk sammendrag:Norwegian nurses' knowledge and attitudes regarding pain and pain relief in children Background:Pain in children is underestimated and undertreated. Nurses attitudes and lack of knowledge are internationally reported as major causes of insufficient treatment of pain. Objective:To survey Norwegian paediatric nurses knowledge and attitudes regarding pain in hospitalized children and adolescents (0-18 years). Methods:This is a quantitative study with a cross-sectional design. The Norwegian version of Pediatric Nurses Knowledge and Attitudes Survey Regarding Pain (PNKAS-N) was used. The PNKAS-N consists of 40 items which address general pain management, pain assessment and the use of pharmacological and nonpharmacological treatment. The study included 238 nurses and nurse specialists at eight paediatric units and one university college. Results:The final sample consists of 183 participants giving a response rate of 76.9%. A total of 71.2% of the questions were correct answered. The nurse specialists scored significantly higher than the nurses (p<0.001). Conclusion:The nurses and nurse specialists have a high level of theoretical knowledge in several key areas. However, the study reveals a gap between their knowledge and how the nurses and nurse specialists actually manage pain, measured by two clinical cases. A change of attitudes seems necessary to make them trust the patients own assessment of pain and to administer adequate amounts of analgesics. 06.01.12

Nurses’ Knowledge, Attitudes and Clinical Practice in Pediatric Postoperative Pain Management

“…Most of the knowledge and attitude items concerning pain assessment were answered correctly by the nurses. Similar results were found in two other studies (Hovde, Granheim, Christophersen, & Dihle, 2011;. However, we found a gap between nurses' responses in the PNKAS-N and what they were observed practicing in relation to the use of pain assessment tools.…”

Educational Intervention to Strengthen Pediatric Postoperative Pain Management: A Cluster Randomized Trial

“…Results from PNKAS studies of nurses conducted in the Kingdom of Saudi Arabia (83), Ghana (84,85), Turkey (76), Mexico (13,87), Egypt (97), China (88), Mongolia (95) and Iran (98) showed low total mean scores, with < 50% correct answers. Studies conducted in the USA (12, 78-80, 96, 99), Canada (14,15,94), Norway (77), Spain (86) and Germany (81) showed higher total mean scores, with 56-82% correct answers. None of these studies, except one (14), found a mean score of > 80%, which is often set as the acceptable level of knowledge (84).…”

“…Previous studies have shown that nurses have poor knowledge about and attitudes toward basic pediatric pain assessment and management principles (9). Nurses' knowledge and attitudes regarding pediatric pain management have been identified using the Pediatric Nurses' Knowledge and Attitude Survey Regarding Pain (PNKAS) in several previous studies (76)(77)(78)(79)(80)(81), conducted on nursing students (82), used in intervention studies (12)(13)(14)(15), and in more recent studies (83)(84)(85)(86)(87)(88) on nursing students (89)(90)(91)(92)(93), and in intervention studies (94)(95)(96)(97)(98)(99).…”

“…Findings from these studies demonstrated knowledge deficits in pharmacological issues, such as useful drugs for pain treatment in children (12,(76)(77)(78)(79)(80)83), risk of addiction (76,77,80,81,83,(85)(86)(87)96), risk of respiratory depression (12, 76-81, 83, 86, 96), conversion of morphine doses from intravenous to oral administration (12, 76-79, 84, 85, 96) and other items, including that children may sleep in spite of severe pain (77,83,86) and that children overreport pain (76-78, 80, 83-85, 96).…”