Nurses’ Knowledge and Attitudes about Pain: Personal and Professional Characteristics and Patient Reported Pain Satisfaction

Brant, Jeannine M.; Mohr, Carla; Coombs, Nicholas; Finn, Susan Calvert; Wilmarth, Estella

doi:10.1016/j.pmn.2017.04.003

“…This relationship has been confirmed by many international studies (46,47,53,56,58,60,65,66). However, the effect of years of experience on scores is uncertain with many differing findings across studies (52,53,57,58,60,65,66). As would be thought, prior pain education usually results in higher knowledge and attitudes regarding pain scores (47,57) yet our findings echoed that of an Ethiopian study by Germossa et al (45) which showed higher scores amongst those not having attended further pain education.…”

Section: Factors Influencing Knowledge and Attitudes Regarding Painsupporting

confidence: 80%

“…Studies from North America (57-59), Norway (60) and Australia (61) found substantially higher (72% to 79%) knowledge and attitudes scores among nurses. Still, these studies recommend targeted pain education to overcome specific areas of knowledge and attitudes deficits along with regular in-service pain education (57,59,61). Research among nurses has shown that knowledge and attitudes regarding pain predict pain management practices, with attitudes contributing more to variances in pain management practices than knowledge (62).…”

Section: Knowledge and Attitudes Regarding Painmentioning

confidence: 99%

“…Research among nurses has shown that knowledge and attitudes regarding pain predict pain management practices, with attitudes contributing more to variances in pain management practices than knowledge (62). Additionally, adequate pain knowledge and favourable attitudes among nurses also correlate positively with patient satisfaction (57).…”

Section: Knowledge and Attitudes Regarding Painmentioning

confidence: 99%

See 1 more Smart Citation

Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

Lourens

¹

,

Hodkinson

²

,

Parker

³

2020

Preprint

0

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Background: Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between health care providers’ knowledge of, and attitudes towards pain and pain management practices. This study aimed to describe the knowledge, attitudes, and practices of emergency care providers regarding acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa. The specific objectives were to, identify gaps in pain knowledge; assess attitudes regarding pain assessment and management; describe pain assessment and management behaviours and practices; and identify barriers to and enablers of pain care. Methods: A web-based descriptive cross-sectional survey was conducted among emergency care providers of all qualifications, using a face-validated Knowledge, Attitudes and Practices of Pain survey. Results: Responses of 100 participants was included in the analysis. The survey response rate could not be calculated. The mean age of respondents was 34.74 (SD8.13) years and the mean years’ experience 10.02 (SD6.47). Most respondents were male (69%), employed in the public/government sector (93%) as operational practitioners (85%) with 54% of respondents having attended medical education on pain care in the last two years. The mean percentage for knowledge and attitudes regarding pain among emergency care providers was 58.01% (SD15.66) with gaps identified in various aspects of pain and pain care. Practitioners with higher qualifications, more years’ experience and those who did not attend medical education on pain, achieved higher scores. Alcohol and drug use by patients were the most selected barrier to pain care while the availability of higher qualified practitioners was the most selected enabler. When asked to record pain scores, practitioners were less inclined to assign scores which were self-reported by the patients in the case scenarios. The participant dropout rate was 35%. Conclusion: Our results suggest that there is suboptimal knowledge and attitudes regarding pain among emergency care providers in the Western Cape, South Africa. Further, gaps in pain knowledge, attitudes and practices were identified. Some barriers and enablers of pain care in the South African prehospital setting were identified but further research is indicated.

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“…Studies from North America (58-60), Norway (61) and Australia (62) found substantially higher (72% to 79%) knowledge and attitudes scores among nurses. Still, these studies recommend targeted pain education to overcome specific areas of knowledge and attitudes deficits along with regular in-service pain education (58,60,62). Research among nurses has shown that knowledge and attitudes regarding pain predict pain management practices, with attitudes contributing more to variances in pain management practices than knowledge (63).…”

Section: Knowledge and Attitudes Regarding Painmentioning

confidence: 99%

Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

Lourens

¹

,

Hodkinson

²

,

Parker

³

2020

Preprint

0

View full text Add to dashboard Cite

Background: Acute pain is frequently encountered in the prehospital setting, and therefore, a fundamental aspect of quality emergency care. Research has shown a positive association between health care providers’ knowledge of, and attitudes towards pain and pain management practices. This study aimed to describe the knowledge, attitudes, and practices of emergency care providers regarding acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa. The specific objectives were to, identify gaps in pain knowledge; assess attitudes regarding pain assessment and management; describe pain assessment and management behaviours and practices; and identify barriers to and enablers of pain care. Methods: A web-based descriptive cross-sectional survey was conducted among emergency care providers of all qualifications, using a face-validated Knowledge, Attitudes and Practices of Pain survey. Results: Responses of 100 participants was included in the analysis. The survey response rate could not be calculated. The mean age of respondents was 34.74 (SD8.13) years and the mean years’ experience 10.02 (SD6.47). Most respondents were male (69%), employed in the public/government sector (93%) as operational practitioners (85%) with 54% of respondents having attended medical education on pain care in the last two years. The mean percentage for knowledge and attitudes regarding pain among emergency care providers was 58.01% (SD15.66) with gaps identified in various aspects of pain and pain care. Practitioners with higher qualifications, more years’ experience and those who did not attend medical education on pain, achieved higher scores. Alcohol and drug use by patients were the most selected barrier to pain care while the availability of higher qualified practitioners was the most selected enabler. When asked to record pain scores, practitioners were less inclined to assign scores which were self-reported by the patients in the case scenarios. The participant dropout rate was 35%. Conclusion: Our results suggest that there is suboptimal knowledge and attitudes regarding pain among emergency care providers in the Western Cape, South Africa. Further, gaps in pain knowledge, attitudes and practices were identified. Some barriers and enablers of pain care in the South African prehospital setting were identified but further research is indicated.

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“…Despite the recognition that nurses play a leading role in optimal pain management, nurses often lack the relevant knowledge (Brant, Mohr, Coombs, Finn, & Wilmarth, 2017;Latina et al, 2015;Willens, 2014), which results, for example, in misconceptions about dependence on opiates and their depressive effect on the central nervous system (Furjanic, Cooney, & McCarthy, 2016;Samarkandi, 2018;Schreiber et al, 2014). In a study by Bergeron, Bourgault and Gallagher (2015), nearly three out of four nurses working in doctors' offices felt their practice regarding pain management was limited.…”

Section: Introductionmentioning

confidence: 99%

Pain Management in the Context of a Nursing Help Line: Identification of Needs, Development of a Continuing Education Activity, and Evaluation of its Impact

Boisvert

¹

,

Bilodeau

²

,

Bourgault

³

et al. 2019

Science of Nursing and Health Practices - Science infirmière et

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Nurses’ Knowledge and Attitudes about Pain: Personal and Professional Characteristics and Patient Reported Pain Satisfaction

Cited by 54 publications

References 28 publications

Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

Acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa: A Knowledge, Attitudes and Practices Survey

Pain Management in the Context of a Nursing Help Line: Identification of Needs, Development of a Continuing Education Activity, and Evaluation of its Impact

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