Nurses’ knowledge of the principles of acute pain assessment in critically ill adult patients who are able to self-report

Kizza, Irene Betty; Muliira, Joshua Kanaabi; Kohi, Thecla W.; Nabirye, Rose Chalo

doi:10.1016/j.ijans.2016.02.001

Cited by 23 publications

(49 citation statements)

References 38 publications

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“…Maintaining an optimal level of comfort for patients is a universal goal for physicians and nurses because pain is one of the major experiences that can minimize patient comfort (Kizza et al, 2016). The consequences of unrelieved pain can be devastating as opined in a survey by the National Health Service (NHS) trusts in England (2007) that reported 67% of patients experienced pain whilst in hospital; despite relief efforts, this experience can be reduced if nurses have adequate knowledge of pain assessment and management.…”

Section: Introductionmentioning

confidence: 99%

“…In Zimbabwe registered nurses had low knowledge levels and poor attitude regarding pain management of adult medical patients (Manwere et al, 2015). Also, in a study conducted in Uganda by Kizza et al (2016), nurses generally had adequate knowledge about pain assessment principle, but there was a lack of knowledge about some key concepts such as value for patients' autonomy in pain assessment and pre-emptive analgesia concepts. This knowledge gap may affect their ability to provide quality pain assessment and management.…”

Section: Introductionmentioning

confidence: 99%

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Pain as 5th vital sign: impact of pain assessment training program on Nigerian nurses knowledge of pain management

Onianwa¹,

Alonge²,

Otegbayo³

et al. 2017

Int. J. Nurs. Midwifery

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Pain is subjective and it can only be described by the individual experiencing it. It is the main reason why people seek medical help. Nurses play a major role in the management of pain; hence they must be highly knowledgeable to ensure their practices are of high quality. The aim of this study was to evaluate the impact of Nurses' Pain Educational Program (NPEP) on nurses' knowledge of pain management. The quantitative design was employed in the study; five lectures on the Nurses Pain Educational Program (NPEP) were conducted for 500 nurses. All participants were given 15 items questionnaires in a pre and post test design. The study location was the University College Hospital Ibadan and the duration of the study was between March to December, 2015. The pre and post-test on nurses' knowledge were analyzed using descriptive and inferential statistics and the overall improvement in knowledge and management of pain was analyzed using the student t-test. The participants were divided into groups; each group was trained for two days in a week using the Nurses Pain Educational Program Package (NPEP). Findings revealed an improvement in knowledge which was found to be statistically significant (P < 0.000). This was evident by the results of the pre-test and post-test values; pre-test mean score was 2.6 ± 0.05 while that of the post test score was 4.0 ± 0.04. This indicated that knowledge was impacted. The Nurses Pain Educational Program had a positive effect on nurses' knowledge of pain assessment and pain management.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pain as 5th vital sign: impact of pain assessment training program on Nigerian nurses knowledge of pain management

Onianwa¹,

Alonge²,

Otegbayo³

et al. 2017

Int. J. Nurs. Midwifery

View full text Add to dashboard Cite

show abstract

“…Pain assessment results validated the study findings by Roy et al (2015) that sadness; disgust; happiness; and surprise can be mistaken for pain. These can be attributed on the reported knowledge barriers of the respondents that includes "The knowledge of the staff regarding the use of pain scale…;" "…knowledge of the assessing person;" "…knowledge of the one who assess…;" "…knowledge regarding pain and its management;" "…knowledge of the who is assessing person;" "knowledge of the assessor…;" "…level of knowledge…;" "…nurse's knowledge…;" "…knowledge of nurse…;" and "…knowledge of staff in pain assessment" which are also unveiled by Souza et al (2013), Batiha (2014), and Kizza et al (2016). Specifically, the findings of Souza et al (2013) can be inquired against the practical knowledge of nurses.…”

Section: Resultsmentioning

confidence: 82%

“…Major theories of pain (specificity theory, pattern theory, gate control theory, and psychological/behavioral theory) underscore that pain involves a physiological stimulus (Cheng et al, 2003). Nurses process the concept of pain as what patients might feel with 'physical' and 'invasive' procedures (Kizza et al, 2016). Thus, they reproduce the pain with procedures as "painful" or "hurtful".…”

Section: Healthcare Team-related Factormentioning

confidence: 99%

“…In another study, Kizza et al (2016) found that knowledge about pain assessment principles among nurses (N=170) in Uganda was significantly associated with their understanding of the need to assess for pain and pre-emptive analgesia for physical procedures that includes patient repositioning, drain removal, and invasive line placement. Knowledge gaps were on key concepts in pain assessment.…”

Section: Introductionmentioning

confidence: 99%

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Recognition of patient pain cues among staff nurses working in the intensive care unit: A mixed-method study

Alsaqri¹,

Hernandez²

2018

Int. j. adv. appl. sci.

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Interpretation of pain messages from patients is an important communicative action in the intensive care unit (ICU). This study explored how "pain" is recognized in pain assessment through (a) clinical knowledge, (b) neurocognitive perception, and (c) communicative actions among ICU staff nurses. A 2-phase explanatory sequential mixed-method design was applied. Data are collected from May 14 to 22, 2017 in different government ICUs. Forty female expatriate nurses mostly with baccalaureate degree (82.5%), mean age of 33 years, and mean work experience of 6 years have participated. Five themes were isolated: pain is physical, emotional, or mixed; pain assessment is facial and behavioral/physiological; barriers to pain assessment are related to healthcare team and system; pain assessment functions between task and diagnostic; and pain assessment is valued as task and diagnostic. Pain assessment is usually done at the beginning of the shift (75%) or as needed (25%). Emotional intelligence scores were at average and high levels. Nurses scored pain more often (51.04%) than no pain (48.96%) and had more neutral facial expression (0.6498 msec) when deciphering pain. The communicative meaning of pain assessment is "knowing patient's feeling". Neurocognitive perception of nurses to pain in nonvocal patients is connected to their clinical knowledge and learned practices within the ICU. Clinical training on facial expressions of pain in nonvocal patients should be included.

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Nurses’ knowledge, practice, and associated factors of pain assessment in critically ill adult patients at public hospitals, Addis Ababa, Ethiopia

Ayenew

Melaku

Gedfew

et al. 2021

International Journal of Africa Nursing Sciences

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Nurses’ knowledge of the principles of acute pain assessment in critically ill adult patients who are able to self-report

Cited by 23 publications

References 38 publications

Pain as 5th vital sign: impact of pain assessment training program on Nigerian nurses knowledge of pain management

Pain as 5th vital sign: impact of pain assessment training program on Nigerian nurses knowledge of pain management

Recognition of patient pain cues among staff nurses working in the intensive care unit: A mixed-method study

Nurses’ knowledge, practice, and associated factors of pain assessment in critically ill adult patients at public hospitals, Addis Ababa, Ethiopia

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