Optimizing Post-Surgical Pain Management in Adult Surgical Patients: Effects of Training Interventions on Surgical Nurses’ Knowledge

Abstract

Context: There is a surplus of contemporary scientific evidence-based indicated numerous precarious positions with inadequate post-surgical pain management in adult surgical patients. The most important barrier in this context was suboptimal postsurgical pain interventions. Aim: This nursing improvement initiative aimed to optimize post-surgical pain nursing interventions in adult surgical patients by training surgical nurses the strategies to enhance their pain management competencies in one teaching hospital in Saudi Arabia. Materials and methods: A descriptive, cross-sectional pain prevalence survey was conducted quarterly in all eight adult surgical inpatients wards to determine and assess if their pain was controlled to a satisfactory level of less than moderate pain. Secondly, pre-and post-test surgical nurses' knowledge assessment surveys were conducted. Descriptive statistics were used to analyze and interpret and present the data. Results: The outcomes demonstrated that through the improvement nursing initiative strategies implemented, the pain prevalence survey in February 2020 improved by more than 9% with an average of 93.4% (n=142; N=152) of patients with pain intensity less than moderate pain, while in September after omitting quarter three due to Covid-19 surge, all eight surgical wards achieved an average of 88% (n=152; N=173), thus improved by 3,6% compared to the results of November 2019. The average pretest pain knowledge assessment survey taken in January 2020 by 103 surgical nurses in all eight surgical wards was 71%. In October 2020, 114 surgical nurses participated in the post-test and achieved 83%, demonstrated an increase of more than 12% from all 20 questions. Conclusion: The eight surgical wards substantially achieved more than 80% of patients with controlled postsurgical pain levels of less than moderate pain during the last two prevalence cycles, and the posttest revealed pain management knowledge acquisition from the baseline of the pretest conducted. It is therefore postulated that it is essential to monitor the pain management quality of delivered patient nursing care interventions based on the type of pain and consider the provision of refresher training sessions to influence practical skills of pain management competencies.

Construction and Empirical Research on the Evaluation Index System for Online Teaching Quality: A Case Study of Sports Rehabilitation<br /> <div> <br /> </div>

“…Online education not only provides students with flexible learning opportunities but also facilitates the dissemination of knowledge and global access to education. While the rise of online education brings numerous opportunities, it also presents challenges, one of which is assessing and ensuring the quality of online teaching [4].…”