Patient satisfaction with peri-operative anesthesia care and associated factors at two National Referral Hospitals: a cross sectional study in Eritrea

et al. 2020

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Background Postoperative pain remains a concern to both patients and health care professionals. Non-pharmacological pain relief methods have the potential to complement pharmacological interventions and may offer alternative treatment options. The aim of the study was to assess nurses’ utilization of postoperative nurses’ non-pharmacological pain relief methods and the perceived barriers for their implementation in the National Hospitals. Methods Descriptive cross sectional study was conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization of selected non-pharmacological methods and the perceived barriers for the implementation of those methods were used to collect data. Descriptive statistics for the demographic data, independent samples t-test and one way ANOVA for the nurses’ utilization of the non-pharmacological methods and perceived barriers were used to analyze the data. Statistical significance level was set at P < 0.05. Results The study found that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were reported to be the most frequently used methods, whereas the cognitive-behavioral (5.9%) and physical methods (5.8%) were found with less frequency. The results also show that characteristics, such as the nurses' age (p = 0.013), education (p = 0.012), work experience (p = 0.001) and place of work (p = 0.001), were significantly related to the use of non-pharmacological methods. Among the various perceived barriers, health care system related barriers such as heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), lack of administrative support (76.6%) followed by patient related barriers such as patients uncooperative behavior (57.1%) were identified. Conclusion Only few of the non-pharmacological methods were found to be utilized by the nurses as pain relieving strategies and various perceived barriers are existing among the nurses towards the utilization of these methods. Nurses in these settings need training and education on non-pharmacological pain relief methods, particularly on methods that are utilized less often.

Section: Utilization Of Non-pharmacological Methods Of Postoperative mentioning

confidence: 99%

Utilization of Non-Pharmacological Methods and the Perceived Barriers for Adult Postoperative Pain Management by the Nurses at Selected National Hospitals in Asmara, Eritrea

et al. 2020

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“…This knowledge gap seems to have resulted from inadequate training in the nursing curriculums (21). A study conducted in the same setting reported negligence in pain management (22). Moreover, the common complains in the National hospitals have been shortage in number of nurses which hindered the utilization of these methods.…”

Section: Utilization Of Non-pharmacological Methods For Postoperativementioning

confidence: 99%

“…In the post-operative surgical wards of the studied hospitals in Asmara, the use of pharmacological methods is the primary approach of pain management however, postoperative pain remains as a challenge with high level of patient's dissatisfaction (21,22) Therefore, the aim of the study was to assess the utilization of the non-pharmacological methods and the perceived barriers which limit their utilization in the selected sites.…”

Section: Introductionmentioning

confidence: 99%

Utilization of Non-Pharmacological Methods and the Perceived Barriers for Adult Postoperative Pain Management by the Nurses at Selected National Hospitals in Asmara, Eritrea

et al. 2020

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Background: Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals.Methods: This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05.Results: The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p=0.013), level of education (p=0.012), work experience (p=0.001) and place of work (p=0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p<0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified.Conclusion: The use of non-pharmacological methods in the studied hospitals varied greatly on the knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.

“…A recent study conducted amongEritrean nurses indicated a gap in the knowledge and attitude in pain management. Further to that, knowledge gap resulted from lack of adequate training in the nursing curriculums (21).A study conducted in the same setting reported the negligence in pain management (22).Moreover, the common complains in the National hospitals has been less number of nurses which could hinder the utilization of the methods.…”

Section: Utilization Of Non-pharmacological Methods For Postoperativementioning

confidence: 99%

“…In the post-operative surgical wards of the selected hospitals in Asmara, the use of pharmacological methods is the primary approach of pain management however still, postoperative pain remains as a challenge with high level of patient's dissatisfaction (21,22) Therefore, the aim of the study was to assess the utilization of the non-pharmacological methods and the perceived barriers which limit their utilization in the selected sites.…”

Section: Introductionmentioning

confidence: 99%

Utilization of Non-Pharmacological Methods and the Perceived Barriers for Adult Postoperative Pain Management by the Nurses at Selected National Hospitals in Asmara, Eritrea

et al. 2020

Preprint

Self Cite

Background: Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and minimizing the need formedication. The aim of the study was to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals.Methods: A descriptive cross sectional study was conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization ofselected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVAwere used to analyze the data. Statistical significance level was set at P < 0.05. Results: The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were the most frequently used methods, while cognitive-behavioral (5.9%) and physical methods (5.8%) had less frequency. The results also showed , such as the nurses' age (p=0.013), education (p=0.012), work experience (p=0.001) and place of work (p=0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals had a statistical significance of (p<0.001) and were the only determinants of the non-pharmacological methods at multivariable level. On the perceived barriers;heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%),nurse’s lack of knowledge (50%) and experience (40.3%) wereidentified.Conclusion: Non-pharmacological methods on postoperative patients in the studied hospitals varied greatly due to experience and knowledge. The study recommends exposure and training for all health care providers at all level in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management among patients. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.