The effect of undergraduate education on pain-related attitudes and beliefs in healthcare students: an observational, cross sectional study

Augeard, Nathan; Tennant, J.; Carroll, S.P.; Seenan, Chris

doi:10.1016/j.physio.2018.11.155

Cited by 5 publications

(9 citation statements)

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“…Nurses who had frequent contact with patients had a higher level of knowledge and attitude regarding pain management [28]. Similarly, Aagaard et al suggested that a curriculum with specific pain component that includes a particular model of clinical reasoning might have an influence on the development of positive attitude and belief of health care professionals towards pain [31]. Despite its worldwide high prevalence and its burden to the public, pain education has been given less priority including in medical schools.…”

Section: Discussionmentioning

confidence: 99%

Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

Kahsay

Pitkäjärvi

2019

BMC Nurs

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BackgroundPain is a common phenomenon among emergency patients which may lead to chronic pain conditions and alteration of physiological function. However, it is widely reported that proper pain assessment and management, which is often accomplished by adequately trained nurses reduce the suffering of patients. Therefore, the aim of this study was to assess the emergency nurses´ knowledge, attitude and perceived barriers regarding pain management.MethodsA cross-sectional quantitative study design was applied to determine the nurses´ knowledge level, attitude and the perceived barriers related to pain management. Hundred twenty-six nurses from the emergency departments of seven referral hospitals of Eritrea participated in the study. Data were collected in August and September 2017. Both descriptive and inferential statistics were used to summarize and elaborate on the results.ResultIn general, the knowledge level and attitude of the emergency nurses was poor. The participants’ correct mean score was 49.5%. Nurses with Bachelor’s Degree had significantly higher knowledge and attitude level compared to the nurses at the Diploma and Certificate level of professional preparation (95% CI = 7.1–16.7 and 9.4–19.1; p < 0.001) respectively. Similarly, nurses who had previous training regarding pain scored significantly higher knowledge level compared to those without training (95% CI =1.82–8.99; p = 0.003). The highest perceived barriers to adequate pain management in emergency departments were measured to be overcrowding of the emergency department (2.57 ± 1.25), lack of protocols for pain assessment (2.45 ± 1.52), nursing workload (2.44 ± 1.29) and lack of pain assessment tools (2.43 ± 1.43). There was no significant difference in perceived barriers among nurses with different demographic characteristics.ConclusionThe emergency nurses’ knowledge and attitude regarding pain management were poor. Nurses with higher educational level and nurses with previous training scored significantly higher knowledge level. This indicates the need for nursing schools and the ministry of health to work together to educate nurses to a higher level of preparation for pain assessment and management.

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Section: Discussionmentioning

confidence: 99%

Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

Kahsay

Pitkäjärvi

2019

BMC Nurs

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“…Additionally, mean HC-PAIRS scores were comparable to a study of final year medical and physiotherapy students, suggesting positive attitudes towards pain and functioning [ 24 , 39 , 52 ]. For example, Ryan et al and Augeard et al found their samples of final year physiotherapy students to have mean HC-PAIRS scores of 57.4 and 55.6 [ 24 , 52 ]. Mean scores of final year medical students in a study conducted by Morris et al were 56.4 [ 39 ].…”

Section: Discussionmentioning

confidence: 69%

“…Medical training has been demonstrated to influence beliefs through brief interventions, such as 15-minute educational videos and seminars [ 40 , 41 ]. Changes also occur over the course of training, with healthcare and medical students’ beliefs of chronic LBP becoming more positive, demonstrated in other research by BBQ and HC-PAIRS score changes [ 24 , 39 ]. This is supported by the qualitative data, with phase 3 describing university learning opportunities such as lectures and seminars.…”

Section: Discussionmentioning

confidence: 89%

“…Negative views regarding chronic pain have also been found in medical students [ 15 ]. Despite these findings, beliefs and attitudes towards pain and LBP amongst healthcare and medical students have been shown to improve during study, demonstrating the effectiveness of education [ 24 , 38 , 39 ]. For example, medical students have been found to believe LBP myths including ‘back pain is likely to be caused by heavy lifting’.…”

Section: Introductionmentioning

confidence: 99%

“…Studies undertaken by Briggs et al and Kennedy et al investigating healthcare students' beliefs of LBP demonstrated there was also lack of consistency between physiotherapy, chiropractic, nursing and medical students [15,23]. Moreover, this was found when considering persistent pain and judging harmfulness of daily activities [24,25]. Incongruent management can lead to contrasting advice and investigations between individuals and healthcare professions, undermining patients wanting clear and consistent explanations for LBP [18,22,23,26,27].…”

Section: Introductionmentioning

confidence: 99%

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What influences graduate medical students’ beliefs of lower back pain? A mixed methods cross sectional study

Inman

Ellard

2022

BMC Med Educ

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Background Low back pain (LBP) is a common condition with substantial associated disability and costs, best understood using a biopsychosocial approach. Research demonstrates that beliefs about LBP are important, with biomedical beliefs influencing practitioner’s management and patient recovery. Beliefs about LBP can be inconsistent amongst healthcare and medical students. The aim of this study was to investigate graduate medical student’s beliefs of LBP and what influences them. Method A cross sectional mixed methods study of Phase 1 (first year) and Phase 3 (third and fourth year) current graduate medical students at the University of Warwick (MBChB) was conducted. Participants were recruited via voluntary response sampling. A survey investigated LBP beliefs, utilising the Back Beliefs Questionnaire (BBQ) and Health Care Providers’ Pain and Impairment Relationship Scale (HC-PAIRS). Qualitative data was collected on what influences beliefs about the causes and management of LBP, which was analysed descriptively using thematic analysis. Results Fifty-seven students completed the questionnaire (61% female), with a mean age of 27.2 years. Eighty two percent of participants reported a history of LBP. Median BBQ scores were 31.5 for phase 1 and 31 for phase 3, with median HC-PAIRS scores of 57 and 60 for phase 1 and phase 3 students respectively. Three main themes emerged from the qualitative data: Sources of influence, influence of personal experience and influence of medical education. Participants discussed single or multiple sources influencing their beliefs about the causes and management of LBP. Another main theme was the influence of experiencing LBP personally or through discussions with family, friends and patients. The final main theme described the influence of medical education, including lectures, seminars and clinical placements. Conclusions The HC-PAIRS and BBQ scores suggest graduate medical students in this sample tended to have positive beliefs about the outcome of LBP and functional expectations of chronic LBP patients, consistent with other healthcare students. The findings from qualitative data suggest how medical students form beliefs about the causes and management of LBP is complex.

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Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

Munneke,

Demoulin,

Roussel

et al. 2024

Brazilian Journal of Physical Therapy

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The effect of undergraduate education on pain-related attitudes and beliefs in healthcare students: an observational, cross sectional study

Cited by 5 publications

References 0 publications

Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

What influences graduate medical students’ beliefs of lower back pain? A mixed methods cross sectional study

Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

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