Pain Management Attitudes Research Articles

Reliability and validity of revised instrument on pain management and its relationship between knowledge and attitudes among nurses in Vietnam

Objective: This study aimed (1) to evaluate the internal consistency and test-retest reliability of the Vietnamese version of the Knowledge and Attitudes Survey Regarding Pain –revised questionnaire; and (2) to assess the relationship between the knowledge, attitudes and demographic factors in nurses.
 Materials and methods: A cross-sectional survey and a correlation research design was used to evaluate test-retest reliability. 154 participants were tested twice with a 2-week interval. Multivariate analysis was performed by using multiple linear regressions to test the relationship between demographic data with nurse’ knowledge and attitude of pain management.
 Results and Discussion: Reliability was confirmed by internal consistency (Cronbach α = 0.88) and test-retest reliability (intraclass correlation coefficient, 0.88). The results of multiple regression indicated that age, nurses had level 5, and nurses from internal medicine, ICU, emergency, obstetric, oncology department, those with previous education in pain management, and routinely assess pain for patients were predicted to KASRP score, accounting for 11.6%.
 Conclusion: The Vietnamese Knowledge and Attitudes Survey Regarding Pain- Revised questionnaire had satisfactory content validity and reliability for assessing pain management in nurses in Vietnam. Some demographic factors were predicted 11.6% of KASRP in Nurses. Further research need focus on those factors independently significant predicted to KASRP to improve nurse’s knowledge and attitude.
 Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 160-170

Association Between Nurses' Personal Pain Sensitivity Towards Knowledge and Attitude of Pain Management

Effective pain management requires the right attitudes, judgments, skills, and knowledge that have an impact on pain treatment outcomes. A careful assessment of each individual’s pain sensitivity is invaluable for the prevention, evaluation, and treatment of pain. This study aimed to determine the relationship of pain sensitivity of professional nurses to pain management knowledge and attitudes. The method used in this research is cross-sectional study with a survey design that provides a quantitative picture of pain sensitivity, knowledge, and attitudes towards pain management in a population, by studying a sample of 160 nurses. Pain Sensitivity Questionnaire (PSQ) and Attitudes of Nurses Regarding Pain. The frequency and percentage of knowledge and attitude regarding pain in category lack (96.87%). Pain sensitivity question score are PSQ Minor score in average value 4.63 and PSQ Moderate score in average score 6.15. There is a significant relationship between attitudes and education with a sig 0.017 (P<0.050. There is a significant relationship between knowledge and attitudes with a sig value of 0.022 (P<0.05), there is no significant relationship between knowledge and pain sensitivity with a sig value 0f 0.689 (p<0.05), there is no significant relationship between attitudes and pain sensitivity with a sig 0.0640 (p<0.05). Efforts to improve knowledge, attitudes, skills and pain sensitivity among healthcare professionals are needed, monitored and evaluated by the hospital administration to improve nurses’ skill in paint management for better patient outcomes

Knowledge and Attitudes of Anesthesia Staff on Pain in the Hospitals of Niamey

Aim of the study: To assess the knowledge and attitudes of anesthesia staff on the management of pain in the hospitals of Niamey. Patients an method: This was a multicenter descriptive cross-sectional study carried out in five hospitals in Niamey (Republic of Niger) from July 3rd to December 3rd, 2021. Were been included in the study, all the anesthesia staff who agreed to answer the questionnaire. The variables studied were: age, gender, seniority, sector of activity and qualification, definition of pain, different types of pain, the impact of pain on the body, tools used for assessment of pain, difference between acute and chronic pain, knowledge about analgesics, the practical attitudes of pain management. The data were intered and processed with Epi info 7.2 software and the Microsoft Office 2019 pack. Results: Our study concerned 106 agents from the anesthesia and resuscitation department of the hospitals that served as our study framework. There is a female predominance of 55.42% with a sex ratio of 0.80. The 45-54 age group was the most represented with 40.07% of cases. The average age of respondents was 44.95 ± 8.9 years. Anesthesia nurses were the most represented with 90.36%. The operating theatre unit was the most represented sector of activity with 85.54%. All the respondents knew the definition of pain. The different types of pains were known by 45.78% of respondents. The most used pain scales were visual analog scale (VAS) and verbal descriptor scale (VDS) respectively in 53.01 % and 12.05 % of cases. Tramadol and paracetamol were the mostly used analgesics respectively in 98.80 % and 97.59%. Intravenous morphine titration was known to 67.47% of the respondents. Only 18.07% of the respondents benefited from a training on the management of pain. Conclusion: The knowledge and attitudes of anesthetists on pain deserve to be updated through theorical and practical training to improve the management of pain in our hospitals.

Low back pain management attitudes and pharmacy practice: the impact of community pharmacists’ characteristics.

Low back pain management attitudes and pharmacy practice: the impact of community pharmacists’ characteristics.

Investigation and Analysis of Knowledge and Attitude of Pain Management among Nurses in Hematology Department

Investigation and Analysis of Knowledge and Attitude of Pain Management among Nurses in Hematology Department

Traducción y adaptación al castellano de los Cuestionarios KnowPain-12 y Nurses Pain Management Attitude Survey

IntroductionKnowPain-12 (KP12) and Nurses Pain Management Attitude Survey (NPMAS) are 2tools that determine the level of knowledge and attitude towards the management of chronic pain (CP). The aim of this work is to translate and adapt into Spanish these questionnaires, to determine the attitude and knowledge about the management of CP in Medical, Nursing and Physiotherapy students. MethodsTranslation-back-translation of the questionnaires by 2 native English and 2 bilingual Spaniards complemented with qualitative methodology to assess the correct understanding of the questionnaires and their difficulty. A pilot test was conducted in 40 individuals to identify difficulties in understanding the items or potential errors. ResultsThe translators highlighted that 75% of the items in the KP12 presented little difficulty in their translation, 25% had medium difficulty and none was considered difficult. On the other hand, 80% of the items from the NPMAS presented little difficulty, 12% medium difficulty and 8% were considered to be difficult. The pilot test showed a good understanding of the questionnaire, having to make only a few changes in some words. ConclusionThe KP12 and the NPMAS could be useful instruments to detect the lack of knowledge on chronic pain in Spanish students of Health Sciences.

Knowledge and attitude of pain management among Italian nurses in intensive care unit: a multicentric descriptive study.

The main objective of the study was to document the current knowledge and attitudes towards pain management among Italian nurses working in intensive care unit (ICU). A multicenter cross-sectional study design was carried out. In order to assess the knowledge and attitudes of pain management, the KASRP questionnaire was used. The questionnaire was submitted online through Google Forms platform. A total of 864 nurses completed and returned the study questionnaire (58% were males). The mean of the total correct answers was 31.21 (SD 2.92) out of 40 (total score if all items answered correctly) with range of 22-38. No significant differences were observed with regard to gender (t = 1.875, P = .061). Spearman's correlation test showed a positive significant relationship between knowledge and attitude of pain management and years of ICU experience (r = -.424, P <.001) and between knowledge and attitude of pain management and the attendance of a pain update course in the last 3 years (r= -0.83, P =.014). We haven't found any correlation neither between age and knowledge nor between age and attitude score (r = -0.32, P = .351). This study has shown that Italian ICU nurses have good level of pain management knowledge and attitudes of pain medication. It is recommended to consider pain management in the context of continuing professional development.

Effects of Education on Nurses' Knowledge and Attitudes of Pain Management in a Postoperative Cardiovascular Unit.

This project explores the impact of an educational in-service on nurses' knowledge and attitudes toward pain on a postoperative cardiovascular unit. A convenience sample of nurses employed on the postoperative cardiovascular intensive care unit (n = 82) were asked to participate in this project, with 74 nurses attending the in-service training. Surveys that were 70% complete were used for analysis (preeducation, n = 22; posteducation, n = 24). The results from this project demonstrated that the use of a brief educational in-service is effective and efficient in increasing nurses' knowledge and attitudes related to pain management in this group of nurses. Posteducation survey scores were significantly higher than preeducation survey scores (p < .001). These findings suggest that a brief educational in-service on pain management can improve nurses' knowledge and attitudes on pain management in this postoperative cardiovascular unit. [J Contin Educ Nurs. 2020;51(8):377-383.].

Evaluating the impact of a multimedia training versus lecture training on attitudes and practices in paediatric nurses in children pain management: A randomized controlled trial.

AimThe aim of this study was to evaluate the effect of a multimedia training on pain management attitudes and practices of paediatric nurses.DesignA single‐blind randomized trial.MethodsPaediatric nurses (N = 120) from a public hospital randomly allocated into two groups, lecturing and multimedia training groups. Nurses in the control group received four one‐hour training sessions. In the intervention group, the same educational content was used as a film with text, audio and animation and presented as a multimedia CD. In both groups, using a questionnaire, we measured pain management attitudes and skills at baseline and then 1 week and 1 month after the training over. Data were analysed in SPSS20 software, and p < .05 was considered statistically significant.ResultsThe mean of attitude scores of the lecturing group was 104.74 one week after the study and 109.40 one month later versus 74.72. The above‐mentioned scores in the multimedia group were 112.72 and 115.04, respectively, versus 78.70 (p < .001). Also, the mean scores of nurses' performance in the lecturing group before, 1 week and 1 month after the study were 12.48, 26.60 and 28.22, respectively, versus 12.58, 28.68 and 28.98, in multimedia group; this difference was statistically significant (p < .05).

Evaluating Saudi Nursing Students’ Knowledge and Attitudes toward Cancer Pain Management: Implications for Nursing Education

Ineffective pain management has been recognized as a major problem faced by many patients with cancer. There is a lack of emphasis on cancer pain management in the undergraduate nursing curriculum which is one part of this problem. A descriptive cross-sectional study was carried out with a convenience sample of 135 nursing students at two universities in Jeddah, Saudi Arabia, to evaluate students’ current knowledge and attitudes toward cancer pain management. Data were collected using Pain Management Principles Assessment Test and Nurses’ Pain Management Attitudes Survey. The data were analyzed using IBM Statistical Package for the Social Sciences version 22, and P &lt; 0.05 was interpreted as significant. Descriptive and inferential statistics and Pearson correlations were performed. Nursing students have insufficient knowledge (11.4 ± 2.92) and negative attitudes (68.8 ± 5.75) toward cancer pain management. None of the nursing students achieved complete, correct responses (31 or 100%) in the knowledge test. Students had poor knowledge regarding areas of pain physiology and assessment, pharmacologic and nonpharmacologic pain management such as cutaneous stimulation. A weak positive significant relationship between students’ knowledge and attitudes was also found (r = 0.225, P = 0.009). Continued work is required to develop specific strategies to effectively teach nursing students and enhance their knowledge and attitudes toward cancer pain management.

Investigation and analysis on knowledge and attitude of Cancer pain management among 232 nursing staff in oncology department

Objective To investigate the current status of knowledge and attitudes of oncology nursing staffs on pain management in cancer patients. Methods A total of 232 oncology nursing staffs from 7 Grade III-A Hospitals in 4 provinces and municipalities were surveyed using General Information Questionnaire and knowledge and attitudes survey regarding pain (KASRP) (2014) questionnaire (Chinese version). Results The results of this survey showed that the average score of knowledge and attitude about pain management of 232 oncology nursing staffs was (21.56±4.01) points, and the average correct rate was 52.59%. There were no significant differences in the scores of different education background, years of nursing work, years of cancer clinical nursing care, and the nature of the hospital they worked in(P>0.05). However, there was a difference in the score of nursing staffs with different professional titles (F=5.885, P=0.003). Besides that, difference also showed in scores of nursing staffs with different experiences in caring cancer pain patients (F=3.216, P=0.024). Conclusion The knowledge and attitude of pain management in oncology nursing staffs are in low level, the command of knowledge is not enough, meanwhile, the pain management ability is insufficient. Therefore, it is necessary to strengthen the training of pain related knowledge of nursing staffs and improve their pain management ability. Key words: Pain management; Knowledge; Attitude; Oncology nursing staff

Attitudes to pain management towards cancer patients and its influencing factors based on analysis of theoretical perspectives with "S-O-R" model, Heider balance theory and KAP Model

Objective To analyze the influencing factors and the influencing path of patients′ attitudes towards cancer pain management based on S-O-R model, Heider balance theory, and Knowledge, Belief and Attitude, Practice Model (KAP/KABP) . Methods The conceptual model was built on the basis of research for these three theories. SPSS 22.0 and AMOS 21.0 were used to make statistical analysis. The multiple stepwise regression analysis and structural equation were used to analyze the influencing factors and influencing path. Results The total score of patients′ attitude towards cancer pain management was 2.96±0.49. The direct negative effect size of patients′ pain knowledge to patients′ attitude towards cancer pain management was -0.384. The direct positive effect size of caregiver′s attitude towards cancer pain management to patient′s attitude towards cancer pain management was 0.138. The indirect negative effect of caregivers′ pain knowledge to patient′s attitudes towards cancer pain management via caregivers′ attitudes was -0.053. There was positive correlation between patients′ pain knowledge and caregivers′ pain knowledge (coefficient of association was 0.150). Conclusions The results of prevalence study showed that patients′ attitudes towards pain management was in low level. It will benefit to improve patients′ attitude towards cancer pain management by increasing pain knowledge level of patients. Caregivers should be brought into the intervention, by raising the level of pain knowledge of caregivers to improve pain management attitude of caregivers. Key words: Neoplasms; Pain; Attitude

Evaluation for the reliability and validity of application of the Barriers Questionnaire-Taiwan form for cancer patients of mainland China

Objective To evaluate the reliability and validity of Barriers Questionnaire-Taiwan form (BQT) for cancer patients of mainland China. Methods A cross-sectional study was made among 363 hospitalized cancer patients from 7 hospitals in Beijing in January to March in 2015 with BQT. Methods of Cronbach alpha, split-half reliability, exploratory factor analysis, and content validity index were used to analyze its reliability and validity. Results All the indexes were in the measurement of acceptable range that the Cronbach alpha of BQT was 0.799, the Equal Length coefficient of Spearman-Brown was 0.770, the coefficient of Guttman Split-Half was 0.770, accumulating contribution rate of 11 factors was 63.910%, and the coefficient of content validity index was 0.733. Conclusions The reliability and validity of BQT are good and can be used to evaluate the pain management attitudes for cancer patients of Mainland China. Key words: Cancer patients; Barriers Questionnaire; Reliability; Validity

Investigation and analysis of present situation of cancer pain management attitudes in nurses of one cancer hospital

Objective The investigation was done in one level three class A cancer hospital in Henan province to understand the nurses′ master level of cancer pain and whether nurse have the right concept of cancer pain management. Methods Through cluster sampling, self-designed nurses pain knowledge questionnaire was used to investigate 580 nurses for the master level of cancer hospital in a level three class A cancer hospital in Henan province. Results Among 580 nurses, the cancer related knowledge investigation score were 318 nurses acquired excellent (54.8%), 27 nurses acquired pass (35.7%) and 55 nurses obtained fall (9.5%). There were 373 nurses (64.34%) understood the cancer three stages pain management plan. The nurse′s ages, occupational titles and work experiences of cancer nursing had positive correlation with the score of cancer related knowledge (r=0.211, 0.268, 0.207; P<0.01). Conclusions At present, the cancer hospital nurse′s master of knowledge related cancer pain is not enough, so we should enhance nurse′s pain related knowledge level, establish the correct concept of pain management, promote cancer patient′s quality of life by the continuous study and updated concept, knowledge and practice, so as to meet the demands of clinical. Key words: Cancer hospital; Nurse; Cancer pain; Knowledge; Current status investigation

PC-FACS

PC-FACS

‘It feels like someone is hammering my feet’: Understanding pain and its management from the perspective of people with multiple sclerosis

Background: Pain affects around 63% of people with multiple sclerosis (pwMS). Biomedical treatments demonstrate limited efficacy. More research is needed to understand pain from the individual’s perspective in order to better inform a patient-centred approach that improves engagement, self-management and outcome. Objective: The objective of this paper is to explore pwMS’ experience and responses to pain, and their perspectives on pain management. Methods: Twenty-five in-depth, semi-structured telephone interviews were conducted. Interviews were audiotaped, transcribed and analysed using an inductive thematic analysis approach with elements of grounded theory. Results: Key themes included vivid descriptions of pain and beliefs that pain is unpredictable, a sign of damage and may worsen. Anger was a common emotional response. Two dominant pain management themes emerged: one related to pain reduction and another to acceptance. Those focusing on pain reduction appeared to engage in cycles in which they struggled with symptoms and experienced continued distress. Conclusion: Findings identify pain-related beliefs, emotional reactions and disparate pain-management attitudes. All may influence pwMS’ responses to pain and what they ask of their clinicians. Uncovering pwMS’ personal beliefs about pain, and introducing a broader biopsychosocial understanding of pain in the clinical context, may provide opportunities to rectify potentially unhelpful management choices and enhance pain acceptance.

Effect of pain management training to junior nurses' practice of pain assessment

Objective To evaluate the effect of pain management training to junior nurses' practice of pain assessment,to provide evidence for continuing education of pain management.Methods 60 junior nurses were randomly assigned to experimental group(30 cases) and the control group (30 cases).Nurses in control group received convention education,whereas nurses in experimental group received a pain management training for four weeks.The practice of pain assessment of two groups were compared after 4-week training.Results After training,the knowledge and attitude of pain management of nurses in experimental group scored an average of (29.20 ± 3.25),whereas the average score of nurses in control group is (16.83 ± 2.87).There was significance difference between two groups (t =-15.625,P ＜ 0.01) ; in terms of the contents of pain assessment,nurses in experimental group were more sufficient and more accurate (t =-14.726,P ＜ 0.01).Regarding the practice of pain assessment the mean score of nurses in experimental group and control group were (6.70±1.47) and (2.93 ±0.87).There was significant difference between two groups (t =12.11,P ＜0.01).For using pain assessment tool,the nurses in experimental group get 100.0％ correct rate,whereas nurses in control group get 30.0％ correct rate,which shows significant differences statistically (x2 =27.81,P ＜ 0.01).Conclusions The pain management training can improve nurses' pain knowledge,attitude,as well as promote the accuracy of nurses 'assessment practice consequently. Key words: Junior nurse; Pain management training; Assessment evaluate

Knowledge and Attitudes of Pain Management Among Nursing Faculty

A descriptive correlational design was used in this study to examine nursing faculty knowledge and attitudes in pain management. Relationships between age, education level, pain management preparation, length of time practicing as a nurse, length of time teaching nursing, time teaching pain management in the classroom, taught pain guidelines in the classroom, and additional continuing education about pain management were explored. Ninety-six nursing faculty participated from 16 schools of nursing in one Midwestern U.S. region. Findings identified that most of the nursing faculty recalled being taught about pain management in their basic education, but less than one-half felt adequately prepared. Most respondents said that they taught pain management, yet fewer than one-half identified that they used specific pain management guidelines. Faculty demonstrated adequate knowledge of pain assessment, spiritual/cultural issues, and pathophysiology. Areas of weakness were found in medications, interventions, and addiction. Faculty that reported teaching pain management in the classroom and reported more continuing education missed fewer items. Older nursing faculty reported more years of practice, more years of teaching, and more continuing education in pain management than younger faculty. Younger nursing faculty remembered being taught pain management in nursing school and felt more adequately prepared than older nursing faculty. Faculty that reported practicing for longer periods of time felt less prepared in pain management than faculty who practiced for shorter periods of time. More continuing education in pain management may be needed for older nurses to meet the recommendations of the Institute of Medicines' report on relieving pain in the U.S.

Does screening for pain correspond to high quality care for veterans?

BACKGROUNDRoutine numeric screening for pain is widely recommended, but its association with overall quality of pain care is unclear.OBJECTIVETo assess adherence to measures of pain management quality and identify associated patient and provider factors.DESIGNA cross-sectional visit-based study.PARTICIPANTSOne hundred and forty adult VA outpatient primary care clinic patients reporting a numeric rating scale (NRS) of moderate to severe pain (four or more on a zero to ten scale). Seventy-seven providers completed a baseline survey regarding general pain management attitudes and a post-visit survey regarding management of 112 participating patients.MEASUREMENT AND MAIN RESULTSWe used chart review to determine adherence to four validated process quality indicators (QIs) including noting pain presence, pain character, and pain control, and intensifying pharmacological intervention. The average NRS was 6.7. Seventy-three percent of charts noted the presence of pain, 13.9% the character, 23.6% the degree of control, and 15.3% increased pain medication prescription. Charts were more likely to include documentation of pain presence if providers agreed that “patients want me to ask about pain” and “pain can have negative consequences on patient’s functioning”. Charts were more likely to document character of pain if providers agreed that “patients are able to rate their pain”. Patients with musculoskeletal pain were less likely to have chart documentation of character of pain.CONCLUSIONSDespite routine pain screening in VA, providers seldom documented elements considered important to evaluation and treatment of pain. Improving pain care may require attention to all aspects of pain management, not just screening.

An examination of nursing attitudes and pain management practices [see comments

The purpose of this evaluation is to examine the relationship among nurses' pain management attitudes and pain management practices and to begin to explore the theoretical underpinnings that may influence this relationship. A convenience sample of 29 female registered nurses working in hospice or home health settings participated in an educational program 1 day per week for 6 weeks. All participants were asked to complete the Cancer Pain Knowledge Inventory and Survey of Expectations and Pain Assessment Questionnaire 5 weeks before, immediately before, immediately after, 6 months after, and 12 months after the program. Seventeen participants completed all questionnaires at the 6-month follow-up; 16 participants completed all questionnaires at the 1-year follow-up. Personal beliefs about pain were evaluated in relation to the dimensions and treatment of pain. Intentions and expectations to perform specific activities were evaluated in relation to in-depth assessments, equianalgesic conversions, demonstration of new ideas, and communication. Nurses' attitudes, beliefs, intentions, and expectations about pain and pain management influenced nurses' patient care and educational activities. Nurses who believed that patients should be pain free and nurses who focused on both the dimensions and treatment of pain implemented more pain management activities. In general, nurses who had high intentions and expectations performed more pain management activities. Although nurses reported change in attitude, and high expectancy for change, feelings of increased credibility, and increased motivation as advocates for new approaches to practice, nurses sometimes found it difficult to implement new practices because of constraints in time and collaborative efforts. To implement new knowledge and achieve individualized goals for change, nurses must be allowed adequate time to analyze the relationships between their beliefs about pain and the ways that they solve patients' pain problems. In addition, more support for multidisciplinary collaboration is needed.