Knowledge, attitudes and practices on postoperative pain management among registered nurses in a private hospital in Selangor-Malaysia
Abstract
Background: Postoperative pain is an important aspect of patient care. It occurs when there is tissue injury and muscle spasms following surgery. The goal of postoperative pain management is to minimize discomfort and side effects. Poor pain management can result in patient discomfort, complications, slow recovery, and longer hospitalization. Therefore, it is crucial for registered nurses to have a good understanding of postoperative pain assessment tools in order to provide the best pain management for their patients.
Purpose: To assess knowledge and attitude related to pain management practices among registered nurses (rn) in postoperative patients.
Method: In this study, a descriptive quantitative cross-sectional survey design was used. A questionnaire was administered, consisting of four parts. The first part collected socio-demographic data from Registered Nurses. The second part contained 13 true and false questions to evaluate their knowledge level. The third part consisted of 14 questions to assess the attitudes of Registered Nurses, and the fourth part consisted of 18 questions using a Likert scale to evaluate their practices. The total number of respondents was 108 Registered Nurses. The data obtained were analyzed using IBM Social Packages for the Social Sciences (SPSS) software version 26.
Results: The study finding shows that 58.2% of Registered Nurses possess adequate knowledge regarding postoperative pain management, while 41.8% lack sufficient knowledge. These nurses agree that effective analgesia is crucial in postoperative care, with 90.8% recognizing the importance of pain measurement instruments. Providing a clean and comfortable ward with a neatly made bed is the most commonly practiced intervention for pain relief among Registered Nurses. Additionally, the study found a positive correlation between age, years of clinical experience, and pain management practices.
Conclusion: According to the findings, there is significant variation in the knowledge, attitude, and practices of registered nurses when it comes to managing postoperative pain. To ensure that patients receive helpful and effective pain management after surgery, it is important for nurses to participate in ongoing professional development activities.
Keywords
References
Adams, S. D. M., Varaei, S., & Jalalinia, F. (2020). Nurses’ knowledge and attitude towards postoperative pain management in Ghana. Pain research and management, 2020.
Alzghoul, B. I., & Abdullah, N. A. C. (2016). Pain management practices by nurses: an application of the knowledge, attitude and practices (KAP) model. Global journal of health science, 8(6), 154.
Aziato, L., Dedey, F., Marfo, K., Asamani, J. A., & Clegg-Lamptey, J. N. A. (2015). Validation of three pain scales among adult postoperative patients in Ghana. BMC nursing, 14, 1-9.
Chou, R., Gordon, D. B., de Leon-Casasola, O. A., Rosenberg, J. M., Bickler, S., Brennan, T., & Wu, C. L. (2016). Management of Postoperative Pain: a clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' committee on regional anesthesia, executive committee, and administrative council. The journal of pain, 17(2), 131-157.
Delbaere, K., Close, J. C., Brodaty, H., Sachdev, P., & Lord, S. R. (2010). Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study. Bmj, 341.
Dessie, M., Asichale, A., Belayneh, T., Enyew, H., & Hailekiros, A. (2019). Knowledge and attitudes of Ethiopian nursing staff regarding post-operative pain management: a cross-sectional multicenter study. Patient Related Outcome Measures, 395-403.
Gaynor, J. S., & Muir, W. W. (2014). Handbook of veterinary pain management. Elsevier Health Sciences.
Gold, M. E., Randzio, J., Kniha, H., Kim, B. S., Park, H. H., Stein, J. P., & Furnas, D. W. (1991). Transplantation of vascularized composite mandibular allografts in young cynomolgus monkeys. Annals of plastic surgery, 26(2), 125-132.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and psychological measurement, 30(3), 607-610.
Launiala, A. (2009). How Much Can a KAP Survey Tell Us about People Knowledge, Attitude, and Practice? Some Observations from Medical Anthropology Research on Malaria in Pregnancy in Malawi. Anthropology Maternal Journal 11: 1–13.
Lovich-Sapola, J., Smith, C. E., & Brandt, C. P. (2015). Postoperative pain control. Surgical clinics, 95(2), 301-318.
McKay, W., Lee, D., Masu, A., Thakore, S., Tuyishime, E., Niyitegeka, J., & O’Brien, J. (2019). Surveys of post-operative pain management in a teaching hospital in Rwanda—2013 and 2017. Canadian Journal of Pain, 3(1), 190-199.
Menlah, A., Garti, I., Amoo, S. A., Atakro, C. A., Amponsah, C., & Agyare, D. F. (2018). Knowledge, attitudes, and practices of postoperative pain management by nurses in selected district hospitals in Ghana. SAGE Open Nursing, 4, 2377960818790383.
Ministry of Health Malaysia. (2018). Pain as The 5 Th Vital Sign Guideline : 3 Rd Edition.
Ocak, Ç., & Topcu, S. Y. (2023). The role of nurses’ knowledge and attitudes in postoperative pain management. Collegian.
Raja, S. N., Carr, D. B., Cohen, M., Finnerup, N. B., Flor, H., Gibson, S., & Vader, K. (2020). The revised IASP definition of pain: Concepts, challenges, and compromises. Pain, 161(9), 1976.
Teshome, Z. B., Aychew, Y., Mitiku, W., & Guta, B. (2022). Level of attitude, knowledge and practice of nurses toward postoperative pain management, cross-sectional study. Annals of Medicine and Surgery, 84, 104902.
Treede, R.D. (2018). The International Association for the Study of Pain definition of pain: As valid in 2018 as in 1979, but in need of regularly updated footnotes. Pain Reports 3(2): 1–3. https://doi.org/10.1097/PR9.0000000000000643.
Twycross, A. (2007). Children’s nurses’ post-operative pain management practices: An observational study. International Journal of Nursing Studies 44(6): 869–881.
Wurjine, T. H., & Nigussie, B. G. (2018). Knowledge, attitudes and practices of nurses regarding to post-operative pain management at hospitals of Arsi zone, Southeast Ethiopia, 2018. Women’s Health, 7(5), 130-135.
DOI: https://doi.org/10.33024/minh.v6i2.10778
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