Tsai Feng-Ching, Tsai Yun-Fang, Chien Chih-Cheng, Lin Chia-Chin
Department of Management, Chang Gung Cultural and Health Promotion Village, Taiwan.
J Clin Nurs. 2007 Nov;16(11):2088-95. doi: 10.1111/j.1365-2702.2006.01646.x. Epub 2007 Mar 1.
To explore knowledge of and perceived barriers to pain management among emergency nurses in Taiwan.
Pain is the most common patient complaint in emergency departments. Quality care of these patients depends on the pain knowledge and pain management skills of emergency nurses. However, no studies have explored emergency nurses' knowledge of and perceived barriers to pain management in Taiwan.
Nurse subjects (n = 249) were recruited from nine hospitals chosen by stratified sampling across Taiwan. Data were collected using the Nurses' Knowledge and Attitudes Survey-Taiwanese version, a scale to assess perceived barriers to pain management and a background information form.
The overall average correct response rate for the knowledge scale was 49.2%, with a range of 4.8-89.2% for each survey question. The top barrier to managing pain was identified by these nurses as 'the responsibility of caring for other acutely ill patients in addition to a patient with pain. Knowledge of pain management had a significant, negative relationship with perceived barriers to pain management and a significant, positive relationship with extent of clinical care experience and total hours of prior pain management education. In addition, scores for knowledge and perceived barriers differed significantly by the nursing clinical ladder. Perceived barriers also differed significantly by hospital accreditation category.
Our results indicate an urgent need to strengthen pain education for emergency nurses in Taiwan.
The pain education should target knowledge deficits and barriers to changing pain management approaches for Taiwanese emergency nurses.
探讨台湾急诊护士对疼痛管理的知识及感知到的障碍。
疼痛是急诊科患者最常见的主诉。对这些患者的优质护理取决于急诊护士的疼痛知识和疼痛管理技能。然而，台湾尚无研究探讨急诊护士对疼痛管理的知识及感知到的障碍。
通过分层抽样从台湾九家医院招募护士受试者（n = 249）。使用台湾版护士知识与态度调查问卷、评估疼痛管理感知障碍的量表以及背景信息表收集数据。
知识量表的总体平均正确回答率为49.2%，每个调查问题的回答率范围为4.8 - 89.2%。这些护士认为管理疼痛的最大障碍是“除了疼痛患者外，还要负责照顾其他急症患者”。疼痛管理知识与疼痛管理感知障碍呈显著负相关，与临床护理经验程度和先前疼痛管理教育总时长呈显著正相关。此外，知识得分和感知障碍在护理临床职级上有显著差异。感知障碍在医院评审类别上也有显著差异。
我们的结果表明台湾急需加强对急诊护士的疼痛教育。
疼痛教育应针对台湾急诊护士的知识缺陷以及改变疼痛管理方法的障碍。
