Grant Marcia, Ferrell Betty, Hanson Jo, Sun Virginia, Uman Gwen
Nursing Research & Education, Department of Population Sciences, City of Hope, Duarte, CA 91010, USA.
J Cancer Educ. 2011 Dec;26(4):598-603. doi: 10.1007/s13187-011-0268-1.
Nurses play a pivotal role in pain management but academic nursing curricula remain lacking in basic pain management principles. The purpose of this study was to evaluate the long-term impact of the City of Hope Pain Resource Nurse (PRN) Training Course on nursing pain management practice. An online survey, comparing RNs' pre- and post-training practice, assessed the long-term impact of the course on content application and dissemination. Participants with 1-9 years post-course attendance (2002-2010) were invited to complete a brief survey (N = 783). Respondents (N = 180; 23%) reported significant improvements in their comfort with basic opioid administration (p < .001). Relaxation was the most common non-drug intervention used by respondents. Pain assessment content was most frequently applied to practice (97%). Most respondents (89%) disseminated course content to others within their own institutions. PRN-trained nurses expressed improved confidence in pain management and attributed course content to the improvement in their practice behavior.
护士在疼痛管理中发挥着关键作用，但护理学术课程在基本疼痛管理原则方面仍然欠缺。本研究的目的是评估希望之城疼痛资源护士（PRN）培训课程对护理疼痛管理实践的长期影响。一项在线调查通过比较注册护士培训前后的实践情况，评估了该课程对内容应用和传播的长期影响。邀请了在课程结束后1至9年（2002年至2010年）的参与者完成一份简短调查（N = 783）。受访者（N = 180；23%）报告称，他们在基本阿片类药物给药方面的舒适度有显著提高（p < .001）。放松是受访者最常用的非药物干预措施。疼痛评估内容在实践中应用最为频繁（97%）。大多数受访者（89%）将课程内容传播给了所在机构内的其他人。接受PRN培训的护士表示在疼痛管理方面信心增强，并将实践行为的改善归因于课程内容。
